ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 9
A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Staphylococcus aureus. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are required for S. aureus pneumonia in cystic fibrosis, per CFF. A, B, D, E are insufficient.
Question 2 of 9
A 3-year-old boy presents with fever and a limp. Hip x-ray shows joint space widening. Most likely diagnosis is:
Correct Answer: B
Rationale: Septic arthritis features fever, limp, and joint widening, per AAP. A, C-E differ in acuity.
Question 3 of 9
A 4-year-old boy presents with fever and a diffuse erythematous rash. Exam shows a positive Nikolsky sign. Most likely diagnosis is:
Correct Answer: B
Rationale: SSSS features rash and Nikolsky sign, per IDSA. A, C-E differ.
Question 4 of 9
A 2-year-old is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?
Correct Answer: A
Rationale: Eating paint (A) is a major lead poisoning risk, especially from old homes. Toilet training (B), messy eating (C), and tantrums (D) are normal toddler behaviors. Document: 'Eating paint is one of the major risk factors for lead poisoning.'
Question 5 of 9
A 2-year-old boy presents with a limp and knee pain. Labs show elevated ESR. Most likely diagnosis is:
Correct Answer: C
Rationale: JIA features limp and elevated ESR, per ACR. A, B, D, E differ.
Question 6 of 9
Most nosocomial infections in neonatal intensive care unit (NICU) is associated with:
Correct Answer: A
Rationale: Intravascular catheters are the top source of NICU nosocomial infections due to bloodstream entry (CDC). B-E are less common.
Question 7 of 9
A 5-year-old boy presents with hematuria and edema. Labs show hypoalbuminemia and proteinuria. Most likely diagnosis is:
Correct Answer: B
Rationale: Nephrotic syndrome features edema and hypoalbuminemia, per AAP. A, C-E differ.
Question 8 of 9
A 13-year-old girl has been hospitalized for the past week. When discussing the girl's feelings about her illness, the nurse would expect the girl to express the most concern about:
Correct Answer: C
Rationale: Early adolescents (12-15) prioritize body image (C) during illness. Procedures (A), control (B), and separation (D) are secondary. Document: 'Illness during early adolescence… is seen mainly as a threat to body image.'
Question 9 of 9
The most common nutritional deficiency in children is
Correct Answer: B
Rationale: Iron B deficiency is most prevalent globally, per document p28, and WHO data.