ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 5
A child with a history of cystic fibrosis is diagnosed to have pneumonia based on chest x-ray findings. The sputum culture reveals Pseudomonas aeruginosa. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are the standard for Pseudomonas pneumonia in cystic fibrosis, per CFF. A, B, D, E are inadequate alone.
Question 2 of 5
A 3-month-old infant presents with seizures and hypotonia. MRI shows periventricular leukomalacia. Most likely cause is:
Correct Answer: A
Rationale: Hypoxic-ischemic encephalopathy causes periventricular leukomalacia in infants, per AAP, often from perinatal asphyxia. B-E are less likely.
Question 3 of 5
A 3-year-old girl presents with recurrent fractures and blue sclerae. Most likely diagnosis is:
Correct Answer: A
Rationale: Osteogenesis imperfecta causes recurrent fractures and blue sclerae, per NIH. B-E lack this combination.
Question 4 of 5
A 1-year-old girl presents with fever and a bulging fontanelle. CSF shows gram-negative bacilli. Most likely diagnosis is:
Correct Answer: B
Rationale: Bacterial meningitis fits fever, bulging fontanelle, and gram-negative bacilli, per AAP. A, C-E differ in CSF.
Question 5 of 5
A 2-month-old infant presents with jaundice and clay-colored stools. Labs show elevated direct bilirubin. Most likely diagnosis is:
Correct Answer: B
Rationale: Biliary atresia causes jaundice, clay stools, and conjugated hyperbilirubinemia, per AAP. A, C-E differ in presentation.