A child with a ventricular septal defect may exhibit

Questions 56

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Pediatric Nursing ATI Practice Questions Questions

Question 1 of 9

A child with a ventricular septal defect may exhibit

Correct Answer: D

Rationale: All *E* are VSD signs, per document p25, 8.

Question 2 of 9

Therapeutic abortion is recommended when maternal radiation exposure exceeds:

Correct Answer: D

Rationale: Above 10,000 mrad , risks to the fetus justify therapeutic abortion (ACOG). Lower doses (A-C) pose less risk, E is extreme.

Question 3 of 9

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a patent ductus arteriosus. The next step is:

Correct Answer: B

Rationale: Indomethacin closes a symptomatic PDA, per AHA. A, C-E are for persistent cases.

Question 4 of 9

Most common cause of hyperthyroidism in children is:

Correct Answer: B

Rationale: Graves disease is the most common cause of hyperthyroidism in children, per AAP (doc p150, Q583).

Question 5 of 9

A child with a ventricular septal defect may exhibit

Correct Answer: D

Rationale: All *E* are VSD signs, per document p25, 8.

Question 6 of 9

A 6-year-old girl presents with weight loss and night sweats. Chest x-ray shows hilar lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Tuberculosis fits weight loss and hilar nodes, per CDC. A, C-E differ.

Question 7 of 9

The nurse should suspect Hirschsprung’s disease if a newborn has

Correct Answer: C

Rationale: No meconium C suggests obstruction, per document p59, 6.

Question 8 of 9

What is the most likely diagnosis?

Correct Answer: C

Rationale: A 7-year-old with recent parental separation shows school refusal, aggression, social withdrawal, and temper outbursts, suggesting major depressive disorder (Choice C). These symptoms—irritability, anhedonia (avoiding friends), and behavioral changes—align with pediatric depression, often triggered by stressors like divorce. ADHD (Choice A) involves chronic inattention/hyperactivity, not acute onset. Conduct disorder (Choice B) lacks the mood and withdrawal elements. Separation anxiety (Choice D) focuses on clinginess, not aggression or anhedonia. Depression best explains the presentation.

Question 9 of 9

A 12-year-old girl has not yet experienced menarche or breast budding. She appears with short stature and webbed neck. Most likely diagnosis is:

Correct Answer: B

Rationale: Turner syndrome fits delayed puberty, short stature, and webbed neck, per AAP (doc p149, Q567).

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