ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 of 9
A child with acute leukemia on prednisolone may experience
Correct Answer: C
Rationale: Mood changes C are a common steroid side effect, per document p18, 6.
Question 2 of 9
A 2-month-old infant presents with projectile vomiting and dehydration. Labs show hypochloremic alkalosis. Most likely diagnosis is:
Correct Answer: B
Rationale: Pyloric stenosis causes projectile vomiting and hypochloremic alkalosis, per AAP. A, C-E differ in labs.
Question 3 of 9
A 2-year-old boy presents with a limp and hip pain. X-ray shows a lytic lesion. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with lytic lesions, per NCI. A, C-E differ.
Question 4 of 9
A 2-year-old boy presents with fever and vesicles in the mouth and on the hands. Most likely diagnosis is:
Correct Answer: B
Rationale: HFMD features vesicles in mouth and hands, per CDC. A, C-E differ.
Question 5 of 9
A mother noticed a bulge in her 5-month-old's left groin. This bulge is painful and the physician said he needs emergency surgery. Based on the nurse's knowledge, which of the following conditions has occurred?
Correct Answer: D
Rationale: A strangulated inguinal hernia (D) is irreducible, painful, and requires emergency surgery due to compromised blood flow. Reducible umbilical hernia (A) doesn’t need urgent surgery, appendicitis (B) involves abdominal pain, and Meckel’s (C) causes bleeding. Document states: 'He has a strangulated inguinal hernia because it is not reducible, causing pain and necessitates emergency surgery.'
Question 6 of 9
A 4-year-old girl presents with hematuria and flank pain. Ultrasound shows hydronephrosis. Most likely diagnosis is:
Correct Answer: B
Rationale: UPJ obstruction causes hydronephrosis and hematuria, per AAP. A, C-E differ.
Question 7 of 9
A first-time dad is concerned that his 3-day-old daughter’s skin is 'yellow'. In the nurse’s explanation of physiologic jaundice, what fact should be included?
Correct Answer: D
Rationale: Bilirubin levels peak between the second and fourth days D in physiologic jaundice, a normal process, per document .
Question 8 of 9
A 4-year-old girl presents with fever and a sore throat. Exam shows tonsillar exudates and tender lymphadenopathy. Most likely diagnosis is:
Correct Answer: B
Rationale: Strep throat features exudates and lymphadenopathy, per IDSA. A, C-E differ.
Question 9 of 9
From what herb does digitalis originate?
Correct Answer: D
Rationale: Digitalis, a cardiac glycoside, comes from foxglove (D). Cinchona (A) yields quinine, poppy (B) opiates, and chamomile (C) is sedative. Document: 'Digitalis originates from foxglove.'