ATI LPN
Pediatric Ot Practice Questions Questions
Question 1 of 9
A child with cystic fibrosis needs
Correct Answer: D
Rationale: All D manage cystic fibrosis, per document p60, 7.
Question 2 of 9
The nurse should monitor a child with a fracture for
Correct Answer: D
Rationale: All D are critical in fracture care, per document p46, 5.
Question 3 of 9
A 5-year-old boy presents with hematuria and hypertension. Ultrasound shows a renal mass. Most likely diagnosis is:
Correct Answer: B
Rationale: Wilms tumor presents with hematuria, hypertension, and a renal mass, per NCI. A, C-E differ.
Question 4 of 9
The characteristic skin lesions of Pseudomonas are:
Correct Answer: D
Rationale: Ecthyma gangrenosum is the classic Pseudomonas lesion, featuring necrotic ulcers, especially in immunocompromised patients (IDSA). Erythema multiforme is immune-related, nodules are nonspecific, pustular melanosis is neonatal, and cellulitis lacks specificity.
Question 5 of 9
A 5-year-old girl presents with weight loss and polyuria. Labs show blood glucose of 200 mg/dL. Most likely diagnosis is:
Correct Answer: B
Rationale: Type 1 DM is common in kids with hyperglycemia, per ADA. A, C-E differ in etiology.
Question 6 of 9
A child with type 1 diabetes received her insulin at 7:30 AM. At 10:30, she is complaining of being hungry, thirsty and drowsy. Which intervention should the nurse perform first? Select one that apply:
Correct Answer: A
Rationale: Hypoglycemia (hunger, thirst, drowsiness post-insulin) requires testing blood sugar (A) and giving juice (B) to raise glucose. Napping (C) or walking (D) delays treatment. Document: 'The immediate remedy is to give orange juice… Test her blood sugar and follow sliding scale.'
Question 7 of 9
The daily amount of intralipid required in preterm infants to prevent essential fatty acid deficiency is:
Correct Answer: B
Rationale: Standard is 0.5-1 g/kg/day of intralipid, not mg/kg (ASPEN). Assuming a typo, 0.5 g/kg aligns with A’s intent as the minimal dose to prevent deficiency.
Question 8 of 9
A 6-year-old boy appears with fatigue, weight loss, and hyperpigmentation. Labs reveal hyponatremia and hyperkalemia. Most likely diagnosis is:
Correct Answer: B
Rationale: Addison disease fits fatigue, hyperpigmentation, and electrolyte abnormalities, per AAP (doc p150, Q588).
Question 9 of 9
A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:
Correct Answer: B
Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.