A child with nephrotic syndrome requires

Questions 56

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ATI LPN Test Bank

ATI Pediatrics Practice Questions Questions

Question 1 of 9

A child with nephrotic syndrome requires

Correct Answer: D

Rationale: All D manage nephrotic syndrome, per document p60, 3.

Question 2 of 9

A child with leukemia is prone to

Correct Answer: D

Rationale: All D result from leukemia, per document p57, 7.

Question 3 of 9

Biological causes of mild mental retardation includes all of the following except:

Correct Answer: A

Rationale: Excessive fetal movements aren’t a recognized cause of mild mental retardation; they’re nonspecific. B-E are established contributors (CDC).

Question 4 of 9

A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and lactic acidosis. Most likely diagnosis is:

Correct Answer: D

Rationale: FAOD causes hypoglycemia and lactic acidosis, per NORD. A-C, E differ.

Question 5 of 9

The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestations would she expect to observe?

Correct Answer: B

Rationale: Diabetes insipidus causes polyuria and polydipsia (B) due to lack of antidiuretic hormone. Nausea (A), oliguria (C), and glycosuria (D) are unrelated. Document: 'Excessive urination accompanied by insatiable thirst is the primary clinical manifestation.'

Question 6 of 9

A child with sickle cell disease should avoid

Correct Answer: D

Rationale: All D trigger crises, per document p53, .

Question 7 of 9

Prenatal diagnosis of affected male fetus with adrenoleukodystrophy is made by:

Correct Answer: A

Rationale: Elevated VLCFA in cultured amniocytes diagnoses adrenoleukodystrophy prenatally (NORD). B-E are not diagnostic.

Question 8 of 9

A child with a history of cystic fibrosis suddenly develops right-sided chest pain and shortness of breath. Physical examination reveals decreased breath sounds on the right side and mediastinal shift to the left side. Most likely diagnosis is:

Correct Answer: D

Rationale: Pneumothorax matches unilateral findings and mediastinal shift in cystic fibrosis, per CFF. A-C, E don’t fit.

Question 9 of 9

What is the risk the fetus will be affected?

Correct Answer: B

Rationale: Spinal muscular atrophy (SMA) type 2 is autosomal recessive. If the mother’s new partner is a carrier (assuming population risk isn’t specified), the risk is 1 in 4 (Choice B): 25% chance the fetus inherits two mutated SMN1 alleles (50% from each carrier parent). 1 in 2 (Choice A) applies if one parent is affected. 1 in 50 (Choice C) or 1 in 200 (Choice D) suggest unrelated carrier frequencies, not applicable without data. 1 in 4 is standard for recessive inheritance with two carriers.

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