ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 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 2 of 9
The most therapeutic play for a 4-year-old is
Correct Answer: B
Rationale: Drawing B allows expression, per document p43, 6.
Question 3 of 9
Doctor orders: levothyroxine 0.2 mg PO daily. Available is levothyroxine 200 mcg/tab. How many tablets will you give?
Correct Answer: A
Rationale: To determine the number of tablets, convert the ordered dose to the same units as the available dose. Ordered: 0.2 mg = 0.2 × 1000 = 200 mcg. Available: 200 mcg per tablet. Divide the ordered dose by the available dose per tablet: 200 mcg ÷ 200 mcg/tab = 1 tablet. Thus, you give 1 tablet.
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 child with a history of cystic fibrosis appears with rectal prolapse. The next step in management is:
Correct Answer: B
Rationale: Manual reduction and observation is the initial step for rectal prolapse in cystic fibrosis, per CFF. A, C-E are unnecessary initially.
Question 6 of 9
A 4-year-old with a burn requires
Correct Answer: D
Rationale: All *E* are essential burn care, per document p29, .
Question 7 of 9
The most common cardiovascular anomaly in Williams syndrome is:
Correct Answer: A
Rationale: Supravalvular aortic stenosis is the most common cardiac defect in Williams syndrome, per NIH. B-E are less frequent.
Question 8 of 9
First tooth eruption is expected at
Correct Answer: B
Rationale: 5-9 months B is typical for first teeth, per document p15, 0.
Question 9 of 9
A 6-month-old infant presents with poor feeding and a murmur. Echocardiogram shows a patent foramen ovale. The next step is:
Correct Answer: C
Rationale: Observation is standard for asymptomatic PFO, per AHA. A, B, D, E are for complications.