ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 of 5
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 5
A 10 year-old-child is diagnosed with Hepatitis A. What is most likely way the child contracted this disease.
Correct Answer: D
Rationale: Hepatitis A spreads via fecal-oral route, often contaminated water (D). Blood (A) is Hep B/C, droplets (B) respiratory viruses, ticks (C) Lyme. Document: 'The ingestion of contaminated water… [is how] hepatitis A [is contracted].'
Question 3 of 5
An appropriate nursing intervention for a hospitalized child who is autistic would be to:
Correct Answer: D
Rationale: Minimizing disruptions (D) supports autistic children’s need for structure. Activity (A) overwhelms, age-based communication (B) ignores ability, and no toys (C) limits comfort. Document: 'Provide a highly structured environment with few distractions.'
Question 4 of 5
An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. This symptom is associated with:
Correct Answer: B
Rationale: Scabies (B) causes intense nocturnal itching in interdigital and axillary areas due to mite burrows. Eczema (A) is chronic, lice (C) affect the scalp, and tinea (D) is fungal. Document: 'Intense itching, especially at night, is characteristic of scabies.'
Question 5 of 5
An adolescent has just had a generalized seizure and collapsed in the school nurse's office. The nurse should call 911 if the student:
Correct Answer: A
Rationale: Seizures over 5 minutes (A) suggest status epilepticus, requiring 911. Falling (B), confusion (C), and lethargy (D) are normal postictal states. Document: 'If seizures last more than 5 minutes, call 911… possible status epilepticus.'