ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 5
A neonate has a scaphoid abdomen and severe respiratory distress at birth. What is the most likely diagnosis?
Correct Answer: B
Rationale: Congenital diaphragmatic hernia (CDH) occurs when abdominal organs herniate into the chest, compressing the lungs. The scaphoid abdomen and respiratory distress are key signs. Intubation and surgical repair are required.
Question 2 of 5
The dose of adrenaline IV for cardiac arrest is:
Correct Answer: A
Rationale: The recommended dose of IV epinephrine in pediatric cardiac arrest is 10 micrograms/kg every 3-5 minutes to improve circulation and oxygenation.
Question 3 of 5
In which subtype of juvenile idiopathic arthritis (JIA) is there a highest prevalence of AA amyloidosis?
Correct Answer: A
Rationale: Systemic JIA is associated with a higher risk of developing AA amyloidosis.
Question 4 of 5
A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot†on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy†and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT
Correct Answer: A
Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.
Question 5 of 5
Nebulized adrenaline is indicated in which of the following conditions:
Correct Answer: D
Rationale: Nebulized adrenaline is commonly used to treat croup by reducing airway swelling and improving breathing.