ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 5
A neonate presents with cyanosis and a boot-shaped heart on chest X-ray. What is the most likely diagnosis?
Correct Answer: B
Rationale: Tetralogy of Fallot consists of four defects: pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and VSD. The boot-shaped heart on X-ray is a classic finding. Cyanotic spells improve with squatting or knee-chest positioning.
Question 2 of 5
Acute urticaria is a self-limited illness requiring little treatment. All the following can be used EXCEPT
Correct Answer: C
Rationale: Epinephrine is not typically needed for acute urticaria unless there is anaphylaxis. Antihistamines and corticosteroids are preferred treatments.
Question 3 of 5
Somatoform disorders, as part of psychosomatic illness, include all of the following EXCEPT
Correct Answer: B
Rationale: Somatoform disorders involve physical symptoms without a clear medical explanation. Asthma has a clear physiological basis and is not considered a somatoform disorder.
Question 4 of 5
The following disorders are associated with a large anterior fontanel EXCEPT
Correct Answer: D
Rationale: Vitamin A deficiency is not associated with a large anterior fontanel. The other conditions listed can cause delayed fontanel closure or enlargement.
Question 5 of 5
An infant with marked cyanotic heart defect with decreased pulmonary vascularity should be treated with:
Correct Answer: B
Rationale: Prostaglandin E1 maintains the patency of the ductus arteriosus, allowing blood to bypass obstructed or underdeveloped pulmonary circulation, improving oxygenation in cyanotic congenital heart diseases like pulmonary atresia or transposition of the great arteries.