ATI LPN
Pediatric Cardiac Nclex Practice Questions Questions
Question 1 of 9
A nurse is making pediatric bed assignments. What should the nurse take into consideration when making bed assignments? Select one that does not apply.
Correct Answer: C
Rationale: Similar ages and diagnoses aid compatibility, and cribs are safe for older infants. Adults with children and full beds for toddlers pose safety risks.
Question 2 of 9
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
Correct Answer: C
Rationale: Placing a blanket over the scale C prevents heat loss by conduction, per document .
Question 3 of 9
The nurse is preparing to discharge a child diagnosed with Hirschsprung's disease from the hospital. Which topic is appropriate for the nurse to include in the discharge teaching with the child's parents?
Correct Answer: C
Rationale: Hirschsprung’s disease often requires surgical intervention (e.g., colostomy) to manage absent ganglion cells in the colon. Teaching colostomy care is appropriate. Allergies , dairy elimination , and TPN are not standard management unless specified.
Question 4 of 9
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used
Correct Answer: A
Rationale: Alcohol (A) causes slurred speech, ataxia, and combativeness. Cocaine (B) and amphetamines (C) increase alertness, PCP (D) causes hallucinations. Document: 'Behavioral signs of alcohol ingestion include slurred speech… combativeness.'
Question 5 of 9
A 5-year-old girl presents with abdominal pain and bloody diarrhea. Stool culture grows E. coli O157:H7. Most likely diagnosis is:
Correct Answer: C
Rationale: HUS follows E. coli O157:H7 with bloody diarrhea, per CDC. A, B, D, E differ.
Question 6 of 9
A 4-year-old girl presents with fever and a sore throat. Exam shows palatal petechiae. Most likely diagnosis is:
Correct Answer: C
Rationale: Mononucleosis features petechiae, per CDC. A, B, D, E differ.
Question 7 of 9
Which renal condition is most commonly associated with congenital hepatic fibrosis?
Correct Answer: A
Rationale: Congenital hepatic fibrosis (CHF) is strongly associated with autosomal recessive polycystic kidney disease (ARPKD) (Choice A), a ciliopathy causing renal cysts and hepatic fibrosis, often presenting together in childhood. Horseshoe kidney (Choice B) is a fusion anomaly unrelated to CHF. Multicystic dysplastic kidney (Choice C) is a unilateral developmental disorder, not linked to hepatic fibrosis. Nephronophthisis (Choice D) causes renal failure but lacks a consistent CHF association. ARPKD’s genetic and clinical overlap with CHF makes it the most common association.
Question 8 of 9
The side effects of oral iron therapy include select all that apply
Correct Answer: B
Rationale: Blackened stools A, darkened teeth B, and gastric irritation D are side effects I, II, IV, per document p5, 3.
Question 9 of 9
A 9-year-old boy was treated in the ER (emergency room) for an anaphylactic reaction secondary to insect sting. He improved significantly within 1 hour. His mother wants to take him home as soon as possible. The child should be observed in the ER for at least how many hours:
Correct Answer: D
Rationale: 4 hours is the minimum observation time post-anaphylaxis to monitor for biphasic reactions (AAAAI). A-C are too short, E is excessive.