ATI LPN
PN Pediatric Nursing 2023 70 Questions Questions
Question 1 of 9
A preterm infant was diagnosed with NEC. Blood culture was obtained. Ampicillin and gentamicin were started. In most patients with NEC, blood culture usually yields:
Correct Answer: A
Rationale: Most NEC cases yield no pathogen in blood cultures, as it’s primarily ischemic, not septic (AAP). B-E are less common.
Question 2 of 9
What is the correct management?
Correct Answer: D
Rationale: For a 1-year-old (10 kg) with anaphylaxis (urticaria, wheeze post-peanut ingestion), the correct adrenaline dose is 0.15 mL of 1:1000 IM (0.15 mg), per guidelines (0.01 mg/kg). Choice A (0.1 mL 1:1000) is 0.1 mg, underdosing. Choice B (0.1 mL 1:10,000) is 0.01 mg, far too low. Choice C (1 mL 1:10,000) is 0.1 mg, still inadequate. Choice D (0.1 mL 1:10,000 SC) is incorrect dose and route (IM preferred). None match the standard, but typically 0.15 mL 1:1000 IM is correct.
Question 3 of 9
A child has vesicles that have ruptured around the mouth and nose to form a thick honey-colored crust. The nurse suspects that this is:
Correct Answer: C
Rationale: Impetigo (C) features vesicles rupturing into honey-colored crusts, a bacterial infection. Miliaria (A) is heat rash, corporis pedis (B) is a typo (likely tinea), and scabies (D) causes itching burrows. Document: 'Impetigo consists of moist… vesicles… [forming] thick honey-colored crusts.'
Question 4 of 9
A 3-year-old with pneumonia should be positioned
Correct Answer: B
Rationale: Head elevated B aids breathing, per document p53, .
Question 5 of 9
The priority for a child with epiglottitis is
Correct Answer: B
Rationale: Airway patency B is critical, per document p56, 4.
Question 6 of 9
A 6-month-old girl with a history of wheezing following an upper respiratory infection appears with fever and respiratory distress. She failed to improve after nebulized albuterol therapy. Most likely diagnosis is:
Correct Answer: D
Rationale: Bronchiolitis fits a 6-month-old with URI-triggered wheezing unresponsive to albuterol, per AAP, as it’s viral-driven. A-C, E don’t align.
Question 7 of 9
A newborn presents with cyanosis and respiratory distress. Chest x-ray shows a narrow mediastinum and egg-on-string appearance. Most likely diagnosis is:
Correct Answer: B
Rationale: Transposition of the great arteries shows a narrow mediastinum and egg-on-string sign, per AAP. A, C-E have different x-ray findings.
Question 8 of 9
When teaching parents about their newborn's transition to extrauterine life, the nurse explains which organs are nonfunctional during fetal life?
Correct Answer: D
Rationale: Lungs and liver D are nonfunctional during fetal life; lungs are fluid-filled, and liver function is limited as the placenta handles metabolism, per AAP.
Question 9 of 9
Which will make you suspect bronchopneumonia in a child with measles?
Correct Answer: B
Rationale: Increased respiration B signals respiratory complications, per document 4.