ATI RN
Pediatric Nursing Certification Practice Questions Questions
Question 1 of 5
A preterm neonate has a persistent murmur, widened pulse pressure, and bounding pulses. What is the most likely diagnosis?
Correct Answer: C
Rationale: Patent ductus arteriosus (PDA) is common in preterm infants due to failure of ductal closure. It presents with a continuous murmur, widened pulse pressure, and bounding pulses. Treatment includes NSAIDs or surgical ligation.
Question 2 of 5
A 5-year-old is noted by the parents to snore at night. The child has also had problems staying awake in preschool and has had behavioral problems. The father also snores. Physical examination of the child reveals large, pink, nonexudative tonsils. The most appropriate next step is
Correct Answer: B
Rationale: Polysomnography is essential for diagnosing obstructive sleep apnea, especially given the child's symptoms of snoring, daytime sleepiness, and enlarged tonsils.
Question 3 of 5
Rheumatoid factor (RF) positivity in individuals with extra-articular manifestations is almost exclusively occur in RF-positive polyarthritis characterized by aggressive manifestation that is almost exclusively occurs in symmetrical arthritis of both upper and lower extremities. Which of the following is NOT correlated with ANA positivity?
Correct Answer: D
Rationale: Age and gender are strongly correlated with ANA positivity, while uveitis is a common extra-articular manifestation.
Question 4 of 5
Allergic rhinitis may be complicated by secondary bacterial infection as sinusitis. Of the following, the MOST likely clue to infection is
Correct Answer: C
Rationale: Thick nasal secretions, especially yellow or green, suggest bacterial infection, differentiating it from allergic rhinitis, which usually presents with clear nasal discharge.
Question 5 of 5
What information should the nurse give a mother regarding the introduction of solid foods during infancy?
Correct Answer: B
Rationale: The correct answer is B. When introducing solid foods to infants, it is important to introduce one food item at a time, with intervals of 4 to 7 days between each new food. This allows for the identification of any potential food allergies or intolerances. It is important to proceed gradually and monitor for any adverse reactions.