ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A term infant presents with tachypnea, grunting, and nasal flaring shortly after birth. A chest X-ray shows fluid in the lung fissures. What is the most likely diagnosis?
Correct Answer: C
Rationale: Transient tachypnea of the newborn (TTN) is caused by delayed clearance of fetal lung fluid, common in infants born via cesarean section. Symptoms resolve within 24-72 hours with supportive care.
Question 2 of 5
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
Correct Answer: D
Rationale: Liver is the most common site of visceral involvement by hemangiomas.
Question 3 of 5
Iron chelating agents are used for treatment of:
Correct Answer: D
Rationale: Iron chelators prevent iron overload in patients with chronic hemolytic anemia requiring frequent transfusions.
Question 4 of 5
All the following are true associations between psychiatric illness in childhood and their treatment EXCEPT:
Correct Answer: D
Rationale: Atypical antipsychotics are generally not the first-line treatment for depression in children. Antidepressants are more commonly prescribed for depressive disorders.
Question 5 of 5
A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.