A term neonate with poor feeding, lethargy, and hypothermia should be evaluated for:

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Pediatric Nursing Certification Practice Questions Questions

Question 1 of 5

A term neonate with poor feeding, lethargy, and hypothermia should be evaluated for:

Correct Answer: A

Rationale: Neonatal sepsis presents with non-specific symptoms such as poor feeding, lethargy, temperature instability, and respiratory distress. Early diagnosis and antibiotic treatment are critical to prevent serious complications.

Question 2 of 5

A 1-year-old infant is known to have heart disease & is noted to be cyanosed. Which of the following is the most likely diagnosis?

Correct Answer: D

Rationale: Tricuspid atresia leads to severe cyanosis due to lack of right atrioventricular connection, necessitating a right-to-left shunt for survival. It presents early with cyanosis and hypoxia requiring urgent intervention.

Question 3 of 5

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which of the following?

Correct Answer: D

Rationale: The correct answer is D because the incomplete digestion of solid foods in the stools of a 9-month-old infant is normal due to the immaturity of the digestive tract at this age. It is a common occurrence in infants and does not necessarily indicate a problem.

Question 4 of 5

Initial management of the acute asthma exacerbation includes:

Correct Answer: A

Rationale: First-line treatment for acute asthma exacerbations includes oxygen, nebulized β2 agonists (albuterol), and systemic corticosteroids. Aminophylline and magnesium sulfate are reserved for severe, refractory cases.

Question 5 of 5

Hyperinflation with bilateral interstitial infiltrates and peri-bronchial cuffing are radiographic manifestations of:

Correct Answer: A

Rationale: Viral pneumonia often presents with hyperinflation, interstitial infiltrates, and peri-bronchial cuffing on chest X-ray.

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