ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 9
All the following are characteristic features of autistic spectrum disorder (ASD) EXCEPT
Correct Answer: D
Rationale: Children with ASD often have rigid adherence to routines rather than absence of them.
Question 2 of 9
A patient with Apgar scores of and at and 5 minutes, respectively, appears hyperalert and has hyperactive deep tendon reflexes and mydriasis The most likely diagnosis is
Correct Answer: A
Rationale: Stage I hypoxic ischemic encephalopathy presents with hyperalertness, hyperreflexia, and mydriasis
Question 3 of 9
Sleep dysregulation is commonly seen in autism spectrum disorders (ASDs) that can be treated by some medications. Of the following, the first medication for sleep dysregulation is
Correct Answer: A
Rationale: Melatonin is the first-line treatment for sleep dysregulation in ASDs, as it regulates the sleep-wake cycle naturally.
Question 4 of 9
The most common congenital cyanotic heart disease in newborn is:
Correct Answer: C
Rationale: d-Transposition of the great arteries (d-TGA) is the most common cyanotic congenital heart disease in newborns, causing severe hypoxia due to abnormal circulation.
Question 5 of 9
A 3-month-old baby girl admitted to pediatric intensive care unit with severe head injury (evident by CT scan), the history given by parents was trivial and not informative. You suspected child abuse. Of the following, the MOST helpful study to support your suspicion is
Correct Answer: D
Rationale: Radionuclide bone scans are highly sensitive for detecting occult fractures, which are common in cases of non-accidental trauma. Infantograms and X-rays may miss subtle fractures.
Question 6 of 9
The procedure 'look, listen, feel' is used to assess:
Correct Answer: B
Rationale: Look, listen, and feel' is a basic life support step to check for breathing before initiating resuscitation.
Question 7 of 9
Intranasal corticosteroids are less helpful for symptoms of
Correct Answer: C
Rationale: Intranasal corticosteroids have limited efficacy in treating conjunctival injection (eye redness) compared to oral antihistamines.
Question 8 of 9
During treatment of metabolic acidosis, what is the expected change in serum potassium level?
Correct Answer: A
Rationale: During acidosis, potassium shifts out of cells, increasing serum levels. Correction reverses this shift, leading to a drop in serum potassium, which may cause hypokalemia.
Question 9 of 9
Spirometry is a helpful objective measure of airflow limitation; it depends on the patient's ability to properly perform a full, forceful, and prolonged expiratory maneuver. Spirometry is usually feasible in children
Correct Answer: D
Rationale: Spirometry is typically feasible in children aged 6 years and older, as younger children may struggle to perform the required expiratory maneuvers accurately.