ATI LPN
Pediatric Cardiac Nclex Practice Questions Questions
Question 1 of 9
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used
Correct Answer: A
Rationale: Alcohol (A) causes slurred speech, ataxia, and combativeness. Cocaine (B) and amphetamines (C) increase alertness, PCP (D) causes hallucinations. Document: 'Behavioral signs of alcohol ingestion include slurred speech… combativeness.'
Question 2 of 9
A 5-year-old boy presents with petechiae and bruising after a viral illness. Platelet count is 20,000/mm³. Most likely diagnosis is:
Correct Answer: C
Rationale: ITP follows viral illness with isolated thrombocytopenia, per ASH guidelines. A, B, D, E involve other abnormalities.
Question 3 of 9
A 3-year-old girl presents with fever and a generalized rash. Exam shows Koplik spots. Most likely diagnosis is:
Correct Answer: A
Rationale: Measles features fever and Koplik spots, per CDC. B-E differ.
Question 4 of 9
A client was inquiring to his nurse about ways that could help him stop smoking and pain control. Identify the correct one:
Correct Answer: C
Rationale: Hypnotherapy (C) uses a hypnotic state for suggestions aiding smoking cessation and pain control. Guided imagery (A) aids relaxation, hydrotherapy (B) uses water for therapy, and biofeedback (D) manages stress via physiological feedback. Document: 'Smoking cessation and pain control have been successfully achieved using [hypnotherapy].'
Question 5 of 9
A 5-year-old girl presents with fever and a red, swollen ankle. Aspiration shows gram-positive cocci. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.
Question 6 of 9
The nurse is caring for a child who has been admitted with a possible diagnosis of cystic fibrosis. Which is the laboratory/diagnostic tool that would likely be used to help determine the diagnosis of this child?
Correct Answer: B
Rationale: The sweat chloride test (B) diagnoses cystic fibrosis by detecting high sodium/chloride levels. Blood culture (A), EEG (C), and ECG (D) are unrelated. Document: 'The analysis of sweat is a major aid in diagnosis.'
Question 7 of 9
A 5-year-old with otitis media may exhibit
Correct Answer: D
Rationale: All D are otitis media symptoms, per document p43, 9.
Question 8 of 9
The most common site for temperature in a 3-year-old is
Correct Answer: A
Rationale: Axillary A is safest for toddlers, per document p49, 9.
Question 9 of 9
A 3-year-old boy presents with fever and a petechial rash. Labs show leukocytosis and positive blood culture. Most likely diagnosis is:
Correct Answer: C
Rationale: Meningococcemia fits fever, petechiae, and positive culture, per CDC. A, B, D, E lack bacteremia.