ATI LPN
Pediatric Dosing Practice Questions Questions
Question 1 of 9
As part of Standard Precautions, nurses wear gloves when handling the newborn. The chief reason is
Correct Answer: C
Rationale: To protect the nurse from contamination C is the primary reason for gloves under Standard Precautions, per document 0.
Question 2 of 9
An infant appears with periorbital fullness, full cheeks, long philtrum, anteverted nares, broad nasal bridge, and an open mouth. Physical examination reveals an absence of heart murmur. Laboratory findings reveal normal CBC, normal electrolytes, and high serum ionized calcium. Most likely diagnosis is:
Correct Answer: C
Rationale: Williams syndrome matches the facial features and transient hypercalcemia, with no murmur if cardiac defects are absent (NIH). A-D don’t fit.
Question 3 of 9
A female child was diagnosed to have selective IgA deficiency. She suffered from an anaphylactic reaction after a blood transfusion that was properly matched. The appropriate blood for her transfusion should be:
Correct Answer: C
Rationale: Selective IgA deficiency can trigger anaphylaxis to IgA in blood products; washed erythrocytes remove plasma IgA, preventing reactions (AABB). Other options (A-D) contain IgA and risk reaction.
Question 4 of 9
A 5-year-old with pneumonia requires
Correct Answer: D
Rationale: All D treat pneumonia, per document p60, 7.
Question 5 of 9
Best drug of choice for a severe listeria infection is:
Correct Answer: C
Rationale: Ampicillin plus gentamicin is the standard for severe Listeria infections, enhancing efficacy (IDSA). A-D are suboptimal.
Question 6 of 9
A newborn appears with respiratory distress and cyanosis. Chest x-ray reveals dextrocardia and a boot-shaped heart. Most likely diagnosis is:
Correct Answer: A
Rationale: Tetralogy of Fallot fits dextrocardia and a boot-shaped heart, per AAP. B-E don’t match x-ray findings.
Question 7 of 9
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
Correct Answer: D
Rationale: Cyclophosphamide (D), an immunosuppressant, induces diuresis in steroid-resistant nephrotic syndrome. Ibuprofen (A), furosemide (B), and ciprofloxacin (C) don’t address the underlying issue. Document: 'A potent antisuppressant such as Cytoxan can bring about diuresis.'
Question 8 of 9
A child is being treated for hypernatremic dehydration. Suddenly, she develops seizures. Most likely cause of seizure is:
Correct Answer: A
Rationale: Rapid correction of hypernatremia shifts water into brain cells , causing edema and seizures (UpToDate). B-E don’t match pathophysiology.
Question 9 of 9
What does the 'A' stand for in HEADSS?
Correct Answer: C
Rationale: HEADSS assesses adolescent psychosocial risks: Home, Education, Activities, Drugs, Sex, Suicide/Depression. ‘A’ stands for Activities (Choice C), exploring hobbies, sports, or social engagement to build rapport. Academic achievement (Choice A), Accommodation (Choice B), and Affect (Choice D) aren’t part of HEADSS. Activities is correct.