ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 9
Best screening test for congenital hypothyroidism is:
Correct Answer: B
Rationale: Serum TSH is the most sensitive screening test for congenital hypothyroidism, per AAP (doc p149, Q580).
Question 2 of 9
A 6-year-old girl presents with abdominal pain and a palpable mass. CT shows a suprarenal mass. Most likely diagnosis is:
Correct Answer: B
Rationale: Neuroblastoma is a common suprarenal mass, per NCI. A, C-E differ.
Question 3 of 9
A child with sickle cell disease should receive
Correct Answer: D
Rationale: All D manage sickle cell, per document p60, 9.
Question 4 of 9
A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the
Correct Answer: C
Rationale: First period of reactivity C is when newborns are alert and breastfeeding is effective, per document p5, 0.
Question 5 of 9
A 2-month-old infant presents with jaundice and clay-colored stools. Labs show elevated direct bilirubin. Most likely diagnosis is:
Correct Answer: B
Rationale: Biliary atresia causes jaundice, clay stools, and conjugated hyperbilirubinemia, per AAP. A, C-E differ in presentation.
Question 6 of 9
Doctor orders: Furosemide 2 mg/kg PO daily for congestive heart failure. Available is Furosemide 10 mg/ml oral solution. How many ml will you give a child weighing 10 lbs? Round to the nearest tenth.
Correct Answer: D
Rationale: Convert weight to kg: 10 lbs ÷ 2.2 lbs/kg = 4.545 kg. Calculate the dose: 2 mg/kg × 4.545 kg = 9.09 mg. Divide by concentration: 9.09 mg ÷ 10 mg/ml = 0.909 ml. Round to the nearest tenth: 0.909 ≈ 0.9 ml.
Question 7 of 9
A 1-year-old girl presents with fever and a bulging fontanelle. CSF shows gram-negative bacilli. Most likely diagnosis is:
Correct Answer: B
Rationale: Bacterial meningitis fits fever, bulging fontanelle, and gram-negative bacilli, per AAP. A, C-E differ in CSF.
Question 8 of 9
A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort. The essential oil useful for children with chronic pain is:
Correct Answer: A
Rationale: Lavender (A) relieves chronic pain via relaxation. Ephedra (B), ginseng (C), and kava-kava (D) are stimulants or anxiolytics, not pain-specific. Document: 'Lavender… [is] useful in aromatherapy for children with chronic pain.'
Question 9 of 9
A child with a history of cystic fibrosis is diagnosed to have pneumonia based on chest x-ray findings. The sputum culture reveals Pseudomonas aeruginosa. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are the standard for Pseudomonas pneumonia in cystic fibrosis, per CFF. A, B, D, E are inadequate alone.