ATI LPN
Pediatric Cardiac Nclex Practice Questions Questions
Question 1 of 9
Doctor orders: Naloxone 0.01 mg/kg IV for narcotic overdose in a child weighing 35 kg. Available is Naloxone 0.4 mg/ml. How many ml will you give? Round to the nearest tenth.
Correct Answer: A
Rationale: Calculate the total dose: 0.01 mg/kg × 35 kg = 0.35 mg. Available concentration is 0.4 mg/ml. Divide the total dose by the concentration: 0.35 mg ÷ 0.4 mg/ml = 0.875 ml. Round to the nearest tenth: 0.875 ≈ 0.9 ml.
Question 2 of 9
A 3-month-old infant presents with inconsolable crying and flexed legs. X-ray shows a spiral femur fracture. Most likely diagnosis is:
Correct Answer: C
Rationale: Child abuse is suspected with a spiral fracture in a non-ambulatory infant, per AAP. A, B, D, E are less likely.
Question 3 of 9
The Ballard assessment, often called the Dubowitz, is a tool that measures:
Correct Answer: C
Rationale: Gestational age C is measured by the Ballard/Dubowitz tool, per document 5.
Question 4 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 5 of 9
A 1-month-old infant presents with respiratory distress and a scaphoid abdomen. Chest x-ray shows bowel in the thorax. Most likely diagnosis is:
Correct Answer: B
Rationale: CDH features distress and bowel in thorax, per AAP. A, C-E differ.
Question 6 of 9
Which histological feature found on biopsy during colonoscopy would favour a diagnosis of Crohn disease over ulcerative colitis?
Correct Answer: B
Rationale: Crohn disease and ulcerative colitis are inflammatory bowel diseases. Granulomata (Choice B) are non-caseating granulomas, specific to Crohn’s, reflecting transmural inflammation, unlike ulcerative colitis’s mucosal involvement. Crypt abscesses (Choice A) occur in both, less specific. Lymphocytic infiltrate (Choice C) is nonspecific. Paneth cells (Choice D) are normal or metaplastic, not diagnostic. Granulomata distinguish Crohn’s.
Question 7 of 9
The first sign noted in patients with abetalipoproteinemia is:
Correct Answer: A
Rationale: Abetalipoproteinemia, a rare lipid disorder, first presents with loss of deep tendon reflexes due to vitamin E deficiency affecting nerves (NORD). Vision loss follows later, and C-E are not early signs.
Question 8 of 9
When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' The nurse knows these activities will help this child develop a sense of:
Correct Answer: B
Rationale: Industry (B), per Erikson, develops in school-age kids through activities like school and sports. Initiative (A) is preschool, identity (C) adolescence, intimacy (D) later. Document: 'The school-age period is… the stage of industry.'
Question 9 of 9
This classification of insulin involves insulin resistance or decreased insulin production formerly known as non-insulin dependent diabetes mellitus (NIDDM) or adult onset diabetes mellitus.
Correct Answer: B
Rationale: Type II diabetes (B) involves insulin resistance or reduced production, previously NIDDM. Type I (A) is autoimmune, gestational (C) pregnancy-related, and genetic defects (D) are rare. Document: 'Type II involves insulin resistance or decreased insulin production… NIDDM.'