ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 5
During therapy for hypernatremic dehydration, the goal is to decrease the serum sodium by:
Correct Answer: A
Rationale: Sodium should drop by less than 12 mEq/L/day to avoid cerebral edema, per guidelines (AAP). Faster or slower (C-E) rates are suboptimal.
Question 2 of 5
The deficiency in brain and spinal fluid in patients with pyridoxine (vitamin B6) dependency with seizures is:
Correct Answer: A
Rationale: Pyridoxine dependency reduces GABA due to impaired glutamic acid decarboxylase, causing seizures (NORD). B-E are unrelated.
Question 3 of 5
Most common offending agent causing asthma in children is:
Correct Answer: B
Rationale: Respiratory infections are the top asthma trigger in children, per AAP, due to frequent viral exposures. A, C-E are significant but less common.
Question 4 of 5
A newborn with a history of maternal polyhydramnios failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and bilious vomiting. Most likely diagnosis is:
Correct Answer: B
Rationale: Duodenal atresia matches polyhydramnios, bilious vomiting, and obstruction, per AAP. A, C-E are less consistent.
Question 5 of 5
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.