ATI LPN
Pediatric Gi Disorders Practice Questions Questions
Question 1 of 5
In hypernatremic dehydration, a rapid correction results in seizures due to:
Correct Answer: A
Rationale: Idiogenic osmoles in brain cells, formed during hypernatremia, draw water in during rapid correction, causing edema and seizures (UpToDate). B-E are incorrect.
Question 2 of 5
A newborn appears with multiple seizures within the first few hours of life. Multiple anticonvulsant medications have failed to control seizure activities. Most likely enzyme deficiency in this patient is:
Correct Answer: B
Rationale: Glutamic acid decarboxylase deficiency causes pyridoxine-dependent seizures, resistant to standard anticonvulsants (NORD). A, C-E cause other metabolic issues.
Question 3 of 5
All of the following are included in the asthma triad except:
Correct Answer: C
Rationale: The asthma triad includes aspirin intolerance, nasal polyps, and asthma (A, B, D) (ATS). Bronchiolitis is unrelated, and E is a trigger, not part of the triad.
Question 4 of 5
A newborn failed to pass meconium within the first 24 hours of life. He appears with abdominal distension and vomiting. Most likely diagnosis is:
Correct Answer: D
Rationale: Meconium ileus fits failure to pass meconium with distension and vomiting, often in cystic fibrosis, per AAP. A-C, E present differently.
Question 5 of 5
A child with a history of cystic fibrosis appears with fever and increased coughing. Chest x-ray reveals a new infiltrate in the right lower lobe. Most likely diagnosis is:
Correct Answer: C
Rationale: Pneumonia fits fever, cough, and new infiltrate in cystic fibrosis, per CFF. A, B, D, E are less likely.