ATI RN
Pediatric Nursing Certification Practice Questions Questions
Question 1 of 5
In pediatric shock, which of the following is an early sign?
Correct Answer: D
Rationale: Tachycardia is an early compensatory mechanism in shock, whereas hypotension and altered consciousness are late findings.
Question 2 of 5
One of the following metabolic abnormalities may be associated with tumor lysis syndrome:
Correct Answer: B
Rationale: Tumor lysis syndrome leads to hyperkalemia due to the rapid breakdown of cancer cells, releasing intracellular potassium into the bloodstream.
Question 3 of 5
A 5-year-old is noted by the parents to snore at night. The child has also had problems staying awake in preschool and has had behavioral problems. The father also snores. Physical examination of the child reveals large, pink, nonexudative tonsils. The most appropriate next step is
Correct Answer: B
Rationale: Polysomnography is essential for diagnosing obstructive sleep apnea, especially given the child's symptoms of snoring, daytime sleepiness, and enlarged tonsils.
Question 4 of 5
The risk for development of respiratory distress syndrome RDS increases with the following conditions EXCEPT
Correct Answer: A
Rationale: Prolonged rupture of membranes is associated with a decreased risk of RDS due to increased surfactant production. The other conditions increase the risk of RDS.
Question 5 of 5
A 12-month-old receives the MMR vaccine and suddenly develops flushing, tachycardia, and weak peripheral pulses. What is the likely explanation?
Correct Answer: D
Rationale: Anaphylactic shock is a severe allergic reaction characterized by vasodilation, airway swelling, and circulatory collapse, requiring immediate epinephrine administration.