ATI RN
Pediatric Nurse Exam Sample Questions Questions
Question 1 of 5
In treatment of hypernatremia, the maximum accepted rate of drop of serum sodium per 24 hours?
Correct Answer: B
Rationale: The safe correction rate for hypernatremia is no more than 12 mmol/L per 24 hours to prevent cerebral edema caused by rapid osmotic shifts.
Question 2 of 5
Which intervention is most appropriate for a neonate with hyperbilirubinemia at risk of kernicterus?
Correct Answer: C
Rationale: Phototherapy is the first-line treatment for neonatal jaundice to prevent bilirubin-induced neurotoxicity (kernicterus). It converts unconjugated bilirubin into a water-soluble form for excretion.
Question 3 of 5
During basic life support of a 10-year-old child:
Correct Answer: D
Rationale: The encircling technique provides effective chest compressions in infants and children. It involves using both thumbs while the hands encircle the chest, ensuring better compression depth and recoil.
Question 4 of 5
Antihistamines are less helpful in treating
Correct Answer: D
Rationale: Nasal congestion is better treated with decongestants rather than antihistamines.
Question 5 of 5
A 3-month-old precious baby of a keen and highly educated family presented with history of URTI followed by deterioration of level of consciousness and seizure. CT brain shows intracranial bleeding with no evidence of skull fracture. Fundoscopy was normal. Mother gives history of difficult labor but with normal development, mild hypotonia, and macrocephaly which was reassured initially by general Pediatrician. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: Abusive head trauma (AHT) is more likely given the absence of skull fracture, normal fundoscopy, and clinical presentation post-URTI. Residual birth trauma and glutaric aciduria type 1 are less plausible without additional supportive findings.