ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 of 9
Mode of inheritance of HDR syndrome is:
Correct Answer: B
Rationale: HDR syndrome (hypoparathyroidism, deafness, renal anomalies) is autosomal dominant , linked to GATA3 mutations on chromosome 10 (NIH). Other inheritance patterns (A, C, D, E) do not apply.
Question 2 of 9
A child with celiac disease should avoid
Correct Answer: B
Rationale: Gluten B triggers celiac symptoms, per document p57, 9.
Question 3 of 9
An adolescent has just had a generalized seizure and collapsed in the school nurse's office. The nurse should call 911 if the student:
Correct Answer: A
Rationale: Seizures over 5 minutes (A) suggest status epilepticus, requiring 911. Falling (B), confusion (C), and lethargy (D) are normal postictal states. Document: 'If seizures last more than 5 minutes, call 911… possible status epilepticus.'
Question 4 of 9
A child with acute leukemia on prednisolone may experience
Correct Answer: C
Rationale: Mood changes C are a common steroid side effect, per document p18, 6.
Question 5 of 9
A 6-month-old infant presents with poor feeding and a murmur. Echocardiogram shows a patent foramen ovale. The next step is:
Correct Answer: C
Rationale: Observation is standard for asymptomatic PFO, per AHA. A, B, D, E are for complications.
Question 6 of 9
A 10 year-old-child is diagnosed with Hepatitis A. What is most likely way the child contracted this disease.
Correct Answer: D
Rationale: Hepatitis A spreads via fecal-oral route, often contaminated water (D). Blood (A) is Hep B/C, droplets (B) respiratory viruses, ticks (C) Lyme. Document: 'The ingestion of contaminated water… [is how] hepatitis A [is contracted].'
Question 7 of 9
A 5-year-old girl presents with abdominal pain and bloody diarrhea. Stool culture grows Shigella. The best treatment is:
Correct Answer: B
Rationale: Azithromycin treats Shigella, per IDSA. A, C-E are less effective.
Question 8 of 9
Doctor orders: levothyroxine 0.2 mg PO daily. Available is levothyroxine 200 mcg/tab. How many tablets will you give?
Correct Answer: A
Rationale: To determine the number of tablets, convert the ordered dose to the same units as the available dose. Ordered: 0.2 mg = 0.2 × 1000 = 200 mcg. Available: 200 mcg per tablet. Divide the ordered dose by the available dose per tablet: 200 mcg ÷ 200 mcg/tab = 1 tablet. Thus, you give 1 tablet.
Question 9 of 9
A 2-year-old with a fracture in traction should be monitored for
Correct Answer: D
Rationale: All D are critical in traction, per document p35, 7.