ATI LPN
Pediatric Dosing Practice Questions Questions
Question 1 of 9
Most common cause of death in patients with cystic fibrosis is:
Correct Answer: B
Rationale: Respiratory failure is the leading cause of death in cystic fibrosis, from chronic lung damage, per CFF. A, C-E are less common.
Question 2 of 9
A 2-year-old with a burn should avoid
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p58, 1.
Question 3 of 9
A female child was diagnosed to have selective IgA deficiency. She suffered from an anaphylactic reaction after a blood transfusion that was properly matched. The appropriate blood for her transfusion should be:
Correct Answer: C
Rationale: Selective IgA deficiency can trigger anaphylaxis to IgA in blood products; washed erythrocytes remove plasma IgA, preventing reactions (AABB). Other options (A-D) contain IgA and risk reaction.
Question 4 of 9
A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, 'What is this black, sticky stuff in her diaper?' The nurse’s best response
Correct Answer: B
Rationale: Meconium B is the normal first stool, per document 8.
Question 5 of 9
Heat loss by convection occurs when a newborn is
Correct Answer: B
Rationale: Convection heat loss occurs in a drafty area B, per document 8.
Question 6 of 9
A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 8 g/dL and microcytic anemia. Most likely diagnosis is:
Correct Answer: C
Rationale: Iron deficiency anemia is microcytic and common, per AAP. A, B, D, E differ.
Question 7 of 9
Which essential oils are contraindicated during pregnancy? (Select ONE that apply.)
Correct Answer: A
Rationale: Wintergreen (A) and anise (C) are contraindicated in pregnancy due to potential uterine stimulation or toxicity. Jasmine (B), lavender (D), and peppermint (E, not listed) are generally safe. Document: 'Some essential oils… contraindicated… include anise… wintergreen.'
Question 8 of 9
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
Correct Answer: D
Rationale: Cyclophosphamide (D), an immunosuppressant, induces diuresis in steroid-resistant nephrotic syndrome. Ibuprofen (A), furosemide (B), and ciprofloxacin (C) don’t address the underlying issue. Document: 'A potent antisuppressant such as Cytoxan can bring about diuresis.'
Question 9 of 9
A 4-year-old girl presents with a high fever and drooling. X-ray shows a steeple sign. Most likely diagnosis is:
Correct Answer: A
Rationale: Croup shows a steeple sign with fever and respiratory symptoms, per AAP. B-E differ in x-ray.