ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 9
Most common complication of type 1 diabetes in children is:
Correct Answer: A
Rationale: Hypoglycemia is the most common acute complication in type 1 diabetes, per AAP (doc p151, Q596).
Question 2 of 9
A child with sickle cell disease should receive
Correct Answer: D
Rationale: All D manage sickle cell, per document p60, 9.
Question 3 of 9
A 3-year-old with pneumonia should receive
Correct Answer: D
Rationale: All D treat pneumonia, per document p30, 3.
Question 4 of 9
A child with a fractured femur in traction should be monitored for
Correct Answer: D
Rationale: All *E* are critical in traction care, per document p23, 0.
Question 5 of 9
A 3-year-old has been brought to the emergency department. She has a 'froglike' croaking sound on inspiration, is drooling and is very anxious. She continues to sit upright. Which of the following should this nurse do first?
Correct Answer: C
Rationale: Signs of epiglottitis (croaking sound, drooling, upright posture) require immediate physician notification and tracheostomy prep (C) due to airway emergency risk. Examining the pharynx (A) risks obstruction, mist tents (B) are ineffective here, and lying down (D) worsens breathing. Document: 'Epiglottitis is always a medical emergency requiring… immediate medical evaluation.'
Question 6 of 9
Best screening test for congenital hypothyroidism is:
Correct Answer: B
Rationale: Serum TSH is the most sensitive screening test for congenital hypothyroidism, per AAP (doc p149, Q580).
Question 7 of 9
When teaching a mother to administer eye drops to a 5-year-old, place the drop
Correct Answer: B
Rationale: Inside lower eyelid B ensures absorption, per document p15, 4.
Question 8 of 9
All of the following are basic mechanisms of metabolic acidosis except:
Correct Answer: B
Rationale: Increased acid excretion corrects, not causes, metabolic acidosis (UpToDate). A, C-E are true mechanisms.
Question 9 of 9
A child with a history of cystic fibrosis is diagnosed to have pneumonia based on chest x-ray findings. The sputum culture reveals Pseudomonas aeruginosa. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are the standard for Pseudomonas pneumonia in cystic fibrosis, per CFF. A, B, D, E are inadequate alone.