ATI LPN
Pediatric Cardiac Nclex Practice Questions Questions
Question 1 of 9
Most common thyroid abnormality in patients with Turner syndrome is:
Correct Answer: A
Rationale: Hypothyroidism is the most common thyroid issue in Turner syndrome due to autoimmune thyroiditis, per AAP (doc p149, Q577).
Question 2 of 9
A 4-year-old girl presents with fever and a sore throat. Exam shows palatal petechiae. Most likely diagnosis is:
Correct Answer: C
Rationale: Mononucleosis features petechiae, per CDC. A, B, D, E differ.
Question 3 of 9
A nurse is making pediatric bed assignments. What should the nurse take into consideration when making bed assignments? Select one that does not apply.
Correct Answer: C
Rationale: Similar ages and diagnoses aid compatibility, and cribs are safe for older infants. Adults with children and full beds for toddlers pose safety risks.
Question 4 of 9
Which histological feature found on biopsy during colonoscopy would favour a diagnosis of Crohn disease over ulcerative colitis?
Correct Answer: B
Rationale: Crohn disease and ulcerative colitis are inflammatory bowel diseases. Granulomata (Choice B) are non-caseating granulomas, specific to Crohn’s, reflecting transmural inflammation, unlike ulcerative colitis’s mucosal involvement. Crypt abscesses (Choice A) occur in both, less specific. Lymphocytic infiltrate (Choice C) is nonspecific. Paneth cells (Choice D) are normal or metaplastic, not diagnostic. Granulomata distinguish Crohn’s.
Question 5 of 9
The side effects of oral iron therapy include select all that apply
Correct Answer: B
Rationale: Blackened stools A, darkened teeth B, and gastric irritation D are side effects I, II, IV, per document p5, 3.
Question 6 of 9
Which commonly used herb in pediatrics is thought to reduce anxiety?
Correct Answer: B
Rationale: Kava kava (B) reduces anxiety in pediatrics. Licorice (A) treats asthma, Siete Jarabes (C) is an expectorant, and Psyllium (D) aids constipation. Document: 'Kava kava… is thought to reduce anxiety.'
Question 7 of 9
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used
Correct Answer: A
Rationale: Alcohol (A) causes slurred speech, ataxia, and combativeness. Cocaine (B) and amphetamines (C) increase alertness, PCP (D) causes hallucinations. Document: 'Behavioral signs of alcohol ingestion include slurred speech… combativeness.'
Question 8 of 9
A 2-month-old boy appears with failure to thrive and steatorrhea. Physical examination reveals bilateral coarse crackles. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis matches failure to thrive, steatorrhea, crackles, and positive sweat test, per CFF. A-C, E don’t fit.
Question 9 of 9
Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?
Correct Answer: B
Rationale: Allowing parents to stay supports family-centered care and reduces child stress, unless safety dictates otherwise.