ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 5
Most nosocomial infections in neonatal intensive care unit (NICU) is associated with:
Correct Answer: A
Rationale: Intravascular catheters are the top source of NICU nosocomial infections due to bloodstream entry (CDC). B-E are less common.
Question 2 of 5
A mother refuses all medications except albuterol inhaler for her 5-year-old son with moderate persistent asthma. The boy appears with wheezing and shortness of breath every night for the past week despite albuterol use. The next step in management is:
Correct Answer: B
Rationale: Educating the mother about asthma severity and need for controllers is key, per AAP, as albuterol alone is insufficient for persistent asthma. A, C-E don’t address the root issue.
Question 3 of 5
A child with a history of cystic fibrosis appears with abdominal pain and vomiting for the past 2 days. Abdominal x-ray reveals multiple air-fluid levels and a mass in the right lower quadrant. The next step in management is:
Correct Answer: C
Rationale: Gastrografin enema treats distal intestinal obstruction syndrome in cystic fibrosis, per CFF. A, B, D, E are less appropriate.
Question 4 of 5
A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Staphylococcus aureus. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are required for S. aureus pneumonia in cystic fibrosis, per CFF. A, B, D, E are insufficient.
Question 5 of 5
A 3-year-old girl presents with recurrent urinary tract infections. Renal ultrasound reveals bilateral vesicoureteral reflux. The next step in management is:
Correct Answer: B
Rationale: Antibiotic prophylaxis is the initial management for vesicoureteral reflux to prevent UTIs, per AAP guidelines. Surgery is considered for severe cases, C is for acute infection, D is adjunctive, and E risks recurrent infections.