ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 9
One minute after delivery, the nurse observes the following in a newborn: Heart rate=112; some flexion of the extremities; good cry; skin pink except hands and feet are blue; actively crying. The nurse should assign the Apgar score to be a:
Correct Answer: D
Rationale: Apgar of 8 D: HR=2 100-112, Resp=2 good cry, Muscle tone=1 some flexion, Reflex=2 crying, Color=1 acrocyanosis, per document 0.
Question 2 of 9
The nurse should monitor a child with heart failure for
Correct Answer: D
Rationale: All D are heart failure signs, per document p59, 0.
Question 3 of 9
A girl with Turner syndrome developed some form of masculinization. Her mother is worried because her daughter might develop gonadoblastoma. The following screening test is indicated:
Correct Answer: D
Rationale: Screening for Y-chromosome material via karyotyping/FISH is key in Turner syndrome with masculinization to assess gonadoblastoma risk (Endocrine Society). A-D are nonspecific.
Question 4 of 9
Mode of inheritance in adrenoleukodystrophy is:
Correct Answer: B
Rationale: Adrenoleukodystrophy is X-linked , due to ABCD1 gene mutations (NORD). A, C-E don’t apply.
Question 5 of 9
The most therapeutic play for a 5-year-old hospitalized child is
Correct Answer: B
Rationale: Drawing/painting B allows emotional expression, per document p21, .
Question 6 of 9
Which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill? Select one that does not apply.
Correct Answer: C
Rationale: CNS assessment includes irritability , lethargy , vomiting , and seizures as signs of dysfunction. Hypoventilation is respiratory, though related.
Question 7 of 9
Children who have been diagnosed with infantile eczema have an increased risk for which of the following?
Correct Answer: D
Rationale: Infantile eczema increases asthma risk (D) due to atopic triad (eczema, asthma, allergies). Pneumonia (A), acne (B), and sun sensitivity (C) are unrelated. Document: 'Some children with eczema also develop asthma and hay-fever type allergies.'
Question 8 of 9
Presence of parents during painful procedures on a toddler should be
Correct Answer: D
Rationale: Encouraged if child desires D supports emotional needs, per document p17, 1.
Question 9 of 9
A child with heart failure may exhibit
Correct Answer: D
Rationale: All D are heart failure signs, per document p40, 3.