ATI RN
Pediatric Nurse Exam Sample Questions Questions
Question 1 of 9
Physiological responses to serious illness include an increase in the following Except:
Correct Answer: A
Rationale: Serious illnesses often cause compensatory responses like tachycardia and increased respiratory rate, but blood pressure may not necessarily rise, especially in shock.
Question 2 of 9
The drug contraindicated in children with hypertrophic cardiomyopathy is
Correct Answer: C
Rationale: Digitalis (digoxin) is contraindicated in hypertrophic cardiomyopathy as it can increase left ventricular outflow obstruction.
Question 3 of 9
The following medications are truly matched to their major pharmacological groups EXCEPT
Correct Answer: D
Rationale: Fluoxetine belongs to the class of selective serotonin reuptake inhibitors (SSRIs), not tricyclic antidepressants.
Question 4 of 9
Which of the following is considered a feature suggesting functional abdominal pain in children and adolescents
Correct Answer: D
Rationale: Functional abdominal pain, such as irritable bowel syndrome, commonly presents as recurrent periumbilical pain without organic pathology. Red flag symptoms include weight loss, dysphagia, and nocturnal symptoms, which suggest an organic cause.
Question 5 of 9
The most common type of relapse in acute leukemia is:
Correct Answer: B
Rationale: Medullary relapse, or bone marrow relapse, is the most common form of recurrence in acute leukemia due to residual leukemic cells in the bone marrow.
Question 6 of 9
Which of the following can be a cause of obstructive shock in children?
Correct Answer: C
Rationale: Severe aortic stenosis impairs cardiac output, leading to reduced perfusion and obstructive shock, unlike conditions like myocarditis or dehydration.
Question 7 of 9
Which intervention is most appropriate for a neonate with hyperbilirubinemia at risk of kernicterus?
Correct Answer: C
Rationale: Phototherapy is the first-line treatment for neonatal jaundice to prevent bilirubin-induced neurotoxicity (kernicterus). It converts unconjugated bilirubin into a water-soluble form for excretion.
Question 8 of 9
The combination of recurrent wheezing, abnormal stool & marked failure to thrive are suggestive of:
Correct Answer: B
Rationale: Cystic fibrosis presents with chronic respiratory symptoms, pancreatic insufficiency leading to malabsorption, and growth failure. It is caused by mutations in the CFTR gene leading to thick mucus production affecting multiple organ systems.
Question 9 of 9
Of the following, the microorganism that is MOST likely causing chronic arthritis after bacterial enteric infection or genitourinary tract infection (UTI) is
Correct Answer: B
Rationale: Chlamydia trachomatis is a common cause of chronic reactive arthritis.