ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 9
Septic shock usually shows a combination of hypovolemic and distributive shock in addition to:
Correct Answer: D
Rationale: Septic shock can lead to disseminated intravascular coagulation (DIC), a condition where widespread blood clotting occurs throughout the body, exacerbating the shock and damaging organs.
Question 2 of 9
When screening for intraventricular hemorrhage (IVH), the best time to perform an ultrasound is
Correct Answer: C
Rationale: The third day of life is the optimal time for screening IVH, as this allows sufficient time for hemorrhage to develop while still being early enough for timely intervention.
Question 3 of 9
The following definitions are true EXCEPT
Correct Answer: D
Rationale: Disruption sequences involve external forces altering normal tissue development, but they are not limited to uterine forces. They can also result from environmental factors or trauma.
Question 4 of 9
During treatment of metabolic acidosis, what is the expected change in serum potassium level?
Correct Answer: A
Rationale: During acidosis, potassium shifts out of cells, increasing serum levels. Correction reverses this shift, leading to a drop in serum potassium, which may cause hypokalemia.
Question 5 of 9
To avoid false-negative skin test results in atopic hosts, most sedating antihistamines should be withheld for 3-4 days, and non-sedating antihistamines for 5-7 days while montelukast should be withheld for
Correct Answer: C
Rationale: Montelukast should be withheld for at least 5 days before allergy testing to avoid interference with results, ensuring accurate identification of allergic sensitivities.
Question 6 of 9
Reticulocyte count is expected to be low in one of the following conditions:
Correct Answer: B
Rationale: Aplastic anemia leads to bone marrow failure, causing a decreased reticulocyte count due to impaired red blood cell production.
Question 7 of 9
Which finding is NOT consistent with autistic spectrum disorder?
Correct Answer: B
Rationale: Intellectual deficits in autism vary widely; some individuals exhibit superior abilities in certain areas. Superior intellectual deficits are not a defining feature of ASD.
Question 8 of 9
The most common infecting agent associated with the development of transient aplastic crisis in children with chronic hemolytic anemia is:
Correct Answer: D
Rationale: Parvovirus B19 infects erythroid progenitor cells, halting red cell production. In chronic hemolytic anemia (e.g., sickle cell disease, hereditary spherocytosis), this leads to transient aplastic crisis with severe anemia.
Question 9 of 9
Sudden collapse in the presence of cutaneous symptoms in a previously healthy child should raise suspicion of
Correct Answer: B
Rationale: Anaphylaxis should be suspected in sudden collapse with cutaneous signs, especially after allergen exposure.