ATI RN
Pediatric Nursing Review Questions Questions
Question 1 of 5
The BEST treatment for a 5-year-old boy with Henoch-Schonlein purpura (HSP) presenting with acute onset palpable purpura over the lower extremities and buttocks is
Correct Answer: A
Rationale: Supportive measures are usually sufficient for uncomplicated HSP.
Question 2 of 5
A 5-year-old boy develops hepatosplenomegaly and lymphadenopathy since early onset childhood with high spiking fevers and been treated with anti-inflammatory drugs. You suspect macrophage activation syndrome (MAS). The BEST test that distinguishes MAS from a flare of the primary disease is
Correct Answer: D
Rationale: Hemophagocytosis in the bone marrow is the hallmark of MAS.
Question 3 of 5
Wide fixed splitting of the second heart sound is an auscultatory finding in:
Correct Answer: B
Rationale: ASD causes increased right heart volume, leading to fixed splitting of the second heart sound irrespective of respiration.
Question 4 of 5
The best initial treatment for transient tachypnea of the newborn (TTN) is:
Correct Answer: C
Rationale: TTN is caused by delayed clearance of fetal lung fluid, leading to mild respiratory distress. Oxygen therapy and CPAP help maintain oxygenation while the condition resolves within 24-72 hours without requiring aggressive intervention.
Question 5 of 5
Regarding tetralogy of Fallot, one of the following is TRUE
Correct Answer: B
Rationale: Tetralogy of Fallot is the most common cyanotic congenital heart disease, characterized by right ventricular outflow obstruction, VSD, overriding aorta, and right ventricular hypertrophy. It leads to cyanosis and may cause complications like brain abscess due to right-to-left shunting.