ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 5
The earliest sign of congestive heart failure on chest X-ray is
Correct Answer: A
Rationale: Cardiomegaly (increased heart size) is often the earliest radiographic sign of congestive heart failure, preceding pulmonary congestion and edema.
Question 2 of 5
Raynaud phenomenon (RP) associated with rheumatic disease (RD) is usually consistent with RD rather than RP. The feature that is MOST likely consistent with RD rather than RP is
Correct Answer: A
Rationale: Periungual tissue necrosis is a significant indicator of underlying connective tissue disease.
Question 3 of 5
A 3-day-old newborn develops jaundice with dark urine and pale stools. What is the most concerning diagnosis?
Correct Answer: C
Rationale: Biliary atresia is a progressive obstruction of the bile ducts, leading to jaundice, dark urine, and pale stools. It requires early diagnosis and surgical intervention (Kasai procedure) to prevent liver failure.
Question 4 of 5
A 5-year-old girl with altered mental status and CSF findings of high WBCs (80% neutrophils), low sugar, and high protein likely has:
Correct Answer: B
Rationale: Bacterial meningitis presents with neutrophilic pleocytosis, low glucose, high protein, and positive Gram stain, requiring urgent antibiotic therapy.
Question 5 of 5
Which is not a common cause of allergic conjunctivitis?
Correct Answer: D
Rationale: Foods are not a common cause of allergic conjunctivitis, which is typically triggered by airborne allergens.