ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 5
The greatest risk factor for NEC is:
Correct Answer: D
Rationale: Prematurity is the greatest NEC risk factor, due to immature gut (AAP). A, C, E contribute, B is protective.
Question 2 of 5
A child with a history of cystic fibrosis appears with abdominal pain and vomiting for the past 2 days. Abdominal x-ray reveals multiple air-fluid levels and a mass in the right lower quadrant. The next step in management is:
Correct Answer: C
Rationale: Gastrografin enema treats distal intestinal obstruction syndrome in cystic fibrosis, per CFF. A, B, D, E are less appropriate.
Question 3 of 5
A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Staphylococcus aureus. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are required for S. aureus pneumonia in cystic fibrosis, per CFF. A, B, D, E are insufficient.
Question 4 of 5
A 3-year-old girl presents with recurrent urinary tract infections. Renal ultrasound reveals bilateral vesicoureteral reflux. The next step in management is:
Correct Answer: B
Rationale: Antibiotic prophylaxis is the initial management for vesicoureteral reflux to prevent UTIs, per AAP guidelines. Surgery is considered for severe cases, C is for acute infection, D is adjunctive, and E risks recurrent infections.
Question 5 of 5
A 1-year-old boy presents with recurrent ear infections and hearing loss. Tympanometry shows flat curves. Most likely diagnosis is:
Correct Answer: B
Rationale: Otitis media with effusion causes flat tympanometry and hearing loss post-infections, per AAP. A, C-E have distinct findings.