ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 5
The most accurate assessment of gestational age in first trimester is:
Correct Answer: D
Rationale: Crown-rump length is the most accurate first-trimester measure of gestational age (ACOG). A-C, E are less precise early on.
Question 2 of 5
A 15-year-old boy with a history of wheezing during exercise was playing soccer. He appears with shortness of breath. He is using albuterol inhaler as needed with no significant improvement. The next step in management is:
Correct Answer: B
Rationale: Inhaled steroids are the next step for uncontrolled exercise-induced asthma, per GINA, to reduce inflammation. A, C-E are less immediate or effective.
Question 3 of 5
Most reliable diagnostic test for cystic fibrosis is:
Correct Answer: C
Rationale: Sweat chloride test is the gold standard for cystic fibrosis diagnosis, per CFF. D is confirmatory, A, B, E are supportive.
Question 4 of 5
A child appears with chronic cough and recurrent pneumonia. Physical examination reveals digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis fits chronic cough, recurrent pneumonia, clubbing, and positive sweat test, per CFF. A-C, E don’t align.
Question 5 of 5
A child with a history of cystic fibrosis appears with bone pain and difficulty walking. X-ray reveals multiple fractures and osteopenia. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis-related bone disease fits bone pain, fractures, and osteopenia, per CFF. A, B, D, E don’t match history.