ATI LPN
Pediatric Nursing Practice Questions Bank Questions
Question 1 of 9
The most common site for temperature in an infant is
Correct Answer: A
Rationale: Axillary A is safest, per document p40, 2.
Question 2 of 9
The nurse would document a rash that has erythematous circular raised lesions as which of the following?
Correct Answer: B
Rationale: Papular rashes (B) are erythematous, circular, and raised. Macular (A) are flat, vesicular (C) are fluid-filled, and pustular (D) contain pus. Document: 'A papule is a circular, reddened elevated area on the skin.'
Question 3 of 9
A 5-month-old infant presents with hypotonia and tongue fasciculations. EMG shows denervation. Most likely diagnosis is:
Correct Answer: B
Rationale: SMA features hypotonia and fasciculations, per NORD. A, C-E differ.
Question 4 of 9
A child with severe burns should have dressings changed
Correct Answer: A
Rationale: Daily A dressing changes prevent infection, per document p21, .
Question 5 of 9
A child with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals cavitation in the right upper lobe. Most likely diagnosis is:
Correct Answer: D
Rationale: Bronchiectasis fits hemoptysis and cavitation in cystic fibrosis, per CFF. A-C, E are less likely.
Question 6 of 9
A 4-year-old boy presents with abdominal pain and bloody stools. Ultrasound shows intussusception. The next step is:
Correct Answer: C
Rationale: Air enema reduces intussusception, per AAP. A, B, D, E are secondary.
Question 7 of 9
Which of the following findings would be suggestive of a tracheoesophageal fistula in a newborn?
Correct Answer: C
Rationale: Choking during the first feeding (C) suggests tracheoesophageal fistula due to abnormal trachea-esophagus connection. Meconium delay (A), peristalsis (B), and masses (D) are unrelated. Document: 'A newborn with tracheoesophageal fistula will vomit and choke when the first feeding is introduced.'
Question 8 of 9
The parents of a 3 month old infant with cystic fibrosis(CF) want to know how their child got this disease because no one in their families has CF. The nurse's basis for understanding that with CF:
Correct Answer: B
Rationale: CF is autosomal recessive; both parents must be carriers (B) for the child to inherit it. Mutation (A), extrachromosomal (C), or single carrier (D) don’t explain familial absence. Document: 'Both parents must be carriers of the CF gene.'
Question 9 of 9
A 3-year-old girl presents with fever and a limp. X-ray shows a lytic lesion in the tibia. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with fever, limp, and lytic lesions, per NCI. A, C-E differ in imaging or history.