The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states which of the following?

Questions 56

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Pediatric Nursing ATI Practice Questions Questions

Question 1 of 9

The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states which of the following?

Correct Answer: C

Rationale: Levothyroxine should be given consistently at the same time daily, ideally morning (C), for steady thyroid levels. Stopping (A), skipping (B), or switching brands (D) disrupts efficacy. Document: 'Synthroid should be given at the same time each day, preferably in the morning.'

Question 2 of 9

The nurse suspects bleeding post-tonsillectomy if the child

Correct Answer: D

Rationale: Frequent swallowing D indicates bleeding, per document p16, 7.

Question 3 of 9

Most common cause of hyperthyroidism in children is:

Correct Answer: B

Rationale: Graves disease is the most common cause of hyperthyroidism in children, per AAP (doc p150, Q583).

Question 4 of 9

A 5-year-old boy presents with fever and a sore throat. Exam shows pharyngeal exudates and palatal petechiae. Most likely diagnosis is:

Correct Answer: C

Rationale: Mononucleosis features exudates and palatal petechiae, per CDC. A, B, D, E lack petechiae.

Question 5 of 9

The nurse should suspect pneumonia in a child with

Correct Answer: D

Rationale: All D are pneumonia symptoms, per document p44, .

Question 6 of 9

A 6 year-old girl is admitted to the hospital with acute glomerulonephritis. While taking her history, the nurse recognizes that the probable cause is due to which of the following?

Correct Answer: A

Rationale: Acute glomerulonephritis often follows a streptococcal sore throat (A) 1-3 weeks prior, causing an immune response. Allergies (B), dysuria (C), or fractures (D) are unrelated. Document: 'Acute glomerulonephritis develops… after a streptococcal infection.'

Question 7 of 9

A 2-month-old infant presents with tachypnea and poor feeding. Echocardiogram shows a large atrial septal defect. The next step is:

Correct Answer: B

Rationale: Diuretics manage heart failure in large ASDs, per AHA. A, C-E depend on severity.

Question 8 of 9

The nurse should suspect meningitis if a child has

Correct Answer: D

Rationale: All D are meningitis signs, per document p60, 2.

Question 9 of 9

A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a patent ductus arteriosus. The next step is:

Correct Answer: B

Rationale: Indomethacin closes a symptomatic PDA, per AHA. A, C-E are for persistent cases.

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