ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 9
The nurse is educating the parents of a child diagnosed with C. diff to proper precautions for infection control. Which statement by the parents indicated to the nurse that more education is needed?
Correct Answer: D
Rationale: C. difficile requires contact precautions (A, B, C are correct). However, hand sanitizer is ineffective against C. diff spores; soap and water handwashing is required, indicating a need for further education.
Question 2 of 9
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 3 of 9
The nurse is educating the parents of a child diagnosed with C. diff to proper precautions for infection control. Which statement by the parents indicated to the nurse that more education is needed?
Correct Answer: D
Rationale: C. difficile requires contact precautions (A, B, C are correct). However, hand sanitizer is ineffective against C. diff spores; soap and water handwashing is required, indicating a need for further education.
Question 4 of 9
Parent-infant bonding should be initiated:
Correct Answer: A
Rationale: Immediate post-birth skin-to-skin contact optimizes bonding, enhancing emotional and physiological outcomes (AAP). Delays (B, C) reduce benefits, prenatal bonding is indirect, and post-discharge is too late.
Question 5 of 9
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 6 of 9
Presence of parents during painful procedures on a toddler should be
Correct Answer: D
Rationale: Encouraged if child desires D supports emotional needs, per document p17, 1.
Question 7 of 9
Which of the following findings in a 3-hour-old newborn should be reported?
Correct Answer: C
Rationale: Chest circumference 35 cm; head circumference 36 cm C is abnormal as head should typically be 2-3 cm larger than chest at birth, per AAP, indicating potential need for evaluation.
Question 8 of 9
The primary task for an infant between 12 and 15 months is to learn to
Correct Answer: D
Rationale: Walking erect D is a key milestone at this age, per document 3.
Question 9 of 9
A mother explains to the nurse that she feels guilty leaving her child when she has to go to work. When she returns, her child seems to ignore her. What is the nurse's best response?
Correct Answer: C
Rationale: Ignoring the mother reflects the detachment stage of separation anxiety, a normal response in hospitalized children, reassuring the mother.