ATI LPN
Pediatric Dosing Practice Questions Questions
Question 1 of 9
The nurse is providing care to a pediatric client diagnosed with inflammatory bowel disease who is prescribed daily prednisone. Which parental statement regarding administration of this drug indicates correct understanding of the teaching provided by the nurse?
Correct Answer: D
Rationale: Prednisone, a corticosteroid, should be taken with food to reduce gastrointestinal irritation, a key teaching point. Between meals , at bedtime , or before meals increases stomach upset risk.
Question 2 of 9
A 2-month-old infant presents with tachypnea and retractions. Chest x-ray shows hyperinflation and perihilar infiltrates. Most likely diagnosis is:
Correct Answer: B
Rationale: Bronchiolitis features tachypnea, retractions, and x-ray findings in infants, per AAP. A, C-E differ.
Question 3 of 9
A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 9 g/dL and MCV of 70 fL. Most likely diagnosis is:
Correct Answer: C
Rationale: Iron deficiency anemia is microcytic, per AAP. A, B, D, E differ.
Question 4 of 9
A 4-year-old with meningitis may exhibit
Correct Answer: D
Rationale: Nuchal rigidity D is a classic meningitis sign, per document p23, 8.
Question 5 of 9
Which essential oils are contraindicated during pregnancy? (Select ONE that apply.)
Correct Answer: A
Rationale: Wintergreen (A) and anise (C) are contraindicated in pregnancy due to potential uterine stimulation or toxicity. Jasmine (B), lavender (D), and peppermint (E, not listed) are generally safe. Document: 'Some essential oils… contraindicated… include anise… wintergreen.'
Question 6 of 9
Heat loss by convection occurs when a newborn is
Correct Answer: B
Rationale: Convection heat loss occurs in a drafty area B, per document 8.
Question 7 of 9
A 2-year-old with a burn should avoid
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p58, 1.
Question 8 of 9
The physical assessment technique that the nurse would omit in caring for a 2-year-old who has a Wilms' tumor is:
Correct Answer: B
Rationale: Abdominal palpation (B) risks spreading Wilms’ tumor cells. Other techniques (A, C, D) are safe. Document: 'Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.'
Question 9 of 9
An infant appears with periorbital fullness, full cheeks, long philtrum, anteverted nares, broad nasal bridge, and an open mouth. Physical examination reveals an absence of heart murmur. Laboratory findings reveal normal CBC, normal electrolytes, and high serum ionized calcium. Most likely diagnosis is:
Correct Answer: C
Rationale: Williams syndrome matches the facial features and transient hypercalcemia, with no murmur if cardiac defects are absent (NIH). A-D don’t fit.