ATI LPN
PN Pediatric Nursing 2023 70 Questions Questions
Question 1 of 9
The nurse’s initial action when caring for an infant with a slightly decreased temperature is to
Correct Answer: B
Rationale: Placing a cap and skin-to-skin contact B prevent further heat loss, per document p5, 8.
Question 2 of 9
What is the correct management?
Correct Answer: D
Rationale: For a 1-year-old (10 kg) with anaphylaxis (urticaria, wheeze post-peanut ingestion), the correct adrenaline dose is 0.15 mL of 1:1000 IM (0.15 mg), per guidelines (0.01 mg/kg). Choice A (0.1 mL 1:1000) is 0.1 mg, underdosing. Choice B (0.1 mL 1:10,000) is 0.01 mg, far too low. Choice C (1 mL 1:10,000) is 0.1 mg, still inadequate. Choice D (0.1 mL 1:10,000 SC) is incorrect dose and route (IM preferred). None match the standard, but typically 0.15 mL 1:1000 IM is correct.
Question 3 of 9
A 1-month-old infant presents with cyanosis and poor feeding. Echocardiogram shows truncus arteriosus. The next step is:
Correct Answer: A
Rationale: Surgery corrects truncus arteriosus, per AHA. B-E are temporizing.
Question 4 of 9
A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows transposition of the great arteries. The next step is:
Correct Answer: B
Rationale: Balloon atrial septostomy stabilizes transposition, per AHA. A-D are secondary.
Question 5 of 9
Best diagnostic study to detect the carrier of adrenoleukodystrophy is:
Correct Answer: B
Rationale: Elevated very-long-chain fatty acids (VLCFA) in plasma is the standard carrier test for adrenoleukodystrophy (NORD). A, C-E are less specific or confirmatory.
Question 6 of 9
The incubation period of measles is
Correct Answer: C
Rationale: 14-21 days C is measles incubation, per document p33, 0.
Question 7 of 9
A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:
Correct Answer: B
Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.
Question 8 of 9
A 5-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign in the right lower quadrant. Most likely diagnosis is:
Correct Answer: B
Rationale: Intussusception shows a target sign on ultrasound, per AAP. A, C-E differ in imaging.
Question 9 of 9
Most common cause of ambiguous genitalia in a newborn girl is:
Correct Answer: B
Rationale: Congenital adrenal hyperplasia is the most common cause of ambiguous genitalia in XX females, per AAP (doc p148, Q556).