ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
The parent of a child with glomerulonephritis asks how they will know the child is improving. Which is the best response?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Neonates of mothers with diabetes are at risk for which complication following birth?
Correct Answer: D
Rationale: Neonates of mothers with diabetes are at risk for macrosomia following birth. Macrosomia refers to a condition where the newborn baby is significantly larger than average, typically weighing more than 4,000 grams (8 pounds, 13 ounces) at birth. This risk is primarily due to maternal hyperglycemia, which can lead to excessive fetal growth. The elevated glucose levels in the maternal circulation can cross the placenta and stimulate fetal insulin production, resulting in increased growth and potentially leading to macrosomia. Neonates born with macrosomia are at increased risk for complications during delivery, such as shoulder dystocia, birth injuries, and the need for cesarean delivery.
Question 4 of 5
When performing a physical examination on an infant, the nurse in charge notes abnormally low- set ears. This finding is associated with:
Correct Answer: C
Rationale: Abnormally low-set ears are often associated with certain congenital anomalies, including congenital heart defects. When a nurse notes this finding during a physical examination of an infant, it is important to consider the possibility of congenital anomalies and further assessment for associated conditions. Low-set ears alone are not diagnostic of a specific congenital heart defect, but they can serve as a clue to support the need for further evaluation to rule out any underlying cardiac issues. Other congenital anomalies that may be associated with low-set ears include renal anomalies, which makes option D a distractor in this case.
Question 5 of 5
The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
Correct Answer: D
Rationale: The symptoms described (nuchal rigidity, fever, vomiting, and lethargy) suggest possible meningitis, which is an inflammation of the meninges, the membranes surrounding the brain and spinal cord. One of the key diagnostic tests for meningitis is a lumbar puncture, also known as a spinal tap. During a lumbar puncture, cerebrospinal fluid (CSF) is collected from the space around the spinal cord and analyzed for signs of infection, inflammation, or other abnormalities. This test helps confirm or rule out a diagnosis of meningitis and identify the specific infectious agent causing the illness. Other tests, such as blood cultures, may also be done to further evaluate the infection, but a lumbar puncture is essential for diagnosing meningitis in this case.