ATI LPN
Pediatric Nursing Practice Questions Bank Questions
Question 1 of 9
The primary goal of care for a child with Down syndrome is
Correct Answer: B
Rationale: Maximizing potential B is the focus, per document p27, 9.
Question 2 of 9
A 2-year-old boy presents with a barky cough and stridor. X-ray shows a steeple sign. Most likely diagnosis is:
Correct Answer: A
Rationale: Croup features a barky cough, stridor, and steeple sign, per AAP. B-E differ in presentation.
Question 3 of 9
The parents of a 3 month old infant with cystic fibrosis(CF) want to know how their child got this disease because no one in their families has CF. The nurse's basis for understanding that with CF:
Correct Answer: B
Rationale: CF is autosomal recessive; both parents must be carriers (B) for the child to inherit it. Mutation (A), extrachromosomal (C), or single carrier (D) don’t explain familial absence. Document: 'Both parents must be carriers of the CF gene.'
Question 4 of 9
Most common cause of short stature in children is:
Correct Answer: C
Rationale: Constitutional delay is the most common cause of short stature, per AAP (doc p151, Q602).
Question 5 of 9
A 5-month-old infant presents with hypotonia and tongue fasciculations. EMG shows denervation. Most likely diagnosis is:
Correct Answer: B
Rationale: SMA features hypotonia and fasciculations, per NORD. A, C-E differ.
Question 6 of 9
The most common cause of anemia in infants is
Correct Answer: B
Rationale: Iron deficiency B is most prevalent, per document p56, 2.
Question 7 of 9
A child with a history of cystic fibrosis appears with increased coughing and wheezing. Pulmonary function test reveals FEV1 of 60% predicted. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis exacerbation fits increased symptoms and reduced FEV1, per CFF. A-C, E are less likely.
Question 8 of 9
A child appears with metabolic acidosis. Basic laboratory tests should include all of the following except:
Correct Answer: D
Rationale: Liver enzymes aren’t routine for initial metabolic acidosis workup; A-C, E assess cause and severity (AAP).
Question 9 of 9
A 3-year-old girl presents with fever and a limp. X-ray shows a lytic lesion in the tibia. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with fever, limp, and lytic lesions, per NCI. A, C-E differ in imaging or history.