ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 9
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
Correct Answer: C
Rationale: AFP levels typically normalize by around one year of age.
Question 2 of 9
Which child is at risk for developing glomerulonephritis?
Correct Answer: A
Rationale: Impetigo (often due to group A Streptococcus) is associated with post-streptococcal glomerulonephritis.
Question 3 of 9
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 4 of 9
A nurse is teaching a parent of a child who has type 1 diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The nurse should instruct the parent to rotate injection sites to prevent tissue damage and improve insulin absorption.
Question 5 of 9
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
Question 6 of 9
The child who imitates a bridge of 3 cubes, copies a circle, makes a tower of 10 cubes, and imitates a cross is
Correct Answer: C
Rationale: These skills are typically achieved around 36 months.
Question 7 of 9
A parent of an infant with congenital hypothyroidism is receiving teaching from a nurse. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Congenital hypothyroidism requires lifelong medication to manage the condition effectively. The nurse should emphasize to the parent that their child will need to take the medication for life to ensure proper thyroid hormone levels and prevent complications associated with hypothyroidism.
Question 8 of 9
The age at which the infant can see an object, grasp it, and bring it to the mouth is
Correct Answer: A
Rationale: This milestone is typically achieved around 4 months.
Question 9 of 9
What does the abbreviation BPD mean in a medical chart?
Correct Answer: B
Rationale: The correct answer is B: Bronchiopulmonary Dysplasia. BPD refers to a chronic lung disorder that primarily affects premature infants or those who have been on ventilator support. It is characterized by abnormal development of the lungs and breathing difficulties. This abbreviation is commonly seen on medical charts in neonatal and pediatric settings.