ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 5
Timing of an innocent murmur is usually:
Correct Answer: A
Rationale: Innocent murmurs are typically ejection systolic murmurs due to normal blood flow turbulence in a structurally normal heart. They are soft, vibratory, and heard best over the left sternal border, increasing with fever or excitement.
Question 2 of 5
The earliest sign of congestive heart failure on chest X-ray is
Correct Answer: A
Rationale: Cardiomegaly (increased heart size) is often the earliest radiographic sign of congestive heart failure, preceding pulmonary congestion and edema.
Question 3 of 5
In renal tubular acidosis, acidosis is associated with which of the following?
Correct Answer: A
Rationale: Renal tubular acidosis causes normal anion gap metabolic acidosis with hyperchloremia due to impaired bicarbonate reabsorption or acid secretion.
Question 4 of 5
A 5-year-old girl with altered mental status and CSF findings of high WBCs (80% neutrophils), low sugar, and high protein likely has:
Correct Answer: B
Rationale: Bacterial meningitis presents with neutrophilic pleocytosis, low glucose, high protein, and positive Gram stain, requiring urgent antibiotic therapy.
Question 5 of 5
Regarding a large patent ductus arteriosus (PDA), one of the following statements IS TRUE
Correct Answer: B
Rationale: A PDA murmur is continuous and may resemble a venous hum in timing and duration, though PDA murmur is best heard at the left infraclavicular area and is louder in systole.