ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 9
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 9
Panic disorder is usually associated with some psychiatric comorbidities; however, there is a high incidence of panic attacks with some medical conditions. Of the following, the medical condition that is associated with a high incidence of panic attacks is
Correct Answer: A
Rationale: Asthma is associated with panic attacks due to the sensation of breathlessness, which can trigger anxiety.
Question 3 of 9
An apical mid diastolic rumble is NOT heard in one of the following structural heart diseases:
Correct Answer: A
Rationale: A large ASD typically does not produce an apical mid-diastolic rumble, as blood flow is not directed through the mitral valve in a manner that would cause turbulence.
Question 4 of 9
A 4-year-old girl recently diagnosed with persistent oligoarticular juvenile idiopathic arthritis (JIA); she has 3 involved joints including left elbow; right knee, right ankle. Antinuclear antigen (ANA) is significantly positive. The MOST important regular examination of locomotor system step in the management this girl is
Correct Answer: A
Rationale: Slit-lamp examination is crucial as ANA-positive patients are at risk for asymptomatic uveitis.
Question 5 of 9
Dilutional hyponatremia is present in:
Correct Answer: A
Rationale: Dilutional hyponatremia occurs in heart failure due to excessive water retention, leading to low sodium concentration. The body's compensatory mechanisms, including ADH release, exacerbate this condition.
Question 6 of 9
Symptoms of somatoform disorders are variable during childhood. Of the following, the symptom that is often present during early childhood is
Correct Answer: A
Rationale: Recurrent abdominal pain is one of the most common somatic complaints in early childhood, often linked to stress or anxiety.
Question 7 of 9
After receiving normal saline pushes, the patient in Question 36 remains unconscious. A lumbar puncture reveals 3 WBC, 10 RBC, a protein of 30 mg/dL, and a glucose of 75 mg/dL. After the lumbar puncture, he is noted to be bleeding at venipuncture sites. The most likely diagnosis is
Correct Answer: B
Rationale: Meningococcemia can cause disseminated intravascular coagulation (DIC), leading to bleeding at venipuncture sites and shock.
Question 8 of 9
Although understanding risk factors for violence is crucial for developing prevention strategies, the risk factors do not predict whether a particular individual will become violent. For children who begin their violence early in life, the strongest risk factor for violence is
Correct Answer: D
Rationale: Antisocial behavior is a strong predictor of future violence, especially when it manifests early in life, indicating a persistent pattern of deviance.
Question 9 of 9
One of the following is not among causes of normocytic normochromic anemia:
Correct Answer: A
Rationale: Iron deficiency anemia typically presents as microcytic hypochromic anemia due to reduced hemoglobin production. Normocytic normochromic anemia is seen in conditions like aplastic anemia and hemorrhagic anemia.