ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 5
To avoid false-negative skin test results in atopic hosts, most sedating antihistamines should be withheld for 3-4 days, and non-sedating antihistamines for 5-7 days while montelukast should be withheld for
Correct Answer: C
Rationale: Montelukast should be withheld for at least 5 days before allergy testing to avoid interference with results, ensuring accurate identification of allergic sensitivities.
Question 2 of 5
A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot†on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy†and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT
Correct Answer: A
Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.
Question 3 of 5
Adrenal production of androgen with development of underarm odor and faint genital hair (adrenarche) may occur as early as
Correct Answer: D
Rationale: Adrenarche typically begins around age 8, characterized by increased adrenal androgen production leading to body odor and pubic hair growth.
Question 4 of 5
Which newborn screening test is essential for early detection of congenital hypothyroidism?
Correct Answer: B
Rationale: Congenital hypothyroidism is detected through newborn screening by measuring TSH and T4 levels. Early diagnosis and treatment with levothyroxine prevent intellectual disability and growth failure.
Question 5 of 5
Regarding acute asthma exacerbations management, all of the following are false except:
Correct Answer: B
Rationale: Acute asthma management includes nebulized β2 agonists (albuterol), systemic corticosteroids, and ipratropium bromide for severe cases. LABAs and leukotriene modifiers are for long-term control, not acute management.