ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
What is the MOST common long term sequela of bacterial meningitis in a child?
Correct Answer: C
Rationale: Bacterial meningitis often damages the cochlear nerve, causing sensorineural hearing loss, the most frequent sequela. Seizures (A) and intellectual disability (B) are less common. Hemiparesis (D) is rare unless stroke occurs.
Question 2 of 5
When assessing a 12-year-old child with Wilm’s tumor, the nurse should keep in mind that it most important to avoid which of the following?
Correct Answer: B
Rationale: Wilm’s tumor (nephroblastoma) risks rupture or metastasis with abdominal palpation. Options A, C, and D are safe and unrelated to tumor risk.
Question 3 of 5
Hemophilia A is the result of missing clotting factor IX and is also known as Christmas disease
Correct Answer: B
Rationale: Hemophilia A is due to missing factor VIII, not IX (which is Hemophilia B, aka Christmas disease). Option B (False) is correct.
Question 4 of 5
The patient is breast fed, and his mother follows a vegan diet... On the basis of this information, the patient is at greatest risk for deficiency of which of the following vitamins?
Correct Answer: C
Rationale: Breastfed infants of vegan mothers risk vitamin B12 deficiency, as B12 is primarily in animal products, potentially causing anemia and neurological issues. B1 (A), B5 (B), and C (D) are available in plant-based diets.
Question 5 of 5
A 3-year-old boy... sinus infections and pneumonia... loose, greasy, mucousy stools... Which of the following studies is most effective to determine the diagnosis?
Correct Answer: D
Rationale: Cystic fibrosis causes recurrent respiratory infections and malabsorptive, greasy stools due to pancreatic insufficiency. Sweat chloride test (D) diagnoses it. Bronchoscopy (A) is invasive and less specific.