ATI LPN
Pediatric Dosing Practice Questions Questions
Question 1 of 9
What signs and symptoms would indicate that a child with diabetes need to be given insulin. Select ONE that apply:
Correct Answer: B
Rationale: Hyperglycemia needing insulin shows fruity breath, red lips (B), and confusion/fatigue (C) from ketoacidosis. Diaphoresis/tremors (A) and pallor/headache (D) suggest hypoglycemia. Document: 'Ketoacidosis is characterized by fruity breath… fatigue, [and] disorientation.'
Question 2 of 9
What signs and symptoms would indicate that a child with diabetes need to be given insulin. Select ONE that apply:
Correct Answer: B
Rationale: Hyperglycemia needing insulin shows fruity breath, red lips (B), and confusion/fatigue (C) from ketoacidosis. Diaphoresis/tremors (A) and pallor/headache (D) suggest hypoglycemia. Document: 'Ketoacidosis is characterized by fruity breath… fatigue, [and] disorientation.'
Question 3 of 9
Which essential oils are contraindicated during pregnancy? (Select ONE that apply.)
Correct Answer: A
Rationale: Wintergreen (A) and anise (C) are contraindicated in pregnancy due to potential uterine stimulation or toxicity. Jasmine (B), lavender (D), and peppermint (E, not listed) are generally safe. Document: 'Some essential oils… contraindicated… include anise… wintergreen.'
Question 4 of 9
A 5-year-old boy presents with fever and a petechial rash. Labs show thrombocytopenia. Most likely diagnosis is:
Correct Answer: C
Rationale: Meningococcemia fits fever and petechiae, per CDC. A, B, D, E differ.
Question 5 of 9
A child with lymphatic leukemia and low platelets requires
Correct Answer: A
Rationale: Discouraging play A prevents bleeding due to low platelets, per document p5, 4.
Question 6 of 9
A 2-year-old boy presents with fever and a generalized rash starting on the face. Exam shows Koplik spots. Most likely diagnosis is:
Correct Answer: A
Rationale: Measles features fever and Koplik spots, per CDC. B-E lack spots.
Question 7 of 9
The nurse would caution parents that massage should not be considered as an alternative therapy for a child with:
Correct Answer: C
Rationale: Massage risks cervical spine injury in Down syndrome (C) due to instability. Fractures (A), diabetes (B), and eating disorders (D) have no such contraindication. Document: 'Children with Down syndrome… may be injured by massage therapy.'
Question 8 of 9
Most common cause of hypothyroidism in children is:
Correct Answer: C
Rationale: Hashimoto thyroiditis is the most common cause of hypothyroidism in children, per AAP (doc p149, Q578).
Question 9 of 9
The mouth of an infant with thrush will be managed by select all
Correct Answer: A
Rationale: Nystatin A and saline swabbing D I, IV treat thrush, per document 0.