ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 9
When screening for intraventricular hemorrhage (IVH), the best time to perform an ultrasound is
Correct Answer: C
Rationale: The third day of life is the optimal time for screening IVH, as this allows sufficient time for hemorrhage to develop while still being early enough for timely intervention.
Question 2 of 9
Early sign of shock:
Correct Answer: B
Rationale: Tachypnea is an early compensatory response to hypoperfusion in shock before blood pressure drops.
Question 3 of 9
Vomiting in the neonatal period is usually due to
Correct Answer: C
Rationale: Overfeeding is a common cause of vomiting in neonates, as their digestive systems are still developing. The other conditions can cause vomiting but are less common.
Question 4 of 9
Early ultrasonographic signs of hydrops include
Correct Answer: A
Rationale: The double-bowel wall sign is an early ultrasonographic sign of hydrops. The other findings are also associated with hydrops but may appear later.
Question 5 of 9
A school nurse called you to see a 6-year-old boy with school refusal. He is always crying after parental leaving, refuses to stay in the classroom, and the school nurse tried her best during the last 4 weeks. Of the following, the BEST action is to
Correct Answer: A
Rationale: Referring the child to a pediatric psychologist allows for a comprehensive evaluation and tailored intervention.
Question 6 of 9
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 7 of 9
Sleep dysregulation is commonly seen in autism spectrum disorders (ASDs) that can be treated by some medications. Of the following, the first medication for sleep dysregulation is
Correct Answer: A
Rationale: Melatonin is the first-line treatment for sleep dysregulation in ASDs, as it regulates the sleep-wake cycle naturally.
Question 8 of 9
Which of the following is NOT a criterion for diagnosing systemic lupus erythematosus?
Correct Answer: D
Rationale: High cholesterol is not a diagnostic criterion for systemic lupus erythematosus; it is unrelated to the disease process.
Question 9 of 9
Clinical picture of acute congestive heart failure includes all of the following Except:
Correct Answer: C
Rationale: In CHF, the liver is typically tender and pulsatile due to venous congestion. A firm, non-tender liver is more indicative of chronic liver disease rather than acute heart failure.