ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 9
Which intervention is most important when feeding an infant with pyloric stenosis?
Correct Answer: B
Rationale: Frequent burping (B) during feedings removes gas in pyloric stenosis, reducing vomiting risk. Quick feedings (A), discouraging parents (C), or stopping for vomiting (D) worsen outcomes. Document: 'The infant should be burped… to remove any gas accumulated in the stomach.'
Question 2 of 9
A 2-year-old boy presents with a high fever and rash. Exam shows conjunctivitis and lymphadenopathy. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, conjunctivitis, and lymphadenopathy, per AHA. A, C-E differ.
Question 3 of 9
Most reliable diagnostic test for cystic fibrosis is:
Correct Answer: C
Rationale: Sweat chloride test is the gold standard for cystic fibrosis diagnosis, per CFF. D is confirmatory, A, B, E are supportive.
Question 4 of 9
A 12-year-old girl appears with weight loss, heat intolerance, and palpitations. Physical examination reveals exophthalmos and a goiter. Most likely diagnosis is:
Correct Answer: B
Rationale: Graves disease fits weight loss, heat intolerance, exophthalmos, and goiter, per AAP (doc p150, Q584).
Question 5 of 9
A 2-year-old with a burn should receive
Correct Answer: D
Rationale: All *E* are essential burn care, per document p25, 0.
Question 6 of 9
In addition to pertussis vaccination, which vaccine when given to pregnant women has been shown to reduce the likelihood of disease in their infants up to 3 months of age?
Correct Answer: B
Rationale: Maternal influenza vaccination (Choice B) reduces infant influenza risk up to 3 months via transplacental antibody transfer, with evidence showing significant protection against severe disease. Hepatitis B (Choice A) vaccination protects against chronic infection, not acute infant disease. Measles (Choice C) vaccination isn’t given in pregnancy due to live virus risks. Meningococcal B (Choice D) lacks robust data for infant protection via maternal immunization. Influenza’s proven efficacy makes it the correct choice.
Question 7 of 9
A 3-year-old boy presents with fever and a swollen ankle. Aspiration shows gram-negative bacilli. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis fits fever and gram-negative bacilli, per AAP. B-E lack infection.
Question 8 of 9
A child with a foreign body in the nose requires
Correct Answer: D
Rationale: Referral D ensures safe removal, per document p59, 7.
Question 9 of 9
Symptoms suggesting meningitis in a child are
Correct Answer: A
Rationale: Fever, headache, vomiting, opisthotonus A are classic meningitis signs, per document p9, 6.