ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 9
Which of the following is a cause of tender hepatomegaly
Correct Answer: A
Rationale: Right-sided heart failure leads to hepatic congestion and tender hepatomegaly due to increased central venous pressure.
Question 2 of 9
The most common cause of pleural effusion in children is:
Correct Answer: A
Rationale: Bacterial pneumonia is the leading cause of pleural effusion in children. Parapneumonic effusions develop as a complication of pneumonia due to inflammation and exudate accumulation in the pleural space.
Question 3 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 4 of 9
Psychiatric disorders are more common than in the general population of children in all of the following EXCEPT
Correct Answer: A
Rationale: Children with head trauma, intellectual disabilities, or epilepsy are at higher risk for psychiatric disorders due to neurological vulnerabilities. Smart students do not inherently face increased psychiatric risks.
Question 5 of 9
The ideal rate of chest compression during cardiopulmonary resuscitation in infants is:
Correct Answer: C
Rationale: The recommended chest compression rate for infants during CPR is at least 100 per minute to ensure adequate perfusion and circulation during resuscitation.
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
Which of the following is the most accepted diagnostic criteria of asthma?
Correct Answer: C
Rationale: A diagnosis of asthma is confirmed if recurrent symptoms improve with bronchodilator therapy.
Question 8 of 9
In USA, the newly arrived international adoptees are subjected to many lab tests. All the following tests need to be repeated after 3-6 months after arrival EXCEPT
Correct Answer: D
Rationale: The rationale is that tuberculin skin tests (TST) may give false-negative results immediately after arrival due to factors like recent travel stress or malnutrition. Therefore, repeating the test after 3-6 months ensures more accurate results. The other tests are generally required to be repeated for ongoing monitoring.
Question 9 of 9
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.