ATI RN
Pediatric Nursing Exam Preparation Questions
Question 1 of 5
Which of the following is an early manifestation of hypoxemia in young infants?
Correct Answer: D
Rationale: Irritability is an early sign of hypoxemia, while cyanosis and bradycardia are late findings.
Question 2 of 5
A 13-year-old male presented with delirium, mumbling speech, tachycardia, dry flushed skin, dilated pupils, myoclonus, slightly elevated temperature, urinary retention, decreased bowel sounds, seizures, and dysrhythmia. The MOST likely cause is
Correct Answer: B
Rationale: Amphetamine toxicity presents with central nervous system stimulation symptoms like delirium, tachycardia, hyperthermia, and seizures.
Question 3 of 5
A 5-year-old girl was brought to the ED with altered mental status. Kernig and Brudzinski signs were present. CSF shows: WBCs 1500/ul (80% neutrophils), Sugar 20 mg/dl, Protein 400 mg/dl, Positive Gram stain. You would interpret the CSF as:
Correct Answer: B
Rationale: Bacterial meningitis presents with high WBCs (neutrophils), low glucose, and high protein in CSF. Gram stain confirms bacterial presence.
Question 4 of 5
A chest radiograph should be performed with the first episode of asthma. Repeat chest radiographs are not needed unless there is
Correct Answer: C
Rationale: A high-grade fever in an asthma patient may suggest pneumonia or another underlying infection, warranting further investigation.
Question 5 of 5
What is the percentage of HBsAg-positive infants who will develop chronic hepatitis or chronic carrier state
Correct Answer: C
Rationale: Approximately 90% of infants infected with hepatitis B at birth become chronic carriers due to an immature immune response, leading to prolonged viral persistence.