ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 9
Which physical evaluation technique should not be used when caring for a child diagnosed with a Wilm's tumor?
Correct Answer: B
Rationale: Palpating the abdomen (B) risks dislodging a Wilms’ tumor, spreading malignancy. Other techniques (A, C, D) are safe. Document: 'Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.'
Question 2 of 9
When teaching an adolescent with Type I diabetes about dietary management, the nurse should instruct him to
Correct Answer: A
Rationale: Carrying glucose A prevents hypoglycemia, a key dietary management strategy, per document .
Question 3 of 9
A child with a burn requires
Correct Answer: D
Rationale: All D are essential burn care, per document p45, .
Question 4 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 5 of 9
A 14-year-old obese boy appears with polyuria and fatigue. Labs reveal blood glucose of 200 mg/dL and no ketonuria. Most likely diagnosis is:
Correct Answer: B
Rationale: Type 2 diabetes fits obesity, hyperglycemia, and no ketonuria, per AAP (doc p151, Q600).
Question 6 of 9
A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:
Correct Answer: C
Rationale: C1q deficiency causes SLE-like syndromes without typical autoantibodies due to impaired immune complex clearance (NIAMS). Later complement defects (A-D) lead to infections, not SLE-like features.
Question 7 of 9
A child with a tracheostomy requires
Correct Answer: D
Rationale: All D ensure tracheostomy care, per document p60, 3.
Question 8 of 9
A 9-year-old girl presents with abdominal pain and a palpable mass. Ultrasound shows an ovarian cyst. Most likely diagnosis is:
Correct Answer: B
Rationale: Functional cysts are common in prepubertal girls and often benign, per ACOG. A-D are less likely without specific signs.
Question 9 of 9
A 5-year-old boy presents with fever and a sore throat. Exam shows tonsillar exudates. Most likely diagnosis is:
Correct Answer: B
Rationale: Strep throat features fever and exudates, per IDSA. A, C-E differ.