ATI LPN · Pediatric Communicable Diseases NCLEX Questions
Question 1 of 84
The mother of 7-year old girl with acute strep throat calls to report that within 15 minutes after the first dose of oral penicillin you prescribed, she is complaining of itching and has developed hives. Which of the following should you recommend?
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ATI LPN · Pediatric Communicable Diseases NCLEX Questions
Question 2 of 84
The child has more bowel movements than usual and the stools are loose and more watery than usual. The child may also have a fever, nausea, vomiting, pains in the stomach, cramps, blood and/or mucus in the stool, and may not want to eat.
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Question 3 of 84
Which of the following would the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?
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Question 4 of 84
A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, 'why is my baby sister eating my mommy's breast?' how should the nurse respond?
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Question 5 of 84
You receive a phone call that a 3-year-old patient on long-term warfarin therapy for congenital heart disease has an international normalized ratio (INR) of 5.8... Which of the following interventions would be most reasonable in this clinical scenario?
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Question 6 of 84
Congenital hypothyroidism:
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Question 7 of 84
What is the most likely diagnosis for a patient with coarse facial features, macroglossia, hepatosplenomegaly, and joint contractures?
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Question 8 of 84
A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?
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Question 9 of 84
How do you classify a 7-month-old child in a high malaria risk area with axillary temperature of 38.0°C and lethargy?
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Question 10 of 84
A nurse is assessing a 4-year-old during a wellness visit. Which cognitive development milestone is expected at this age?
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Question 11 of 84
The prothrombin time (PT) is prolonged in case of:
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Question 12 of 84
The parents of a child newly diagnosed with diabetes mellitus tell the nurse, 'Our son's body is resistant to insulin.' With what does the nurse recognize this description is consistent?
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Question 13 of 84
Of the following, the most likely diagnosis for a tall slender girl with joint laxity, dislocated lenses and mitral valve prolapse is:
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Question 14 of 84
Which of the following signs and symptoms would observe in a child diagnosed of laryngotracheobronchitis?
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Question 15 of 84
What is the correct relationship between the mean, median, and mode of length of stay (LOS) when LOS data are highly right-skewed?
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Question 16 of 84
A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?
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Question 17 of 84
Which of the following is TRUE of candidal infection?
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Question 18 of 84
In healthy full term neonate, meconium is passed within 48 hours of birth in-
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Question 19 of 84
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
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Question 20 of 84
Which is a characteristic of the polyarticular form of juvenile idiopathic arthritis?
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Question 21 of 84
Signs of cold stress that the nurse must be alert when caring for a Newborn is:
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Question 22 of 84
A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
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Question 23 of 84
Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride?
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Question 24 of 84
A 12-year-old patient with localized osteosarcoma is being treated with cisplatin, doxorubicin, and high-dose methotrexate. The pain at his primary site rapidly resolves after initiation of chemotherapy. After tumor resection, pathology reveals the tumor was greater than 95% necrotic. You want to continue cisplatin, doxorubicin, and high-dose methotrexate. Which of the following is the best answer regarding the evaluations that should be performed to monitor for toxicity in patients receiving cisplatin, doxorubicin, and high-dose methotrexate?
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Question 25 of 84
The metaphyseal ends of long bones are common sites of osteomyelitis. This condition occurs because:
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Question 26 of 84
A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
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Question 27 of 84
What kind of urine change is expected in a 12-year-old child with arterial hypertension, periorbital edema, and 'coca cola' colored urine 2 weeks after scarlet fever?
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Question 28 of 84
The most common pattern seen in ovarian yolk sac tumors is:
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Question 29 of 84
The main element of immunization program is one of the following?
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Question 30 of 84
A 19-year-old freshman in college presents with 'lumps' on the right side of his neck and in the right axilla. He had a fever to 39°C 1 day in the past week. On physical exam, there are firm anterior cervical and axillary nodes, all greater than 2 cm in diameter. A chest x-ray shows a large mediastinal mass. A biopsy of the axillary node reveals classic Hodgkin lymphoma. Which of the following symptoms revealed during the history is a B symptom?
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Question 31 of 84
A 12-year old girl presents to the ED with acute pancreatitis. After assessing her as having a moderately severe case of acute pancreatitis, you decide to admit her to GI service. The first 24 hours focus on fluid resuscitation, and she does well. Remembering a recent presentation you heard on medical and nutritional management of pancreatitis, you decide the recommended NEXT STEP in management is:
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Question 32 of 84
Which statement concerning upper respiratory tract infections is correct?
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Question 33 of 84
During a routine physical exam, a male adolescent client tells the nurse, 'sometimes, my mother gets angry because I want to be with my own friends.' What is the best initial response by the nurse?
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Question 34 of 84
Search for a donor for matched unrelated transplant.
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Question 35 of 84
When reviewing the history of a child with suspected primary immunodeficiency, what would the nurse be least likely to find?
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Question 36 of 84
Diabetes mellitus in newborns and young infants is more often:
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Question 37 of 84
Several gene mutations have been associated with juvenile myelomonocytic leukemia (JMML), and they may or may not have prognostic implications. A gene expression-based classification system has been found to be an independent predictor of clinical outcome in these patients. What is the disease signature that predicts a poor outcome?
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Question 38 of 84
Which respiratory rate is fast breathing if the child is 11 months old?
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Question 39 of 84
Mario is 2 years old, brought to the Well Child Clinic for his regular visit. On physical exam, he had the following anthropometric measurements: Weight - 15 kgs, Height - 90 cms, Head Circumference - 48 cms. On developmental screening, he was able to do the following: could stand momentarily on one foot, draw a circle and imitate a cross, talk in simple sentences and tell a story. Mother claimed that he is dry by night. The head circumference of Mario is:
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Question 40 of 84
Normal height with decrease bone age is seen in-
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Question 41 of 84
What is the most likely diagnosis for a 2-year-old girl with blood in urine, intermittent abdominal pain, and a palpable mass in the right upper quadrant?
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Question 42 of 84
A nurse is caring for a child receiving radiation for a brain tumor. What side effect should be addressed immediately?
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Question 43 of 84
A 13-year-old is seen for a routine checkup. What is an expected emotional development milestone for this age?
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Question 44 of 84
Which of the following is a side effect of chemotherapy in a pediatric patient with leukemia?
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Question 45 of 84
With respect to candidal esophagitis which statement is false?
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Question 46 of 84
For which setting are the IMCI guidelines suitable for use?
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Question 47 of 84
Primary symptoms are stuffy nose, sore throat and nagging cough as well as muscle pain, headache, fever and chills that are often identified with the common cold.
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Question 48 of 84
Fever
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Question 49 of 84
A 4-year-old male child presents to the emergency department with his fourth invasive Staph infection. CBC consistently identifies moderate neutropenia. Sophisticated lab testing identifies lack of Toll-like receptor responses. The patient undergoes whole exome sequencing and is found to have pathogenic variants in IRAK4. What does 'IRAK4' stand for?
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Question 50 of 84
A child undergoing treatment for leukemia reports severe bone pain. What intervention is appropriate?
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Question 51 of 84
What is the therapy plan for a 4-year-old girl diagnosed with pneumonia?
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Question 52 of 84
The nurse notes that the fall might also cause a possible head injury. She will be observed for signs of increased intracranial pressure which include:
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Question 53 of 84
A 3-month-old female presents to the emergency room with vomiting and abdominal distension. She has a left-side abdominal mass, and an abdominal ultrasound confirms an 8-cm mass arising from the left kidney. Liver lesions are also noted. Nephrectomy is performed and reveals a histologic diagnosis of malignant rhabdoid tumor of the kidney(MRTK). Which of the following is not a true statement about the management of this patient?
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Question 54 of 84
A 15-year-old girl with a history of hundreds of colon polyps and appendectomy presents with an abdominal mass. Histology shows a uniformly cellular tumor comprised of cytologically bland fibroblasts which merge with the background collagen. Staining for beta-catenin shows nuclear positivity. What other tumor might this patient be at risk for?
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Question 55 of 84
Barry's mother tells you she often makes milkshakes with raw eggs. What infectious organism is easily spread this way?
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Question 56 of 84
An infant is born with a 7 cm × 6 cm lesion over the upper extremity from the elbow to the shoulder. The lesion is indurated and purpuric, with some petechiae around the edges. No other areas of petechiae are noted on the skin. The infant is doing well without other systemic problems. You are called by the pediatric nurse practitioner to the NICU. What is the most appropriate next step?
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Question 57 of 84
The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?
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Question 58 of 84
Vitamin B12 and Folic Acid have similar effects but what separates one from other-
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Question 59 of 84
An infant with Beckwith-Wiedemann syndrome presents with a primary pancreatic tumor. We could expect to see all of the following features except:
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Question 60 of 84
A 1-1/2 year old is discovered to have a bottle of alkali solution in his mouth. The bottle was noted to be half empty. No external signs on the child's face were seen. Your advice is to bring the child to the ER. There must be prior administration of:
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Question 61 of 84
Which organism is MOST often the cause of urinary tract infections?
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Question 62 of 84
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
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Question 63 of 84
A 4-year-old boy is pale with intermittent jaundice and splenomegaly. Laboratory results are as follows: RBC 4.85 M/mcL(N); Hgb 8.6 g/dL(L); Hct 25.8%(L); MCV 81.6(N); MCHC 38%(H); RDW 20%(H); Retic 7%(H). What are the two best tests to distinguish autoimmune hemolytic anemia from hereditary spherocytosis?
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Question 64 of 84
When assessing a child with aspirin overdose, which of the following will be expected?
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Question 65 of 84
Which chromosome is NOT associated with diabetes mellitus in children?
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Question 66 of 84
When developing a [plan of care for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include?
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Question 67 of 84
Which of the following can indicate left-sided heart failure in an infant?
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Question 68 of 84
Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?
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Question 69 of 84
Which is NOT a treatment for H. pylori-associated ulcer disease?
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Question 70 of 84
What do you expect to see on further evaluation?
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Question 71 of 84
Mannitol application is contraindicated when the patient has intracranial haemorrhage because:
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Question 72 of 84
During the assessment of a small infant admitted with a diagnosis of meningitis, the infant becomes less responsive to stimuli and exhibits bradycardia, slight hypertension, irregular respirations and a temperature of 39.5 C. The infant's fontanel also seems tense. What will the nurse do first?
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Question 73 of 84
The nurse is teaching parents about caring for a child with bronchiolitis. What statement indicates the need for further teaching?
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Question 74 of 84
Bell's palsy is:
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Question 75 of 84
A nurse is assessing a child who may have a latex allergy. The nurse asks the child about allergic reactions to certain foods. Which food if identified by the child as causing an allergic reaction would help support the suspected latex allergy?
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Question 76 of 84
During routine follow-up of a boy with spinal muscular atrophy (SMA) type 2, his mother informs you she is in a new relationship and 20 weeks pregnant with a male fetus. What is the risk the fetus will be affected?
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Question 77 of 84
How do you classify Wedad, a 14-day-old not feeding well for 2 days, axillary temperature 37.5°C, respiratory rate 62 breaths/minute?
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Question 78 of 84
The doctor orders 150 mg of Amoxicillin PO every 8 hours. The available dose is 125/5ml. The safe dose range for a child is 20mg to 40 mg per kg per day. The child weighs 33 lb. What is the minimum and maximum mg per dose that should be given?
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Question 79 of 84
Among the following tumors, the one with the best over-all survival rate is:
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Question 80 of 84
A child with cystic fibrosis is prescribed dornase alfa. The parents ask about the purpose of this medication. How should the nurse respond?
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Question 81 of 84
Following acute bronchiolitis, which virus is associated with the long-term complication of bronchiolitis obliterans?
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Question 82 of 84
In our country, the first dose of live attenuated measles vaccine should be administered:
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Question 83 of 84
The mother, concerned about her infant's surgery for inguinal hernia repair, asks the nurse if her infant would have been scheduled for surgery even if the hernia had been asymptomatic. Which of the following statements offers the best explanation why the surgical repair would be done at this time?
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Question 84 of 84
In assessing a 10-year old newly diagnosed with osteomyelitis, which information is most important for the nurse to obtain?
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