ATI LPN · Pediatric Congenital Heart Disease Quiz Questions
Question 1 of 83
After undergoing a barium enema, which of the following indicates that the infant has adequately evacuated the barium?
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Question 2 of 83
Kawasaki Disease is associated with which of the following?
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Question 3 of 83
Untreated congenital hypothyroidism results in:
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Question 4 of 83
Which of the following health teachings regarding sickle cell crisis should be included by the nurse?
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Question 5 of 83
A 9-year-old boy is being treated for standard-risk acute lymphoblastic leukemia. His treatment protocol calls for administration of intravenous methotrexate and intramuscular L-asparaginase during interim maintenance chemotherapy. What is the most appropriate sequence of drug administration?
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Question 6 of 83
When discussing the appropriate iron-rich food selections with the mother of an 11-month-old infant with iron deficiency anemia, which of the following choices verbalized by the mother indicates successful teaching?
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Question 7 of 83
Spinal muscular atrophy is characterized by:
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Question 8 of 83
Usually the clinic-laboratory constellation of acute pyelonephritis does not include:
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Question 9 of 83
A nurse is caring for a pre-school age child who has croup. Which of the following findings should the nurse report to the provider?
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Question 10 of 83
Neonatal bacterial sepsis is most commonly caused by which one of the following organisms (in the Philippines):
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Question 11 of 83
Which movement of the lower chest describes chest indrawing?
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Question 12 of 83
An avid 16-year-old triathlete was in a bike accident and developed cellulitis, which was treated with Bactrim. While still on antibiotics, he moved with his family from Houston to Denver, and during the car trip he developed fever, pharyngitis, and malaise. Upon arriving in Denver he presented to the emergency department and was noted to have significant lymphocytosis with some atypical lymphocytes. What is the most likely cause of the white blood cell abnormalities?
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Question 13 of 83
The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
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Question 14 of 83
Which of the following is NOT part of the triad of cystic fibrosis?
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Question 15 of 83
A child discharged with slow cerebrospinal fluid (CSF) leak 3 days after a head injury was sustained. What will the nurse include in the discharge plans?
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Question 16 of 83
When discussing possible causes of diabetes in children, the nurse mentions chromosomal defects. Which chromosomes are associated with diabetes?(Select all that apply.)
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Question 17 of 83
A 4-month-old diagnosed with iron deficiency anemia is started on ferrous sulfate. What should the nurse teach the parents about administration?
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Question 18 of 83
The relative water content in the human organism:
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Question 19 of 83
A 5-year-old is being evaluated during a physical exam. Which activity demonstrates fine motor development appropriate for this age?
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Question 20 of 83
After the baby is delivered, the cord was cut between two clamps using a sterile scissors and blade, then the baby is placed at the:
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Question 21 of 83
A nurse is assessing a child's vision. Which test should she use to test for accommodation?
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Question 22 of 83
A 2-month-old boy presented with a skin abscess and is febrile. On exam, he is noted to have silvery hair and hypopigmented skin. A CBC shows a leukocyte count of 3.4 K/mcL with 10% neutrophils. What does the abnormality on the peripheral smear suggest?
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Question 23 of 83
Which nursing intervention would NOT be appropriate for a child admitted with a urinary tract infection?
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Question 24 of 83
The nurse is caring for an 8-year old following a routine tonsillectomy. Which finding should be reported immediately?
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Question 25 of 83
The diaper rash is very red with a clearly defined margin and small red spots close to large patches. It tends to appear in the deepest part of skin creases in the groin and buttocks.
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Question 26 of 83
Infantile fibrosarcoma has the following translocation, shared with which other tumor:
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Question 27 of 83
Which in vitro test is abnormal in case of Haemophilia A and B?
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Question 28 of 83
Lymph node from a 10-year-old boy reveals large pleomorphic lymphocytes with CD30 positivity, frequent mitoses, and scattered cells bearing kidney-shaped nuclei with a peri-nuclear eosinophilic region. The proliferation infiltrates the sinuses and paracortex with relative follicular sparing. Which of the following statements is true?
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Question 29 of 83
Observe serial hemoglobin values closely.
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Question 30 of 83
The nurse is performing a neurological assessment on a 10-year-old who sustained a head injury. What is the significance of unequal pupil dilation?
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Question 31 of 83
Dietary restriction in a child who has Homocystinuria will include which of the following amino acid?
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Question 32 of 83
When teaching a child how to perform coughing and deep-breathing exercises before corrective surgery for Tetralogy of Fallot, which of the following teaching and learning principles would the nurse address first?
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Question 33 of 83
A 9-year-old boy presents to the emergency department with emesis and headache of 3 weeks' duration. MRI reveals a large heterogeneous mass in the cerebellum. He undergoes a resection, and the pathology is most consistent with a classic medulloblastoma. Which of the following findings would classify the patient as a high-risk medulloblastoma?
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Question 34 of 83
Which food source is NOT high in soluble fiber?
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Question 35 of 83
A term newborn presents with respiratory distress and a chest x-ray confirms the presence of bilateral pleural effusions. The infant is dysmorphic with hypertelorism, posteriorly rotated ears and redundant nuchal skin. At 2 weeks of age the infant develops marked pallor and petechiae, and is diagnosed with juvenile myelomonocytic leukaemia. What is the most likely underlying condition?
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ATI LPN · Pediatric Congenital Heart Disease Quiz Questions
Question 36 of 83
The parent of a child with cystic fibrosis calls the clinic nurse and describes s/s in the child of tachypnea, tachycardia, dyspnea, pallor and cyanosis. The nurse should tell the parent to bring the child to the clinic because these symptoms are suggestive of which of the following?
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Question 37 of 83
When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
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Question 38 of 83
What is typically the first symptom of acute glomerulonephritis?
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Question 39 of 83
An eighteen month-old has been brought to the emergency room with irritability, lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these initial findings, the nurse would assess the child for additional findings of:
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Question 40 of 83
A healthy 17-year-old African American male presents with a thrombosis of the right upper extremity... Which of the following interventions is most likely to decrease this patient's long-term risk of recurrent thrombosis?
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Question 41 of 83
What would the nurse expect to find in a male infant with Wiskott-Aldrich syndrome?
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Question 42 of 83
A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause?
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Question 43 of 83
A nurse is evaluating the effectiveness of a bronchodilator in a child with asthma. Which finding indicates the medication is effective?
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Question 44 of 83
How do you classify Jalaa, a 16-day-old with red umbilicus, respiratory rate 49 breaths/minute, no other severe signs?
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Question 45 of 83
It is the most common primary malignant bone tumor in children and adolescents, which shows a 'sunburst' pattern on radiographs:
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Question 46 of 83
With respect to herpetic esophagitis which statement is false?
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Question 47 of 83
A child has abdominal pain, arthritis, microscopic hematuria, and a purpuric rash only on the lower extremities. Which of the following is the most likely diagnosis?
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Question 48 of 83
Which of the following statements is NOT TRUE of Amebiasis?
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Question 49 of 83
A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take?
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Question 50 of 83
A 3 year old boy has had fever for 7 days. Physical examination reveals red conjunctivae, lymphadenopathy, and maculopapular rash Laboratory studies reveal: Platelet count 800.000, ESR 50 High CRP, ASLO 125
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Question 51 of 83
The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take?
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Question 52 of 83
In contrast to diabetes mellitus, diabetes insipidus is characterized by:
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Question 53 of 83
Which is a major criterion in the diagnosis of dermatomyositis in childhood?
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Question 54 of 83
The most common congenital heart malformation is:
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Question 55 of 83
How do you classify a 3-year-old child in a no malaria risk area with fever for 2 days, axillary temperature of 39.5°C, and stiff neck?
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Question 56 of 83
What data structure is central line type?
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Question 57 of 83
What does herd immunity mean?
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Question 58 of 83
The mother of a 5-year-old child with allergies to a variety of foods including eggs, milk, peanuts and shellfish, asks if her child will 'always have these problems.' What response by the nurse is most accurate?
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Question 59 of 83
A 3-year-old nonsyndromic, well-appearing male with no significant past medical history presents with an abdominal mass palpated by his mother when giving him a bath. CT imaging reveals a 9-cm right renal mass without involvement of the inferior vena cava(IVC) and no evidence of tumor thrombus by ultrasound. The left kidney appears normal, and there is no imaging evidence of tumor rupture or adherence to surrounding organs. There are diffuse, bilateral pulmonary metastases from which he is asymptomatic with a normal respiratory rate and no supplemental oxygen requirement. Following the National Wilms Tumor Study Group(NWTS)/Children's Oncology Group(COG) approach to pediatric renal tumors, which of the following are appropriate next steps?
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Question 60 of 83
Which of the following statement regarding Zika virus is true-
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Question 61 of 83
A female infant is diagnosed with hemophagocytic lymphohistiocytosis(HLH) not associated with an Epstein-Barr virus(EBV) infection. In taking the family history, you learn that another female infant died of HLH 2 years ago. Also, a newborn female child died of an unknown disease 4 years prior and was said have been bleeding profusely, jaundiced, and had a distended abdomen. When counseling the family about the genetics of HLH, how will you explain it?
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Question 62 of 83
What is the most probable diagnosis for an 11-month-old boy with failure to gain weight, bulky greasy stools, repeated wheezing, and a salty taste when kissed?
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Question 63 of 83
A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?
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Question 64 of 83
A 5-year-old child is admitted with bacterial meningitis. What is the priority intervention?
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Question 65 of 83
A child with sickle cell anemia is prescribed hydroxyurea. What is the primary benefit of this medication?
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Question 66 of 83
Which of the following patterns noted on continuous monitoring of fetal heart rate is most indicative of fetal distress?
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Question 67 of 83
Mark 9 years old conceives death as:
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Question 68 of 83
Which disease is an absolute contraindication for breastfeeding?
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Question 69 of 83
Visual acuity reaches adult acuity by the age-
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Question 70 of 83
What are the treatment option of Wilson's disease-
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Question 71 of 83
Which of the following is not a possible systemic clinical manifestation of severe burns?
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Question 72 of 83
Which clinical symptom is NOT associated with Meckel's diverticulum?
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Question 73 of 83
The best available evidence to support early enteral feedings in the setting of acute pancreatitis includes which of the following outcomes?
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Question 74 of 83
According to the Ann Arbor staging system, the patient has which stage of cHL?
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Question 75 of 83
Lissencephaly is a disorder of what stage of neural development?
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Question 76 of 83
A 14-year-old boy presents with cough, shortness of breath, and difficulty lying down. His face and neck swell when his arms are raised. Chest x-ray reveals a large mediastinal mass. A tissue diagnosis is desired. A biopsy is performed with local anesthesia because the anesthesiologist thinks that the patient has a very high general anesthesia risk. Which of the following findings does not make general anesthesia unsafe?
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Question 77 of 83
A 3 year old accidentally ingested a coin. A chest x-ray was taken. In contrast to foreign body trachea, the coin in the esophagus as seen on radiograph will show:
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Question 78 of 83
What treatment approach in severe combined immunodeficiency may achieve a highly probable cure?
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Question 79 of 83
Ex-28 week premature infant, requiring NICU-level care for necrotizing enterocolitis
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Question 80 of 83
Which age group do the IMCI clinical guidelines address?
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Question 81 of 83
A 6-year-old presents to the emergency department with complaints of shortness of breath, a nonproductive cough, and wheezing. The nurse notices the child speaking in short, broken phrases and sitting in a tripod position. What is the priority action?
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Question 82 of 83
A 10-year-old with hemophilia reports abdominal pain after a minor injury. What is the nurse's priority action?
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Question 83 of 83
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. Based on developmental screening, his development is:
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