ATI LPN · Pediatrics Communicable Diseases NCLEX Questions
Question 1 of 85
A 9-month-old boy has been referred to you for the evaluation of an enlarged abdomen. Imaging studies show a large liver mass(PRETEXT III). Alfa-fetoprotein is 98 ng/mL, and a CT scan of the lungs show bilateral lung metastases. A needle biopsy is performed, and you are planning to review the specimen with the pathologist. Which of the following diagnoses are you suspecting?
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Question 2 of 85
The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?
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Question 3 of 85
Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis?
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Question 4 of 85
This statement is NOT true about infective endocarditis:
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Question 5 of 85
Initial examination of a full term infant weighing less than 2500 g (5 lb, 8 oz) shows edema over the dorsum of her hands and feet. Which of the following findings would support a diagnosis of Turner's syndrome?
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Question 6 of 85
The following conditions are caused by cold stress except
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Question 7 of 85
What is an allergy commonly developed in infants diagnosed with spina bifida?
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Question 8 of 85
A child with sickle cell anemia develops acute chest syndrome. What is the nurse's first action?
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Question 9 of 85
The nurse is performing a routine assessment of a 3-year old at a community health center. Which behavior by the child should alert the nurse to request a follow-up for a possible autistic spectrum disorder?
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Question 10 of 85
What metabolic disease presents with hepatic dysfunction, renal tubular acidosis, and secondary rickets?
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Question 11 of 85
After having surgery to reduce he invagination of intussusceptions, the infant has a nasogastric tube in place, is receiving intravenous fluids, and is allowed nothing by mouth. In addition to the body weight, which of the following parameters would the nurse use to calculate the amount of intravenous fluid and electrolyte solution to be infused over the next 24 hours?
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Question 12 of 85
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
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Question 13 of 85
Prenatal diagnosis is possible for all following except-
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Question 14 of 85
All the following are possible cause of Precocious Puberty except —
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Question 15 of 85
Hgb concentration
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Question 16 of 85
Which colour-coded classification applies to a 5-month-old child with fever and stiff neck?
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Question 17 of 85
Infants are more susceptible to bacterial infections due to low circulating IgG-
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Question 18 of 85
What is the most frequent neutropenia in childhood?
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Question 19 of 85
A 6-year-old student with hemophilia enters the school nurse's office with a gym injury. What deficiency causes his bleeding tendency?
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Question 20 of 85
How do you classify Abir, a 22-day-old with soft stools daily, respiratory rate 47 breaths/minute, no other problems?
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Question 21 of 85
A 5-year-old boy presents with a 3-week history of his right eye 'not moving to the right side.' The remainder of his neurologic exam is normal with the exception of a weak gag. MRI of the brain reveals a diffusely infiltrative mass in the pons. If this patient were to undergo a stereotactic biopsy, what would be the most likely molecular finding?
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Question 22 of 85
A nurse is caring for a child with epiglottitis. What intervention is a priority?
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Question 23 of 85
All of the following are common features of juvenile granulosa cell tumor except(pick 2!):
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Question 24 of 85
What is the most probable diagnosis for a 2-month-old boy with fever, difficulty breathing, poor appetite, and bilateral expiratory wheezing?
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Question 25 of 85
Which of the following best characterizes the function of ferroportin in iron metabolism?
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Question 26 of 85
A 7-year-old Hispanic male is referred to the hematology consult service by his pediatrician because of concern for hemoglobinopathy. In his records, you find a hemoglobin electrophoresis performed last year which shows hemoglobin A 78% and hemoglobin F 22%. His complete blood count is normal, and he has normal growth and development. Which of the following is true for this patient?
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Question 27 of 85
A 14 year old female has had her second episode of acute pancreatitis. Her evaluation to date has shown a normal abdominal ultrasound, normal triglyceride and calcium, a negative sweat chloride test and no evidence for infectious, metabolic or drug induced pancreatitis. You have decided to perform further imaging as part of the evaluation. The best option in this setting would be:
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Question 28 of 85
A baby sometimes cries for long periods yet is not sick, in pain, or hungry, and is content between crying bouts. An episode usually does not end until the child is exhausted.
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Question 29 of 85
Which of the following is an inappropriate intervention when caring for a child with HIV?
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Question 30 of 85
The nurse is caring for a 3-year old child who has been recently diagnosed with cystic fibrosis, which discharge instruction by the nurse is most important to promote pulmonary function?
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Question 31 of 85
The sodium content in $0.9 \%$ Sodium chloride solution is:
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Question 32 of 85
Which symptom is typical for Juvenile myoclonic epilepsy (JME)?
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Question 33 of 85
On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?
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Question 34 of 85
The findings of sudden onset of fever, petechial rash, and BP = 70/50 in a 5 year old child is most suggestive of infection with:
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Question 35 of 85
A one day old had bilious vomiting. He was noted to be slightly jaundiced. The abdomen was not distended but there was occasional visible peristaltic waves on the abdominal wall. Plain abdomen x-ray showed double-bubble sign. The obstruction is on what level?
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Question 36 of 85
A nurse assesses a child diagnosed with cystic fibrosis(CF). Which finding requires immediate intervention?
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Question 37 of 85
For arterial hypertension in childhood, systolic and/or diastolic arterial pressure values are defined as:
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Question 38 of 85
A 14-year-old male is receiving testosterone injections for delayed puberty. What is an expected outcome of this therapy?
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Question 39 of 85
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 40 of 85
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
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Question 41 of 85
A 2 mos. Old infant is suspected of having coarctation of the aorta. The sign of this defect is.
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Question 42 of 85
A 4-year-old child asks the nurse if it will hurt to have the tonsils and adenoids taken out. Which is the best response of the nurse?
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Question 43 of 85
Which symptom is NOT a sign of levothyroxine (Synthroid) overdose in an 8-month-old child with hypothyroidism?
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Question 44 of 85
His mother expresses concern about her sons, Rico 1 year old, slow development.. Upon assessment, the nurse observes that Rico's motor development is normal for his age.Which of the following is inappropriate for his stage?
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Question 45 of 85
A 6-year-old is admitted with suspected viral meningitis. Which diagnostic finding supports this diagnosis?
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Question 46 of 85
You are seeing a 2-year-old girl with new onset of fever and bronchitis. She has maculopapular rash and hepatosplenomegaly. Blood smear shows leukocytosis (100,000/mm3), anemia, and thrombocytopenia. Ancillary tests include fetal hemoglobin of 80% and normal blood karyotype. What is the most likely diagnosis?
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Question 47 of 85
Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night?
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Question 48 of 85
The pediatric surgeon sends you another testicular tumor. Having retained your morning coffee in your last successful wager, you decide to risk it all again, this time betting that the tumor most certainly is not:
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Question 49 of 85
The level of thyroid hormones in patients with autoimmune thyroiditis may be:
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Question 50 of 85
Which of the following features is TRUE of all infants born to HIV-infected women?
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Question 51 of 85
A 16-year-old patient with a left-side pelvic osteosarcoma is taking extended release oxycodone twice daily as well as immediate release oxycodone for breakthrough pain approximately 2 or 3 times per day. She describes her pain as burning, tingling, and shooting in her left leg. Her pain worsens with hot showers. Her most recent EKG has a QTc of 495. What would be the best strategy to manage her pain?
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Question 52 of 85
Which sign must a child have to be classified as having MASTOIDITIS?
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Question 53 of 85
The registered nurse is providing anticipatory guidance to an adolescent client who had juvenile idiopathic arthritis. Which of the following statements is the most appropriate for the nurse to make?
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Question 54 of 85
A newborn's failure to pass meconium within 24 hours after birth may indicate which of the following?
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Question 55 of 85
Which of the following is NOT a predisposing risk factor for easier and faster development of respiratory failure in neonatal and infant age?
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Question 56 of 85
A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which intervention is most important for the nurse to include in the child's plan of care?
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Question 57 of 85
A 6-month old client with ventral septal defect is receiving digitalis for regulation of his heart rate. Which finding should be reported to the doctor?
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Question 58 of 85
Nephroblastoma
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Question 59 of 85
Which statement is correct in a healthy state?
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Question 60 of 85
A 17-year-old female presents with cervical adenopathy and a history of daily fevers and drenching night sweats. A biopsy is performed and reveals classic Hodgkin lymphoma. Which of the following is least appropriate as part of the staging workup?
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Question 61 of 85
For a 3-month old child to be classified to have Pneumonia (not severe), you would expect to find RR of:
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Question 62 of 85
How do you classify a 3-year-old child with cough, respiratory rate of 55 breaths/minute, and chest indrawing?
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Question 63 of 85
The symptoms are yellow-appearing skin, light-colored bowel movements and dark colored urine.
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Question 64 of 85
What is the most appropriate next step in management for a 5-year-old girl presenting with normocytic red cell aplasia, normal white cells, and platelets?
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Question 65 of 85
In which disease does lowered C3 fraction of complement appear?
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Question 66 of 85
What priority intervention should the nurse implement for an infant receiving digoxin with an apical heart rate of 88 beats per minute?
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Question 67 of 85
Which of the following is a deep dermal/subcutaneous tumor seen predominantly in children/young adult females which is comprised of fibrohistiocytic cells and generic multinucleated giant cell with an associated fibrous rim?
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Question 68 of 85
What process(es) does the nurse explain the endocrine system is primarily responsible for controlling?(Select all that apply.)
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Question 69 of 85
During a physical assessment of a hospitalized 5-year-old child, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement?
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Question 70 of 85
Which symptom is associated with thyrotoxicosis?
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Question 71 of 85
A 14-year-old is seen in the clinic for a routine exam. The nurse notes that the adolescent is experimenting with hairstyles and clothing. According to Erikson, what psychosocial task is the adolescent working on?
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Question 72 of 85
The HEADSS adolescent psychosocial risk assessment is used as a framework for conversation to develop rapport with a young person. What does the 'A' stand for?
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Question 73 of 85
A 16-year-old client has just been diagnosed with HIV. Which statement by the parent indicates understanding of the diagnosis?
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Question 74 of 85
Which test is NOT used to prove the diagnosis of coeliac disease?
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Question 75 of 85
A 14-year-old boy with hip, low back pain, and heel pain is MOST likely to have:
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Question 76 of 85
Raphael, a 6-year-old pupil is seen at the clinic for growth and development monitoring. Which of the following characterize the rate of growth during this period?
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Question 77 of 85
The first permanent tooth to erupt is-
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Question 78 of 85
The nurse is assessing a 6-year-old with acute lymphoid leukemia(ALL). Which symptom requires immediate intervention?
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Question 79 of 85
Which of the following is NOT a classic 'small round blue cell tumor?'
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Question 80 of 85
A child with a right femur fracture is placed in skin traction until surgery can be performed. During the child's assessment, the nurse notes that the dorsalis pedis is absent on the right foot. Which action should the nurse take?
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Question 81 of 85
A 7-day old 900 gram pre-term has been noted to have abdominal distention with gastric retention. OGT drainage is 10 cc in 24 hours and stool occult blood is positive. Abdominal x-ray showed pneumatosis intestinalis. This patient should:
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Question 82 of 85
The nurse is caring for a child with a brain tumor who is undergoing radiation. Which finding requires immediate intervention?
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Question 83 of 85
When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?
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Question 84 of 85
You have a new patient consult in clinic this morning. The referral packet includes the newborn screen report, which is flagged abnormal hemoglobinopathy screen, F, A, Bart's, refer to hematology, and a complete blood count done at 4 years of age with a hemoglobin of 10 g/dL and an MCV of 68. The pediatrician has informed the parents the child has some form of alpha thalassemia. The older brother had the same newborn screen results but had a normal complete blood count when checked. The mother wants to know why her second child has an abnormal complete blood count when she and her husband do not have any blood problems. How would you respond to the child's mother?
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Question 85 of 85
A 2-year-old girl presents with a 4-week history of progressively enlarging submandibular lymphadenopathy, as shown. She is otherwise well. The parents recall that she grazed her chin prior to the lymphadenopathy developing. What is the most likely infectious agent to cause this condition?
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