Practice Questions for Pediatric Infectious Diseases Nursing

ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 1 of 82

While providing care to a 5-month-old girl whose family has a history of food allergies, the nurse instructs the parents about foods to be avoided in the first year of life. Which response by the parents indicates a need for further teaching?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 2 of 82

You asked Braguda if her baby received all vaccines under EPI. What legal basis is used in implementing the UN's goal on Universal Child Immunization?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 3 of 82

Cystic fibrosis can present with all except following-

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 4 of 82

Common used drug therapy in Juvenile Ankylosing Spondylitis:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 5 of 82

The most common form of glomerulonephritis associated with hepatitis type B infections is:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 6 of 82

A nurse is educating parents about spina bifida prevention. What advice should the nurse provide?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 7 of 82

A 3-year-old with asthma experiences coughing and shortness of breath after running. What should the nurse recommend?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 8 of 82

A leukemia investigator plans to obtain bone marrow under general anesthesia to measure minimal residual disease (MRD) and to see if this time point can predict early relapse. The specimen will be obtained at a time point when otherwise no bone marrow would be sampled. The results are not shared with the treating oncologist, and no therapeutic interventions are decided or based on the results. Which of the following statements is most accurate about this intervention?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 9 of 82

Which of the following is not a feature of Meckel Diverticulum?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 10 of 82

A 2-year old with head trauma underwent a neurosurgical procedure. At the PICU he had massive hematemesis. You would consider:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 11 of 82

You are seeing a 12-year-old boy in the survivorship program who presented at 2 years old with a desmoplastic nodular medulloblastoma. You note the child recently underwent germline genetic testing and was found to have nevoid basal cell carcinoma syndrome. In which gene is the child most likely to have a pathogenic variant?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 12 of 82

How do you classify a 6-month-old child with cough for 2 days, no general danger signs, respiratory rate of 54 breaths/minute, no stridor, no chest indrawing?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 13 of 82

You receive an adnexal mass from an 18-year-old girl. The requisition sheet notes that the patient has marked virilization. Histology reveals a tumor comprised of cells with vacuolated cytoplasm arranged in solid tubules with admixed nests of polyhedral cells bearing eosinophilic cytoplasm, eccentrically-located nuclei, and prominent nucleoli. Despite careful search, intracytoplasmic crystals are not identified. In one field, heterologous mucinous elements are noted. The diagnosis is:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 14 of 82

The treatment of severe ketoacidosis with pH

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 15 of 82

An adolescent who is taking antiretroviral therapy for HIV infection arrives at the clinic for a follow up visit. Which information is most important for the nurse to obtain?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 16 of 82

You typically gag children to inspect the back of their throat. When is it important not to elicit a gag reflex?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 17 of 82

A 14-year-old Syrian male with beta thalassemia major has relocated to your community as a refugee. He has been receiving chronic transfusion therapy in Turkey for the past 3 years. On his first visit, you notice that his height is below the fifth percentile. He has skin discoloration and hepatosplenomegaly. His mother reports they have not had regular access to chelation therapy. Laboratory testing shows a serum ferritin of 6,200 ng/mL. A cardiac MRI shows grossly normal cardiac function but a T2* value of 9 ms. What is the most likely cause of his short stature?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 18 of 82

What does NOT make keeping diabetes in control difficult for an adolescent?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 19 of 82

Left to right shunting is seen in:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 20 of 82

A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen. What is the best action by the nurse?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 21 of 82

TMPRSS6

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 22 of 82

The nurse is conducting an admission assessment of an 11-month old infant with CHF who is scheduled for repair of restenosis of coarction of the aorta that was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 23 of 82

Blinatumomab, a bispecific T-cell engaging molecule, is active against which CD antigen that is expressed on B-lymphoblasts?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 24 of 82

What is underlying genetic cause for Prader-Willi Syndrome-

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 25 of 82

When caring for a child with congenital heart disease and polycythemia, which nursing intervention has the highest priority?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 26 of 82

During the feto-placental circulation, the shunt between two atria is called

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 27 of 82

Rico currently weighs 9 kg. His mother asks if this is normal for him because his previous birth weight was 3 kg. Which of the following is an appropriate response?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 28 of 82

A priority nursing diagnosis for a child being admitted from a surgery following a tonsillectomy is:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 29 of 82

Which additional test would you recommend for a girl with type 1 diabetes, intermittent abdominal pain, and iron deficiency anemia?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 30 of 82

Painless small erythematous or hemorrhagic lesion on the palms and soles are classic lesions in:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 31 of 82

Object permanence is not present in a 2 months old, whose response to dropping a ball is:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 32 of 82

A nurse is assessing an 8-month-old infant during a routine checkup. Which gross motor skill should the infant have achieved?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 33 of 82

Which symptom is NOT typically part of the clinical presentation of broncho-obstructive syndrome?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 34 of 82

A newborn is diagnosed with clubfoot that responds positively to simple exercise. What type of intervention does this type of clubfoot require?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 35 of 82

Most commonly used index for nutritional status is-

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 36 of 82

A newborn at 2 weeks with a cardiac murmur due to a ventricular septal defect has this murmur caused by:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 37 of 82

What will the nurse relay about the pattern of inheritance for inborn errors of metabolism?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 38 of 82

Which disorder does NOT require a low protein diet?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 39 of 82

The child has a fever, cough, tiredness and an aching body. There may be a sore throat, hoarseness and the glands in the neck may swell. Loss of appetite, vomiting and diarrhea are also common.

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 40 of 82

When the patient is dehydrated, usually:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 41 of 82

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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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 42 of 82

Which of the following is a key feature of Factor XIII?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 43 of 82

Which colour-coded classification applies to a 42-month-old child with diarrhoea, sunken eyes, thirst, and no other problems?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 44 of 82

A child with sickle cell anemia is admitted with a vaso-occlusive crisis. What should the nurse include in the plan of care?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 45 of 82

A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 46 of 82

A child with a tracheostomy has thick, discolored secretions and a respiratory rate of 36 breaths per minute. What is the nurse's priority action?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 47 of 82

The goal of nursing care for Agata is to:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 48 of 82

Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 49 of 82

The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 50 of 82

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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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 51 of 82

Which case does NOT describe arthritis?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 52 of 82

How do you classify a 16-month-old child with ear pain, no pus, tender swelling behind the ear?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 53 of 82

A 5-day-old baby is found to be in severe heart failure with marked tachycardia, tachypnoea and hepatomegaly. He is poorly perfused and mottled. All of his pulses are poor. He has an active praecordium. On auscultation he has a gallop rhythm, a click and an ejection systolic murmur at the base. What is the most likely diagnosis for this infant?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 54 of 82

A child with leukemia is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 55 of 82

A 13-year-old girl appears at your office at 5:05 PM for a 3:30 PM appointment scheduled for the day before. Her mother tells you that the girl has been limping for a couple of weeks and has much knee pain. She has been afebrile, does not recall being hit in the knee or leg, and has not had any illnesses recently. She has difficulty 'moving her leg inward.' Given the late hour and that the workup will be done in the emergency department, you impress the pediatric emergency department staff by telling them that the most likely diagnosis is one of the following:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 56 of 82

Hashimoto's autoimmune thyroiditis in the phase of hypothyroidism reveals:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 57 of 82

A mutation in which of the following genes is most likely to have caused this familial inherited bone marrow failure syndrome?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 58 of 82

A 6-year-old is scheduled for bone marrow aspiration. What should the nurse teach the child and parents?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 59 of 82

The nurse is caring for a 4-year old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 60 of 82

Hypothyroidism due to autoimmune Hashimoto thyroiditis is supposed to be treated with:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 61 of 82

The MRCP in the above mentioned patient is normal with a normal biliary tree and pancreatic duct. She has had another episode and is looking for further options. Repeat laboratory evaluation demonstrates no causes. Genetic testing has not shown a mutation in CFTR, SPINK1 or PRSS. In considering the further endoscopic options for her in this scenario, which procedure has the highest likelihood of finding a cause for her recurrent pancreatitis?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 62 of 82

A 20-month-old otherwise healthy male presents late for his 18-month well child check... Which combination of laboratory test results listed below would most likely characterize this patient?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 63 of 82

A 10 year old (had boil on left thigh and mild fever 1 month ago) presented with headache, malaise, lethargy, decreased urine output and puffiness of face; GUE; RBC Cast ++; albumin ++; low C3 level and normal C4 level. Which of the following is true about this disease-

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 64 of 82

Of the following parasitic infections, which is most likely to present with intestinal obstruction?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 65 of 82

A 13-year-old boy diagnosed with ulcerative colitis is admitted with increased bloody diarrhoea and fevers. An abdominal x-ray is performed. What is the most likely explanation for the boy's clinical deterioration?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 66 of 82

A 3-year-old is brought to the ER with coughing and gagging. The parent reports that the child was eating popcorn when she began to gag. Which diagnostic evaluation will be used to determine if the child has aspirated popcorn?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 67 of 82

When preparing to give a neonate the first feeding by nipple, for which of the following reasons would the nurse anticipate using a 5 ml feeding of sterile water first?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 68 of 82

A live 30 weeks of gestation baby boy was born via cesarean section to a diabetic mother. Grunting and tachypnea was noted on the 6th hour of life. After receiving therapeutic measures, the patient improved. However on the 4th day of life, lethargy, apnea and poor muscle tone was noted. Transfontanel cranial ultrasonography was done and showed increased echogenicity at the thalamocapsular region with ventricular dilatation. What is the grade of this patient's germinal matrix hemorrhage?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 69 of 82

After teaching the parents of an infant who has had pyloromyotomy about proper postoperative feeding techniques, the nurse determines that they have understood the teaching when they position the infant in the crib after feeding with the head elevated and lying on which of the following?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 70 of 82

The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine(Synthroid). Which symptoms does the nurse recognize as signs of overdose?(Select all that apply.)

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 71 of 82

Coma is a deep, prolonged, sometimes irreversible state of unconsciousness due to a dysfunction of:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 72 of 82

Which of the following foods would the nurse encourage the mother to offer to her child with iron-deficiency anemia?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 73 of 82

Which test is essential for diagnosing a 2-month-old boy with suspected bronchiolitis?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 74 of 82

Following admission for cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, lethargic?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 75 of 82

A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following actions should the nurse take?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 76 of 82

A nurse is assessing a child with hemophilia. What laboratory test result would confirm the diagnosis?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 77 of 82

A 15-year-old girl with a history of osteosarcoma presents to survivor clinic for her first evaluation. Her mother complains that she does not listen well and is wondering if she may have trouble hearing. Which of the follow is true regarding platinum-associated hearing loss?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 78 of 82

One of the following is LEAST associated with ascaris infection in humans:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 79 of 82

A child with sickle cell anemia is being discharged. What teaching should the nurse include to prevent a crisis?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 80 of 82

A 15-year-old male presents with femur tumor centered in the epiphysis with metaphysical extension. Histology demonstrates a proliferation of grooved mononuclear cells with eosinophilic cytoplasm and distinct cytoplasmic borders. 'Chicken wire' calcification, scattered giant cells, and focal chondroid differentiation are present. This tumor is:

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 81 of 82

Which statement is correct regarding lymphocyte counts in infants versus adults?

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ATI LPN · Practice Questions for Pediatric Infectious Diseases Nursing

Question 82 of 82

A child is diagnosed with juvenile idiopathic arthritis and is receiving several different medications listed in the medication administration record. Which agent would the nurse identify as being used to prevent disease progression?

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