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ATI LPN · Pediatrics Nursing · NCLEX Test Questions Pediatrics Infectious Disease

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 2-month-old infant is brought to your clinic with an extensive scaly rash on the scalp, which has been biopsied and shown to be Langerhans cell histiocytosis(LCH). You want to determine whether this patient has skin-only LCH or involvement of any of the 'high-risk' organs. The child has a normal CBC; normal liver enzymes and bilirubin; and a normal skeletal survey, skull films, and chest X ray. What other screening test will be important for finding involvement of a high-risk organ?

A. Reticulocyte count
B. Erythrocyte sedimentation rate
C. Alkaline phosphatase
D. Serum albumin and total protein

Expert Explanatory Rationale

Correct Answer: Serum albumin and total protein

Question 2 of 5

The nurse is measuring output on an infant on the pediatric unit. When weighing the diaper and subtracting the weight of the dry diaper, the nurse records $30 \mathrm{~g}$ and documents this as __ mL.

A. 10
B. 20
C. 30
D. 40

Expert Explanatory Rationale

Correct Answer: 30

Question 3 of 5

Which critical cardiopathy in the newborn has ductal dependence of systemic circulation?

A. Pulmonary stenosis
B. Ventricular septal defect
C. Aortic stenosis
D. Coarctation of the aorta

Expert Explanatory Rationale

Correct Answer: Aortic stenosis

Question 4 of 5

Microscopic examination of sections from a skin ellipse from a 12-year-old demonstrates a lens-shaped zone bearing spindled cells and thick collagen bundles. The overlying epithelium shows stromal induction. Foamy macrophages, hemorrhage, and Touton-like giant cells are characteristic of what variant of this tumor?

A. Deep penetrating
B. Lipidized
C. Aneurysmal
D. Fibrotic

Expert Explanatory Rationale

Correct Answer: Lipidized

Question 5 of 5

What is the most probable diagnosis for a 4-year-old girl with fever, cough, difficulty breathing, and diminished breath sounds with rales?

A. Cystic fibrosis (CF)
B. Foreign body aspiration
C. Pneumonia
D. Bronchiolitis

Expert Explanatory Rationale

Correct Answer: Pneumonia

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