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ATI LPN · Pediatrics Nursing · Pediatric Communicable Disease NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?

A. Can interfere with the treatment for nephrosis.
B. Require that the child have antibiotic coverage.
C. Can be given in smaller, divided doses.
D. Should be delayed.

Expert Explanatory Rationale

Correct Answer: Should be delayed.

Question 2 of 5

Broncho Pulmonary dysplasia-an accepted definition- Postnatal Oxygen requirement for-

A. 7 days
B. 14 days
C. 21 days
D. 28 days

Expert Explanatory Rationale

Correct Answer: 28 days

Question 3 of 5

A 6-year-old is undergoing a wellness exam. Which activity demonstrates appropriate cognitive development for this age?

A. Using concrete operational thinking to solve problems.
B. Thinking egocentrically with magical beliefs.
C. Understanding abstract concepts.
D. Demonstrating symbolic thought in play.

Expert Explanatory Rationale

Correct Answer: Using concrete operational thinking to solve problems.

Question 4 of 5

A newborn infant develops jaundice on day of life 2. Labs are drawn, and she has a hemoglobin of 7.4 g/dL with a reticulocyte count of 8%. Upon peripheral blood smear review, she is found to have bizarre red cell forms with significant poikilocytosis. Although her parents have normal blood counts, on review of their peripheral blood smears, they both have a moderate number of ovalocytes. Which of the following is the most likely cause of the infant's red cell findings?

A. She has an autosomal dominant ankyrin mutation from one of her parents causing hereditary spherocytosis.
B. She has inherited band 3 variants from each parent and will likely need a splenectomy after she turns 5 years old.
C. She has inherited an alpha-spectrin mutation from both of her parents and may experience an improvement in her anemia over time.
D. She has inherited a PKLR variant from each parent, and enzyme testing will be consistent with her diagnosis of pyruvate kinase deficiency.

Expert Explanatory Rationale

Correct Answer: She has inherited an alpha-spectrin mutation from both of her parents and may experience an improvement in her anemia over time.

Question 5 of 5

Which of the following is not associated with esophageal webs?

A. Plummer-Vinson syndrome
B. Epidermolysis bullosa
C. Lupus
D. Psoriasis

Expert Explanatory Rationale

Correct Answer: Lupus

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