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NR 328 Pediatric Nursing Exam 1 –
1.
A 4-year-old child presents with fever, barking cough, and inspiratory stridor. Likely
diagnosis?
A. Croup
B. Epiglottitis
C. Bronchiolitis
D. Asthma
Answer: A. Croup
Rationale: Barking cough and inspiratory stridor in a child indicate laryngotracheobronchitis
(croup).
2.
A 2-month-old infant presents with persistent vomiting, projectile, non-bilious. Most likely
diagnosis?
A. Pyloric stenosis
B. Gastroenteritis
,C. Intussusception
D. GERD
Answer: A. Pyloric stenosis
Rationale: Projectile non-bilious vomiting in a young infant is classic for pyloric stenosis.
3.
A 6-year-old presents with red, swollen joints, and morning stiffness lasting over an hour.
Likely diagnosis?
A. Juvenile idiopathic arthritis
B. Osteoarthritis
C. Gout
D. Rheumatoid arthritis (adult)
Answer: A. Juvenile idiopathic arthritis
4.
A 5-year-old presents with rash on cheeks (“slapped cheek” appearance) and low-grade
fever. Likely diagnosis?
A. Fifth disease (Parvovirus B19)
B. Measles
C. Rubella
D. Roseola
Answer: A. Fifth disease (Parvovirus B19)
5.
A 3-month-old infant presents with cyanosis during feeding, tachypnea, and poor weight
gain. Likely congenital heart defect?
A. Tetralogy of Fallot
B. VSD
C. ASD
D. PDA
,Answer: A. Tetralogy of Fallot
Rationale: Cyanosis with feeding in infants often indicates a cyanotic congenital heart defect.
6.
A 1-year-old presents with sudden onset of wheezing, cough, and respiratory distress in
winter. Most likely cause?
A. Bronchiolitis (RSV)
B. Asthma
C. Pneumonia
D. Croup
Answer: A. Bronchiolitis
7.
A 2-year-old presents with abdominal pain, currant jelly stools, and vomiting. Likely
diagnosis?
A. Intussusception
B. Appendicitis
C. Gastroenteritis
D. Constipation
Answer: A. Intussusception
8.
A 5-year-old presents with sudden high fever, drooling, tripod position, inspiratory stridor.
Likely diagnosis?
A. Epiglottitis
B. Croup
C. Asthma
D. Bronchiolitis
Answer: A. Epiglottitis
, Rationale: Drooling and tripod position indicate airway obstruction from epiglottitis.
9.
A 10-year-old presents with polyuria, polydipsia, and weight loss. Blood glucose 300 mg/dL.
Likely diagnosis?
A. Type 1 diabetes mellitus
B. Type 2 diabetes mellitus
C. Hyperthyroidism
D. Cushing’s syndrome
Answer: A. Type 1 diabetes mellitus
10.
A 7-year-old presents with sudden pallor, fatigue, and shortness of breath. Labs: Hgb 6
g/dL. Most likely diagnosis?
A. Iron deficiency anemia
B. Hemolytic anemia
C. Leukemia
D. Sickle cell crisis
Answer: A. Iron deficiency anemia
11.
A 2-year-old with persistent diarrhea, bloating, and poor weight gain. Likely diagnosis?
A. Celiac disease
B. Lactose intolerance
C. Gastroenteritis
D. Crohn’s disease
Answer: A. Celiac disease
12.