ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 5
The nurse explains tetanus toxoid injection confers
Correct Answer: C
Rationale: Tetanus toxoid provides long-lasting active immunity C, per document 8.
Question 2 of 5
What complication of his original lesion best explains his heart failure?
Correct Answer: B
Rationale: A 12-year-old with a small ventricular septal defect (VS
D) presents with heart failure, a pansystolic murmur, and an early diastolic murmur, suggesting aortic valve regurgitation (
Choice
B). Over time, a VSD can distort the aortic root, leading to aortic regurgitation, increased left ventricular volume, and heart failure. Acute rheumatic fever (
Choice
A) requires fever and inflammation, absent here. Eisenmenger syndrome (
Choice
C) involves cyanosis from shunt reversal, not present. An increasing left-to-right shunt (
Choice
D) wouldn’t cause a diastolic murmur. Aortic regurgitation fits the clinical findings.
Question 3 of 5
The primary goal in caring for an unconscious child is
Correct Answer: A
Rationale: Patent airway A is critical for survival, per document p20, .
Question 4 of 5
A child with a history of cystic fibrosis appears with jaundice and pruritus. Laboratory findings reveal elevated bilirubin and alkaline phosphatase. Most likely diagnosis is:
Correct Answer: C
Rationale: Biliary cirrhosis fits jaundice and lab findings in cystic fibrosis, per CFF. A, B, D, E are less likely.
Question 5 of 5
A 6-year-old boy presents with fever and a strawberry tongue. Physical exam shows cervical lymphadenopathy and a rash. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, strawberry tongue, lymphadenopathy, and rash, per AHA. A, C-E lack this combination.