ATI LPN
Pediatric Nursing ATI Practice Questions Questions
Question 1 of 5
What is the most likely diagnosis?
Correct Answer: C
Rationale: A 7-year-old with recent parental separation shows school refusal, aggression, social withdrawal, and temper outbursts, suggesting major depressive disorder (
Choice
C). These symptoms—irritability, anhedonia (avoiding friends), and behavioral changes—align with pediatric depression, often triggered by stressors like divorce. ADHD (
Choice
A) involves chronic inattention/hyperactivity, not acute onset. Conduct disorder (
Choice
B) lacks the mood and withdrawal elements. Separation anxiety (
Choice
D) focuses on clinginess, not aggression or anhedonia. Depression best explains the presentation.
Question 2 of 5
A 6-year-old boy with Down syndrome is diagnosed to have acute appendicitis. Anesthesiologist may require the following investigation prior to general anesthesia:
Correct Answer: A
Rationale: Down syndrome has a ~50% incidence of congenital heart defects (e.g., AVS
D), making an echocardiogram critical pre-anesthesia to assess cardiac risk (AAP guidelines). EKG is less specific for structural issues. Lateral neck x-ray checks atlantoaxial instability, but cardiac evaluation takes precedence. GI studies (D, E) are irrelevant here.
Question 3 of 5
The following statement is not true about the diagnosis of pulmonary TB in children:
Correct Answer: A
Rationale:
Choice A is false; negative cultures don’t exclude TB in children due to low bacterial yield, relying on clinical diagnosis (AAP).
Choices B-E are true.
Question 4 of 5
Neonatal lupus results from maternal transfer of the following antibodies:
Correct Answer: D
Rationale: Anti-Ro IgG crosses the placenta, causing neonatal lupus (e.g., heart block) (NIAMS). IgM and IgA (B,
C) don’t cross, and E is a misnomer.
Question 5 of 5
Hungry bone syndrome can occur in the following condition:
Correct Answer: C
Rationale: Hungry bone syndrome follows parathyroidectomy , with rapid bone calcium uptake causing hypocalcemia (Endocrine Society). A-D don’t typically cause this.