ATI LPN
PN Pediatric Nursing 2023 ATI Questions
Question 1 of 9
A 1-month-old infant presents with jaundice and acholic stools. Ultrasound shows no gallbladder. Most likely diagnosis is:
Correct Answer: B
Rationale: Biliary atresia features jaundice and absent gallbladder, per AAP. A, C-E differ.
Question 2 of 9
Best diagnostic study to diagnose patients with adrenoleukodystrophy is:
Correct Answer: A
Rationale: Elevated VLCFA in plasma and RBCs confirms adrenoleukodystrophy diagnosis (NORD). B-E are incorrect.
Question 3 of 9
The most therapeutic play for a 5-year-old is
Correct Answer: B
Rationale: Drawing B aids expression, per document p60, 2.
Question 4 of 9
A 4-year-old girl presents with fever and swollen hands. Exam shows conjunctivitis and rash. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, swollen hands, conjunctivitis, and rash, per AHA. A, C-E differ.
Question 5 of 9
The initial sign of nephrosis that the nurse might note in the child would be :
Correct Answer: B
Rationale: Periorbital edema (B) is an early sign of nephrotic syndrome due to protein loss and fluid retention. Rash (A), fever (C), and pain (D) are not typical. Document: 'An early sign… is periorbital edema.'
Question 6 of 9
The nurse should see which child first in outpatient?
Correct Answer: C
Rationale: Febrile convulsion C is an emergency, per document p18, 3.
Question 7 of 9
A child appears with jaundice and dark urine. Physical examination reveals hepatomegaly. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis fits jaundice, hepatomegaly, and positive sweat test, likely biliary cirrhosis, per CFF. A, B, D, E don’t match.
Question 8 of 9
A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and strawberry tongue. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes conjunctivitis and strawberry tongue, per AHA. A, C-E differ.
Question 9 of 9
A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade IV reflux. The next step is:
Correct Answer: B
Rationale: Antibiotic prophylaxis manages grade IV VUR, per AAP. A, C-E depend on response.