ATI LPN
PN Pediatric Nursing 2023 Proctored Exam Questions
Question 1 of 9
A 15-year-old boy recently immigrated into America. He has an outgoing 'cocktail party' personality but also seems nervous. He appears with an elongated face, full cheeks, and thicker lips but a decrease in both the periorbital fullness. Most likely diagnosis is:
Correct Answer: B
Rationale: Williams syndrome fits the 'cocktail party' personality, facial features, and anxiety (NIH). A, C-E don’t match this profile.
Question 2 of 9
A 4-year-old girl presents with fever and a sore throat. Exam shows palatal petechiae. Most likely diagnosis is:
Correct Answer: C
Rationale: Mononucleosis features petechiae, per CDC. A, B, D, E differ.
Question 3 of 9
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used
Correct Answer: A
Rationale: Alcohol (A) causes slurred speech, ataxia, and combativeness. Cocaine (B) and amphetamines (C) increase alertness, PCP (D) causes hallucinations. Document: 'Behavioral signs of alcohol ingestion include slurred speech… combativeness.'
Question 4 of 9
The most therapeutic play for a hospitalized 3-year-old is
Correct Answer: B
Rationale: Drawing B allows expression, per document p35, 8.
Question 5 of 9
A 3-month-old infant presents with cyanosis and poor feeding. Chest x-ray shows a narrow mediastinum. Most likely diagnosis is:
Correct Answer: B
Rationale: Transposition shows a narrow mediastinum and cyanosis, per AAP. A, C-E differ.
Question 6 of 9
A 1-month-old infant presents with respiratory distress and a scaphoid abdomen. Chest x-ray shows bowel in the thorax. Most likely diagnosis is:
Correct Answer: B
Rationale: CDH features distress and bowel in thorax, per AAP. A, C-E differ.
Question 7 of 9
A 4-year-old girl presents with hematuria and flank pain. Ultrasound shows a staghorn calculus. Most likely diagnosis is:
Correct Answer: B
Rationale: Urolithiasis causes hematuria and staghorn calculi, per AAP. A, C-E differ.
Question 8 of 9
The nurse should teach parents of a diabetic child to recognize
Correct Answer: D
Rationale: All D signal hypoglycemia, per document p57, 0.
Question 9 of 9
Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?
Correct Answer: B
Rationale: Allowing parents to stay supports family-centered care and reduces child stress, unless safety dictates otherwise.