ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 5
A 16-month-old boy refuses to eat properly. His mother stated that he was eating properly up to 12 months of age. She started a part time job 2 months ago. She is extremely concerned. The boy is very active. The next step in management is:
Correct Answer: D
Rationale: Reassurance suits an active 16-month-old with reduced appetite, possibly due to maternal stress or toddler phase (AAP). A-D are unnecessary without deficiency.
Question 2 of 5
The maternal occupational limit of exposure to radiation for the entire 40 weeks of pregnancy is:
Correct Answer: D
Rationale: 500 mrad is the occupational limit for pregnancy, per NRC. A-C are too low, E is excessive.
Question 3 of 5
Most effective long-term therapy in patients with moderate persistent asthma is:
Correct Answer: C
Rationale: Inhaled steroids are the most effective long-term control for moderate persistent asthma, per GINA guidelines, reducing inflammation. A, B, D, E are less optimal alone.
Question 4 of 5
A newborn with a history of cystic fibrosis confirmed by sweat chloride test failed to pass meconium within the first 24 hours of life. The next step in management is:
Correct Answer: D
Rationale: Gastrografin enema is the initial treatment for meconium ileus in cystic fibrosis, per AAP, to relieve obstruction. A-C, E are less specific.
Question 5 of 5
A 2-month-old boy with a history of cystic fibrosis appears with vomiting and dehydration. Laboratory findings reveal sodium of 125 mEq/L and chloride of 80 mEq/L. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis-related salt loss fits vomiting, dehydration, and hyponatremia, per CFF. A, B, D, E don’t match.