ATI LPN
PN Pediatric Nursing Online Practice 2023 A Questions
Question 1 of 9
A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:
Correct Answer: B
Rationale: Transient synovitis is common in preschoolers with limp and fever, often post-viral, with normal x-ray, per AAP. A, C-E have different presentations or imaging.
Question 2 of 9
A 3-year-old with a head injury should be monitored for
Correct Answer: D
Rationale: All D assess head injury, per document p47, 0.
Question 3 of 9
A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and ketosis. Most likely diagnosis is:
Correct Answer: D
Rationale: FAOD causes hypoglycemia and ketosis, per NORD. A-C, E differ.
Question 4 of 9
A 6-month-old infant presents with wheezing and tachypnea. Chest x-ray shows perihilar infiltrates. Most likely diagnosis is:
Correct Answer: B
Rationale: Bronchiolitis features wheezing and perihilar infiltrates, per AAP. A, C-E differ.
Question 5 of 9
Infants in whom cephalhematomas develop are at increased risk for
Correct Answer: B
Rationale: Jaundice B is a risk due to blood breakdown in cephalhematomas, per document p5, 1.
Question 6 of 9
Most common complication of untreated congenital adrenal hyperplasia is:
Correct Answer: A
Rationale: Adrenal crisis is the most serious complication of untreated CAH due to cortisol deficiency, per AAP (doc p148, Q558).
Question 7 of 9
The best growth chart indicator in patients with acute malnutrition is:
Correct Answer: C
Rationale: Weight-for-height best detects acute malnutrition (wasting), per WHO. BMI is less specific in kids, and B-D assess other aspects.
Question 8 of 9
A nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage is also noted on the posterior dressing. The initial nursing action is to:
Correct Answer: D
Rationale: Increased pulse, low BP, and bloody drainage suggest hemorrhage or ICP; notify RN (D) immediately. Waiting (A), Trendelenburg (B), or documenting only (C) delays care. Document: 'Most tumors create increased ICP… [requiring] immediate action.'
Question 9 of 9
A one-year-old girl with dysentery is discharged. The most important information for the mother is
Correct Answer: C
Rationale: Hygiene C prevents reinfection, critical in dysentery, per document 0.