ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 5
A 5-year-old boy with type 1 diabetes appears with lethargy and vomiting. Labs reveal blood glucose of 600 mg/dL and pH of 7.1. Most likely diagnosis is:
Correct Answer: B
Rationale: Diabetic ketoacidosis fits lethargy, hyperglycemia, and acidosis, per AAP (doc p151, Q598).
Question 2 of 5
A 2-year-old boy presents with fever and a vesicular rash in the mouth and on the hands and feet. Most likely diagnosis is:
Correct Answer: B
Rationale: Hand-foot-mouth disease features vesicles in the mouth, hands, and feet, per CDC. A, C-E differ in distribution.
Question 3 of 5
A 6-year-old boy presents with abdominal pain and bloody diarrhea. Stool shows leukocytes. Most likely diagnosis is:
Correct Answer: B
Rationale: IBD features bloody diarrhea and leukocytes, per AGA. A, C-E differ.
Question 4 of 5
A 4-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a target sign. Most likely diagnosis is:
Correct Answer: B
Rationale: Intussusception shows a target sign, per AAP. A, C-E differ.
Question 5 of 5
A 4-year-old boy presents with fever and a swollen elbow. Aspiration shows gram-positive cocci. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis features fever and gram-positive cocci, per AAP. B-E lack infection.