ATI LPN
ATI PN Pediatrics Proctored Exam 2023 Questions
Question 1 of 9
A 6-month-old infant presents with stridor and feeding difficulty. Laryngoscopy shows a floppy larynx. Most likely diagnosis is:
Correct Answer: B
Rationale: Laryngomalacia features stridor and floppy larynx, per AAP. A, C-E differ.
Question 2 of 9
A 2-year-old boy presents with a high fever and rash on the trunk and extremities. Exam shows Koplik spots. Most likely diagnosis is:
Correct Answer: A
Rationale: Measles features fever, rash, and Koplik spots, per CDC. B-E lack spots.
Question 3 of 9
A 3-year-old girl presents with a high fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:
Correct Answer: B
Rationale: Epiglottitis presents with fever, drooling, and a thumbprint sign, per AAP. A, C-E have different signs.
Question 4 of 9
A 6-year-old boy with Down syndrome is diagnosed to have acute appendicitis. Anesthesiologist may require the following investigation prior to general anesthesia:
Correct Answer: A
Rationale: Down syndrome has a ~50% incidence of congenital heart defects (e.g., AVSD), making an echocardiogram critical pre-anesthesia to assess cardiac risk (AAP guidelines). EKG is less specific for structural issues. Lateral neck x-ray checks atlantoaxial instability, but cardiac evaluation takes precedence. GI studies (D, E) are irrelevant here.
Question 5 of 9
Most common cause of hyperthyroidism in children is:
Correct Answer: B
Rationale: Graves disease is the most common cause of hyperthyroidism in children, per AAP (doc p150, Q583).
Question 6 of 9
When responding to a visually impaired child, the nurse should
Correct Answer: A
Rationale: Addressing upon entering A orients the child, per document p13, 1.
Question 7 of 9
The nurse suspects bleeding post-tonsillectomy if the child
Correct Answer: D
Rationale: Frequent swallowing D indicates bleeding, per document p16, 7.
Question 8 of 9
A 6-month-old infant presents with poor feeding and cyanosis. Echocardiogram shows tricuspid atresia. The next step is:
Correct Answer: B
Rationale: Prostaglandin E1 stabilizes tricuspid atresia by maintaining ductal flow, per AHA. A, C-E follow stabilization.
Question 9 of 9
Factors contributing to normal growth before and after birth include select all
Correct Answer: B
Rationale: Nutrition A, sex hormones B, trophic hormones C I, II, III, per document p9, 5.