ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 5
A 6-year-old boy presents with fever and a strawberry tongue. Physical exam shows cervical lymphadenopathy and a rash. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, strawberry tongue, lymphadenopathy, and rash, per AHA. A, C-E lack this combination.
Question 2 of 5
A 3-year-old girl presents with a rash on the cheeks and joint pain. Labs show positive ANA and anti-dsDNA. Most likely diagnosis is:
Correct Answer: B
Rationale: SLE fits rash, joint pain, and positive ANA/anti-dsDNA, per ACR. A, C-E lack serology.
Question 3 of 5
A 4-month-old infant presents with poor feeding and a heart murmur. Echocardiogram shows a patent ductus arteriosus. The next step is:
Correct Answer: B
Rationale: Indomethacin closes a symptomatic PDA in infants, per AHA. A, C-E are for persistent or severe cases.
Question 4 of 5
A 5-month-old infant presents with hypotonia and tongue thrusting. Labs show elevated ammonia. Most likely diagnosis is:
Correct Answer: B
Rationale: Urea cycle disorder causes hypotonia and hyperammonemia, per NORD. A, C-E lack ammonia elevation.
Question 5 of 5
A 3-year-old boy presents with fever and a swollen elbow. Aspiration shows pus. Most likely diagnosis is:
Correct Answer: B
Rationale: Septic arthritis features fever and pus, per AAP. A, C-E lack pus.