ATI LPN
Pediatric Nursing ATI Practice Questions Questions
Question 1 of 9
A 6-year-old girl presents with weight loss and night sweats. Chest x-ray shows hilar lymphadenopathy. Most likely diagnosis is:
Correct Answer: B
Rationale: Tuberculosis fits weight loss and hilar nodes, per CDC. A, C-E differ.
Question 2 of 9
What is the most likely diagnosis?
Correct Answer: C
Rationale: A 7-year-old with recent parental separation shows school refusal, aggression, social withdrawal, and temper outbursts, suggesting major depressive disorder (Choice C). These symptoms—irritability, anhedonia (avoiding friends), and behavioral changes—align with pediatric depression, often triggered by stressors like divorce. ADHD (Choice A) involves chronic inattention/hyperactivity, not acute onset. Conduct disorder (Choice B) lacks the mood and withdrawal elements. Separation anxiety (Choice D) focuses on clinginess, not aggression or anhedonia. Depression best explains the presentation.
Question 3 of 9
A 6-month-old should receive which immunization?
Correct Answer: A
Rationale: DPT, OPV, Hep B A align with 6-month schedule, per document p20, .
Question 4 of 9
The nurse should suspect meningitis if a child has
Correct Answer: D
Rationale: All D are meningitis signs, per document p60, 2.
Question 5 of 9
The nurse should suspect dehydration in a child with
Correct Answer: A
Rationale: Dry mucous membranes A indicate dehydration, per document p52, and AAP guidelines.
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
8 lbs. 5 oz = ___ kg
Correct Answer: B
Rationale: Convert to pounds: 5 oz ÷ 16 oz/lb = 0.3125 lbs, so total = 8 + 0.3125 = 8.3125 lbs. Convert to kg: 8.3125 lbs ÷ 2.2 lbs/kg ≈ 3.77 kg.
Question 8 of 9
A nurse is discussing the pediatric unit's playroom with a child's family. What statement by the parent indicates an understanding of the use of the playroom?
Correct Answer: D
Rationale: The playroom is for recreation , promoting normalcy and stress relief, not medical tasks (A, B, C).
Question 9 of 9
The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states which of the following?
Correct Answer: C
Rationale: Levothyroxine should be given consistently at the same time daily, ideally morning (C), for steady thyroid levels. Stopping (A), skipping (B), or switching brands (D) disrupts efficacy. Document: 'Synthroid should be given at the same time each day, preferably in the morning.'