ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 9
A child with diabetes should carry
Correct Answer: D
Rationale: All D manage diabetes emergencies, per document p30, 5.
Question 2 of 9
Most common organism responsible for acute hemorrhagic conjunctivitis is:
Correct Answer: A
Rationale: Enterovirus 70 is the primary cause of acute hemorrhagic conjunctivitis, known for outbreaks with hemorrhage (WHO). Other viruses (B-E) are less common.
Question 3 of 9
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 4 of 9
The best diagnostic clue of pulmonary tuberculosis (TB) is:
Correct Answer: A
Rationale: Isolation of M. tuberculosis from culture is the gold standard for TB diagnosis, providing definitive evidence (CDC). Options B-E are supportive but less specific.
Question 5 of 9
A child with a history of cystic fibrosis appears with jaundice and pruritus. Laboratory findings reveal elevated bilirubin and alkaline phosphatase. Most likely diagnosis is:
Correct Answer: C
Rationale: Biliary cirrhosis fits jaundice and lab findings in cystic fibrosis, per CFF. A, B, D, E are less likely.
Question 6 of 9
The anxious parent asks if there is a danger of her 2-year-old child becoming addicted to the opioid pain reliever. The nurse's most helpful response would be:
Correct Answer: C
Rationale: Opioid addiction is rare in children when used for pain (C), reassuring parents with evidence. A overcomplicates, B minimizes, D shifts focus. Document: 'Addiction is rare in children.'
Question 7 of 9
The most important observation after a tonsillectomy is
Correct Answer: C
Rationale: Frequent swallowing C indicates bleeding, per document p25, 7.
Question 8 of 9
The nurse is admitting a child with Kawasaki disease. The symptom she should recognize for this.
Correct Answer: D
Rationale: Peeling palms and soles (D) is a hallmark of Kawasaki disease’s convalescent phase. Respiratory distress (A), hyperlipidemia (B), and GERD (C) are unrelated. Document: 'The child with Kawasaki disease has… desquamation (peeling) of palms and soles.'
Question 9 of 9
The most important observation in a child with a cast is
Correct Answer: D
Rationale: All D indicate circulation, per document p37, .