ATI LPN
PN Pediatric Nursing Online Practice 2023 A Questions
Question 1 of 9
A child with leukemia is prone to
Correct Answer: D
Rationale: All D result from leukemia, per document p57, 7.
Question 2 of 9
Immediate priority for a 6-year-old with pneumonia is
Correct Answer: D
Rationale: Rest D reduces respiratory demand, per document p18, 4.
Question 3 of 9
A nurse is providing parental instruction for a 24-hour urine collection for a hospitalized child. Which of the following statements by the child's parent needs further instruction?
Correct Answer: C
Rationale: Urine collection containers should be kept cool but not in a shared refrigerator due to contamination risks; a specific cooler is used, indicating a need for clarification.
Question 4 of 9
The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?
Correct Answer: A
Rationale: Using a teddy bear to familiarize the child with the oxygen tent is therapeutic play, reducing fear through familiar objects.
Question 5 of 9
An adolescent who is brought to the emergency department (ED) by his parents has the following symptoms: periumbilical pain that peaks at 4-hour intervals followed by right lower quadrant pain, which is followed by vomiting. Based on these data, which condition does the nurse suspect?
Correct Answer: C
Rationale: Periumbilical pain shifting to the right lower quadrant (McBurney’s point) with vomiting is characteristic of appendicitis . Meckel’s diverticulum may cause bleeding, omphalitis is umbilical infection, and ulcerative colitis involves chronic diarrhea, not acute localized pain.
Question 6 of 9
A child with a cast should be taught to report
Correct Answer: D
Rationale: All D may indicate circulation issues, per document p28, .
Question 7 of 9
What is the most likely cause of her pancreatitis?
Correct Answer: B
Rationale: A 2-year-old with acute abdominal pain and pancreatitis, with ultrasound showing a significantly dilated common bile duct tapering distally and dilated intrahepatic ducts, suggests a structural anomaly. Choledochal cyst (Choice B) is a congenital dilatation of the bile ducts, often presenting in young children with pancreatitis, jaundice, or abdominal pain due to bile stasis or obstruction. Bile duct adenoma (Choice A) is a benign tumor, rare in children, and typically asymptomatic unless obstructive, which doesn’t align with the ultrasound findings. Neonatal sclerosing cholangitis (Choice C) is a rare progressive disease usually presenting in infancy with cholestasis, not typically acute pancreatitis or this ultrasound pattern. Sphincter of Oddi dysfunction (Choice D) causes biliary or pancreatic obstruction in adults but is uncommon in children and lacks the structural ductal dilatation seen here. Thus, Choledochal cyst is the most likely cause.
Question 8 of 9
Most common endocrine abnormality in patients with cystic fibrosis is:
Correct Answer: B
Rationale: Cystic fibrosis-related diabetes is the most common endocrine issue, from pancreatic damage, per CFF. A, C-E are less frequent.
Question 9 of 9
A child is diagnosed with hypoalbuminemia. Her total serum calcium level is normal. Most likely associated finding that may be missed is:
Correct Answer: D
Rationale: Hypoalbuminemia lowers bound calcium; a normal total calcium suggests hypercalcemia in ionized form, often missed (UpToDate). A-C, E don’t fit.