ATI LPN
PN Pediatric Nursing 2023 ATI Questions
Question 1 of 9
Best diagnostic test for Addison disease is:
Correct Answer: B
Rationale: ACTH stimulation test confirms adrenal insufficiency in Addison disease, per AAP (doc p150, Q589).
Question 2 of 9
The nurse should suspect appendicitis if a child has
Correct Answer: D
Rationale: All *E* are classic appendicitis symptoms, per document p28, .
Question 3 of 9
Most common electrolyte abnormality noted in patients with pyloric stenosis is:
Correct Answer: B
Rationale: Hypochloremia results from vomiting in pyloric stenosis, per AAP (doc p149, Q573).
Question 4 of 9
A 5-month-old should be able to
Correct Answer: B
Rationale: Rolling over B is a 5-month milestone, per document p47, 6.
Question 5 of 9
The most common form of lead poisoning in children comes from:
Correct Answer: B
Rationale: Lead poisoning in children most commonly arises from ingestion of lead-based paint , often from old homes. Pencils use graphite, not lead; medications are rarely a source; and water can be contaminated but is less common than paint exposure historically.
Question 6 of 9
The pediatric nurse examines a 5-week-old infant who has been observed having projectile, nonbilious vomiting. Upon palpation, the nurse feels an olive-shaped mass in the midepigastrum. Based on these data, which condition does the nurse suspect?
Correct Answer: B
Rationale: Projectile, nonbilious vomiting and an olive-shaped mass in the midepigastrum are hallmark signs of pyloric stenosis , a condition where the pylorus thickens, obstructing gastric emptying. Rectal atresia , intussusception , and malrotation present differently (e.g., bilious vomiting or bowel obstruction signs).
Question 7 of 9
A child with a burn should avoid
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p33, 1.
Question 8 of 9
Best diagnostic test in patients with ambiguous genitalia due to congenital adrenal hyperplasia is:
Correct Answer: C
Rationale: Serum 17-hydroxyprogesterone confirms CAH by detecting elevated levels, per AAP (doc p148, Q557).
Question 9 of 9
A child with a history of cystic fibrosis appears with fever and increased coughing. Sputum culture reveals Pseudomonas aeruginosa and Staphylococcus aureus. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics treat dual infection with P. aeruginosa and S. aureus in cystic fibrosis, per CFF. A, B, D, E are inadequate.