ATI LPN
Pediatric Nursing ATI Practice Questions Questions
Question 1 of 9
Hungry bone syndrome can occur in the following condition:
Correct Answer: C
Rationale: Hungry bone syndrome follows parathyroidectomy , with rapid bone calcium uptake causing hypocalcemia (Endocrine Society). A-D don’t typically cause this.
Question 2 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 3 of 9
A 2-month-old infant presents with nonbilious vomiting. Exam shows an olive-shaped mass. Most likely diagnosis is:
Correct Answer: B
Rationale: Pyloric stenosis causes nonbilious vomiting and a palpable mass, per AAP. A, C-E differ.
Question 4 of 9
A 6-year-old boy with Down syndrome is diagnosed to have acute appendicitis. Anesthesiologist may require the following investigation prior to general anesthesia:
Correct Answer: A
Rationale: Down syndrome has a ~50% incidence of congenital heart defects (e.g., AVSD), making an echocardiogram critical pre-anesthesia to assess cardiac risk (AAP guidelines). EKG is less specific for structural issues. Lateral neck x-ray checks atlantoaxial instability, but cardiac evaluation takes precedence. GI studies (D, E) are irrelevant here.
Question 5 of 9
A 2-month-old boy appears with chronic cough and failure to thrive. Physical examination reveals bilateral coarse crackles and clubbing. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis fits chronic cough, failure to thrive, crackles, clubbing, and positive sweat test, per CFF. A-C, E don’t match.
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
A 6-month-old with diarrhea requires
Correct Answer: C
Rationale: Oral rehydration C is first-line, per document p37, .
Question 8 of 9
A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a patent ductus arteriosus. The next step is:
Correct Answer: B
Rationale: Indomethacin closes a symptomatic PDA, per AHA. A, C-E are for persistent cases.
Question 9 of 9
A 1-year-old girl presents with recurrent infections and failure to thrive. Labs show low IgG and IgA. Most likely diagnosis is:
Correct Answer: C
Rationale: XLA causes infections and low IgG/IgA, per NIAID. A, B, D, E differ.