ATI LPN
ATI Practice Questions Pediatrics Questions
Question 1 of 9
Most common cardiac abnormality in patients with Marfan syndrome is:
Correct Answer: B
Rationale: Aortic root dilation is the most common cardiac issue in Marfan syndrome, per AAP (doc p151, Q607).
Question 2 of 9
A 2-year-old boy presents with abdominal pain and currant jelly stools. Ultrasound confirms intussusception. The next step is:
Correct Answer: C
Rationale: Barium enema reduces intussusception, per AAP. A, B, D, E are secondary.
Question 3 of 9
An African American woman noticed some bruises on her newborn girl’s buttocks. She asks the nurse who spanked her daughter. The nurse explains that these marks are called
Correct Answer: D
Rationale: Mongolian spots D are benign, blue-gray marks common in darker-skinned newborns, per document .
Question 4 of 9
Which form of CAM therapy can easily be mistaken for child abuse because of the lingering marks on the skin after treatment?
Correct Answer: C
Rationale: Coin rubbing (C), or 'Cao-gio,' leaves skin marks that mimic abuse. Reflexology (A), Ayurveda (B), and acupressure (D) don’t typically mark skin. Document: 'Coin rubbing… can easily be mistaken for child abuse because of the lingering marks.'
Question 5 of 9
A 2-year-old boy presents with fever and a bulging tympanic membrane. The best treatment is:
Correct Answer: B
Rationale: Amoxicillin treats AOM, per AAP. A, C-E are less optimal.
Question 6 of 9
A pediatric nurse examines the abdomen of a preschool-aged child brought to the doctor's office by the grandmother because of vomiting over the last several days. Upon inspection, the nurse observes that the child's stomach is distended. Based on these data, which condition does the nurse suspect?
Correct Answer: A
Rationale: Persistent vomiting with abdominal distension suggests an intestinal obstruction , which prevents normal passage of contents, causing backup and swelling. Kidney failure affects urination, displaced organs are congenital, and omphalitis is an umbilical issue, none matching these symptoms.
Question 7 of 9
A parent comments that her infant has had several ear infections in the past few months. The nurse understands that infants are more susceptible to otitis media because:
Correct Answer: A
Rationale: Infants’ short, wide, straight eustachian tubes (A) allow bacteria easy middle ear access. Sucking (B), position (C), and bronchitis (D) are less causative. Document: 'An infant’s eustachian tubes are short, wide, and straight.'
Question 8 of 9
A 4-year-old girl presents with pallor and lethargy. Labs show hemoglobin of 8 g/dL and Howell-Jolly bodies. Most likely diagnosis is:
Correct Answer: B
Rationale: Sickle cell disease shows Howell-Jolly bodies from splenic dysfunction, per ASH. A, C-E differ.
Question 9 of 9
The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. The nurse's best response would be:
Correct Answer: C
Rationale: A hydrocele (C), fluid in the scrotum, often resolves by 1 year. Size difference (A) is normal but not swollen, bruising (B) or blood (D) suggest hematoma, not fluid. Document: 'These signs are indicative of a hydrocele… [that] usually corrects itself in a year.'