ATI LPN
ATI PN Pediatrics Proctored Exam 2023 Questions
Question 1 of 9
Neonatal lupus results from maternal transfer of the following antibodies:
Correct Answer: D
Rationale: Anti-Ro IgG crosses the placenta, causing neonatal lupus (e.g., heart block) (NIAMS). IgM and IgA (B, C) don’t cross, and E is a misnomer.
Question 2 of 9
A common finding in most children with cardiac abnormalities is
Correct Answer: B
Rationale: Cyanosis and clubbing B are frequent cardiac signs, per document 9.
Question 3 of 9
A 6-month-old with diarrhea requires
Correct Answer: C
Rationale: Oral rehydration C is first-line, per document p37, .
Question 4 of 9
Factors contributing to normal growth before and after birth include select all
Correct Answer: B
Rationale: Nutrition A, sex hormones B, trophic hormones C I, II, III, per document p9, 5.
Question 5 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 6 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 7 of 9
A 2-year-old boy presents with a high fever and rash on the trunk and extremities. Exam shows Koplik spots. Most likely diagnosis is:
Correct Answer: A
Rationale: Measles features fever, rash, and Koplik spots, per CDC. B-E lack spots.
Question 8 of 9
The nurse should suspect pneumonia in a child with
Correct Answer: D
Rationale: All D are pneumonia symptoms, per document p44, .
Question 9 of 9
The nurse should suspect meningitis if a child has
Correct Answer: D
Rationale: All D are meningitis signs, per document p60, 2.