ATI LPN
ATI Practice Questions Pediatrics Questions
Question 1 of 9
The nurse should suspect dehydration in an infant if
Correct Answer: A
Rationale: Sunken eyes A indicate dehydration, per document p29, .
Question 2 of 9
A 10-year-old boy appears with weight gain, moon facies, and striae. History reveals chronic steroid use for asthma. Most likely diagnosis is:
Correct Answer: C
Rationale: Cushing syndrome fits weight gain, moon facies, and steroid use, per AAP (doc p150, Q591).
Question 3 of 9
Which type of soft tissue massage is used to improve muscle and bone function?
Correct Answer: C
Rationale: Rolfing (C) involves fascia manipulation to improve muscle and bone function by enhancing alignment and movement. Coin-rubbing (A) aligns the body via skin manipulation, neuromuscular massage (B) relieves muscle tension, and perineal massage (D) reduces delivery trauma. Per the document, 'Fascia pressure, stretching, and manipulation, known as Rolfing, are thought to improve muscle and bone function.'
Question 4 of 9
A 15-year-old girl with a history of cystic fibrosis appears with polydipsia and polyuria for the past 2 months. Laboratory findings reveal blood glucose of 250 mg/dL. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis-related diabetes fits polydipsia, polyuria, and hyperglycemia in cystic fibrosis, per CFF. A, B, D, E are less likely.
Question 5 of 9
Lori weight at birth was 7lbs. Now she is 14lbs. She can sit alone and completely turn over. She often bangs her rattler on the table. Lori can pull to a sitting position and tolerate solid food.
Correct Answer: C
Rationale: At 6 months (C), infants double birth weight (7 to 14 lbs), sit briefly, roll over, bang objects, pull to sit, and start solids. Too early for 2 months (A), too late for 11/18 months (B, D). Document: 'At 6 months… double in birth weight… Sits alone momentarily… First solid food is introduced.'
Question 6 of 9
A 6-year-old boy appears with pubic hair and enlarged testes. Labs reveal elevated testosterone and normal LH/FSH. Most likely diagnosis is:
Correct Answer: B
Rationale: Testicular tumor causes precocious puberty with high testosterone and normal gonadotropins, per AAP (doc p149, Q575).
Question 7 of 9
A newborn failed to pass meconium within the first 24 hours of life. Abdominal x-ray reveals a ground glass appearance. Most likely diagnosis is:
Correct Answer: D
Rationale: Meconium peritonitis fits a ground glass appearance from perforation, per AAP. D has a soap bubble sign, A-C differ.
Question 8 of 9
A 6-month-old infant presents with stridor and respiratory distress. Laryngoscopy shows a subglottic mass. Most likely diagnosis is:
Correct Answer: C
Rationale: Hemangioma can present as a subglottic mass, per AAP. A, B, D, E differ.
Question 9 of 9
The nurse is preparing to draw up a Phytonadione injection for the newborn. The length of the needle should be:
Correct Answer: C
Rationale: 5/8 inch C is appropriate for IM injection in a newborn, per document 4.