ATI LPN
PN Pediatric Nursing 2023 Proctored Exam Questions
Question 1 of 9
Which of the following lab values drawn from a 4-hour-old newborn should be reported to the health care provider?
Correct Answer: B
Rationale: Hematocrit 37% B is low normal 45-65% in newborns, suggesting anemia, per document 7.
Question 2 of 9
A complication of pinworm infection is
Correct Answer: A
Rationale: Appendicitis A can result from pinworms, per document p18, 7.
Question 3 of 9
A 2-month-old infant presents with nonbilious vomiting and an olive-shaped mass. Labs show hypokalemic alkalosis. Most likely diagnosis is:
Correct Answer: B
Rationale: Pyloric stenosis causes vomiting and alkalosis, per AAP. A, C-E differ.
Question 4 of 9
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
Correct Answer: C
Rationale: Placing a blanket over the scale C prevents heat loss by conduction, per document .
Question 5 of 9
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used
Correct Answer: A
Rationale: Alcohol (A) causes slurred speech, ataxia, and combativeness. Cocaine (B) and amphetamines (C) increase alertness, PCP (D) causes hallucinations. Document: 'Behavioral signs of alcohol ingestion include slurred speech… combativeness.'
Question 6 of 9
A 5-year-old girl presents with abdominal pain and bloody diarrhea. Stool culture grows E. coli O157:H7. Most likely diagnosis is:
Correct Answer: C
Rationale: HUS follows E. coli O157:H7 with bloody diarrhea, per CDC. A, B, D, E differ.
Question 7 of 9
Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room?
Correct Answer: B
Rationale: Allowing parents to stay supports family-centered care and reduces child stress, unless safety dictates otherwise.
Question 8 of 9
When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' The nurse knows these activities will help this child develop a sense of:
Correct Answer: B
Rationale: Industry (B), per Erikson, develops in school-age kids through activities like school and sports. Initiative (A) is preschool, identity (C) adolescence, intimacy (D) later. Document: 'The school-age period is… the stage of industry.'
Question 9 of 9
This classification of insulin involves insulin resistance or decreased insulin production formerly known as non-insulin dependent diabetes mellitus (NIDDM) or adult onset diabetes mellitus.
Correct Answer: B
Rationale: Type II diabetes (B) involves insulin resistance or reduced production, previously NIDDM. Type I (A) is autoimmune, gestational (C) pregnancy-related, and genetic defects (D) are rare. Document: 'Type II involves insulin resistance or decreased insulin production… NIDDM.'