ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 9
While admitting an uncircumcised 4-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; she is unable to replace it over the head of the penis. What should she do?
Correct Answer: B
Rationale: Paraphimosis (tight foreskin impeding blood flow) requires immediate physician notification (B) to prevent tissue damage. Forcing the skin (A), waiting (C), or warm compresses (D) delay critical intervention. Document: 'Notify the physician immediately of the occurrence of paraphimosis… [it] can impede the blood flow.'
Question 2 of 9
An 8-year-old with sickle cell crisis is discharged. Education should include select all
Correct Answer: D
Rationale: Drugs A, diet C, fluids D I, III, IV manage sickle cell, per document 4.
Question 3 of 9
A child in sickle cell crisis needs select all
Correct Answer: D
Rationale: Analgesics A, fluids C, warmth D I, III, IV manage crisis, per document p16, 6.
Question 4 of 9
The maternal occupational limit of exposure to radiation for the entire 40 weeks of pregnancy is:
Correct Answer: D
Rationale: 500 mrad is the occupational limit for pregnancy, per NRC. A-C are too low, E is excessive.
Question 5 of 9
A 2-month-old infant presents with projectile vomiting. Labs show hypochloremic alkalosis. Most likely diagnosis is:
Correct Answer: B
Rationale: Pyloric stenosis causes vomiting and hypochloremic alkalosis, per AAP. A, C-E differ.
Question 6 of 9
A 2-month-old boy with a history of cystic fibrosis appears with vomiting and dehydration. Laboratory findings reveal sodium of 125 mEq/L and chloride of 80 mEq/L. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis-related salt loss fits vomiting, dehydration, and hyponatremia, per CFF. A, B, D, E don’t match.
Question 7 of 9
A 6-year-old boy presents with fever and a strawberry tongue. Physical exam shows cervical lymphadenopathy and a rash. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, strawberry tongue, lymphadenopathy, and rash, per AHA. A, C-E lack this combination.
Question 8 of 9
A 16-month-old boy refuses to eat properly. His mother stated that he was eating properly up to 12 months of age. She started a part time job 2 months ago. She is extremely concerned. The boy is very active. The next step in management is:
Correct Answer: D
Rationale: Reassurance suits an active 16-month-old with reduced appetite, possibly due to maternal stress or toddler phase (AAP). A-D are unnecessary without deficiency.
Question 9 of 9
The nurse is admitting a child with Kawasaki disease. The symptom she should recognize for this.
Correct Answer: D
Rationale: Peeling palms and soles (D) is a hallmark of Kawasaki disease’s convalescent phase. Respiratory distress (A), hyperlipidemia (B), and GERD (C) are unrelated. Document: 'The child with Kawasaki disease has… desquamation (peeling) of palms and soles.'