Proctored Exam
ATI PN Pediatric Proctored Exam 2 (2026) |
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A 5 year old presents with a rash on the extremities consisting of annular plaques which have scaly, vesicular
borders with central clearing. The MOST likely diagnosis is:
tinea corporis
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, • ATI PN Pediatric 09/09/2026
Proctored Exam
atopic dermatitis
pityriasis rosea
herpes zoster –
Correct Answer :tinea corporis
Tinea corporis is a fungal rash found on skin surfaces of the face and body. The typical rash includes one or more
flat, ovoid, patches which have scaly, vesicular borders with central clearing. Atopic dermatitis or eczema
presents with itchy, oval scaly skin patches which can become thickened and crusted. These lesions do not
include a central clearing. Pityriasis rosea is a condition which begins as a herald patch, resembling a large oval
plaque, than becomes generalized, usually on the trunk. The lesions are not urticarial and will disappear with no
treatment. Herpes zoster is a viral infection, which presents as closely grouped vesicles, usually located in one
dermatome only.
Which of the following screening criteria would BEST predict dyslipidemia in a child?
grandparent surviving heart attack at 65 years
parent with high blood pressure at 55 years
child with body mass index at 90th percentile for age
child with blood pressure above 85th percentile for age - Correct Answer :child with body mass index at 90th
percentile for age
The increase in childhood obesity has led to an increased interest in lipid screening. It is believed that early
detection and treatment of lipid disorders may help prevent adult cardiovascular disease and identify all children
with hyperlipidemia. Being overweight, defined as body mass index greater than 85th percentile, is most
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, • ATI PN Pediatric 09/09/2026
Proctored Exam
predictive of dyslipidemia. Parental histories of high blood pressure, high cholesterol, or heart attack are
important to note for documentation of family history.
A 6 month old, born to non-affected parents, has 8 café au lait spots (CLS) that range from one to three
centimeters in diameter. She also has a soft, two centimeter raised area on her left chest. Which of the following
is the MOST appropriate information in regards to this diagnosis?
The condition was inherited through two recessive parental genes.
The larger CLS can become neoplastic more rapidly.
Emergent ophthalmology consult is needed for Lisch nodule screening.
Orthopedic evaluation is needed for tibial bowing. - Correct Answer :Orthopedic evaluation is needed for tibial
bowing.
Neurofibromatosis type 1 (NF1) is inherited in an autosomal dominant fashion. However, 50% of new cases
represent a spontaneous mutation in utero. The café au lait spots that are pathognomic for NF1 show no
tendency toward malignant transformation and remain a cosmetic issue. However, the lifelong risk of
malignancy in affected individuals with NF1 is increased. The prevalence of Lisch nodules (melanocytic iris
hamartomas) increases with age from only 5% of children less than 3 years of age to 42% among children 3 - 4
years of age and 100% in adults. Plexiform neurofibromas may produce overgrowth of an extremity and a
deformity of the corresponding bone; tibial bowing should prompt an orthopedic referral.
A female athlete experiences anaphylaxis during a soccer game. The only significant history is that she had lunch
about 1 hour before the incident. Food-dependent exercise-induced anaphylaxis is diagnosed. Of the following,
the MOST likely cause is:
chocolate milkshake
pineapple
tomatoes
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, • ATI PN Pediatric 09/09/2026
Proctored Exam
whole wheat bread - Correct Answer :whole wheat bread
Exercise is a known co-factor in some children who experience anaphylaxis. Food-dependent exercise-induced
anaphylaxis (FDEIA) is defined as a food induced allergic reaction that occurs during or soon after exercise.
Children should not exercise within 2-3 hours of ingesting the triggering food. Nuts, wheat, apples, bananas, kiwi,
peaches and eggs frequently are the cause for anaphylaxis.
A healthy 24 month old can be expected to have achieved which of the following language milestones?
counts three objects correctly
speaks using 30 - 50 words
states full name
tells a story - Correct Answer :speaks using 30 - 50 words
Utilizing the Early Language Milestone Scale, beginning at the age of 11 months and continuing to 24 months of
age, the child should have a vocabulary of 50 words. This child should be able to put words together in short, 2 -
3 word sentences and name at least one object in a picture. The child at age 3 - 4 years will be able to tell a short
story and begin to count. A 2 year old may know his first name, but usually cannot state full name until he/she is
older.
Which is the MOST important safety question to ask a 17 year old?
"Are you aware of ways to avoid accidents?"
"Do you play violent video games more than 2 hours a day?"
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