ATI PEDIATRICS CMS 2023 AND 2019 TEST
BANK/PEDS CMS CONTAINS 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED
A+||COMPREHENSIVE DOCUMENT FOR PEDS
CMS||BRAND NEW!!!
A nurse is providing teaching to the guardian of a school-age child who has sickle cell
disease about management of the illness. Which of the following instructions should the
nurse include?
a. Apply cold compress to painful areas
b. but I shall wear a surgical mask to school
c. encourage physical activity as tolerated
d. offer fluids of bedtime – ….ANSWER…c. encourage physical activity as tolerated
A nurse is assessing a 5-month-old infant. Which of the following findings should the
nurse report to the provider?
a. Unable to hold a bottle
b. exhibits head lag when pulled a sitting position
c. absent grasp reflex
d. unable to roll from back to abdomen – ….ANSWER…b. exhibits head lag when pulled
a sitting position
A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy.
Which of the following findings should the nurse identify as an indication of
hemorrhage?
a. Flushing of the face
b. continuous swallowing
c. blood pressure 99/ 56 mmhg
d. heart rate 54/ minutes – ….ANSWER…b. continuous swallowing
A nurse is discussing coping mechanisms with a parent of a three-month- old infant
which of the following therapeutic questions should the nurse ask the parent?
a. What do you do when your infant is fussy?
b. Are you willing to take new parenting classes?
c. Does parenting cause you stress?
d. Is it overwhelming when your infant is having a bad day? – ….ANSWER…a. What do
you do when your infant is fussy?
A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
which of the following responses by the parent indicates an understanding of the
teaching?
a. my child should wear a wide-brimmed hat
b. my child should remain under a beach umbrella during morning hours
c. I should apply 10 SPF sunscreen to my child’s entire body
d. I should dress my child in loose active clothing – ….ANSWER…d. I should dress my
child in loose weave clothing
or
a. my child should wear a wide-brimmed hat
A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving
chest physiotherapy treatment. The nurse should identify which of the following findings
as an indication of the therapy has been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate – ….ANSWER…b. increase expectoration
A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which
of the following interventions should the nurse include in the plan of care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and shoulders – ….ANSWER…c. Pad
the side rails of the crib
A nurse is reviewing the medical record of a child with cystic fibrosis which of the
following should the nurse report to the provider? Click on the exhibit button for
additional information about the client.
a. heart rate
b. HbA1c
c. oxygen saturation
d. WBC48. – ….ANSWER…b. HbA1c
A nurse is assessing an infant who has severe dehydration due to gastroenteritis which
of the following findings should the nurse expect?
a. Increased respiratory rate
b. capillary refill of 2 seconds
c. Hypertension
d. increased urine output – ….ANSWER…a. Increased respiratory rate
A nurse is assessing an infant who has intussusception. Which of the following findings
should the nurse expect?
a. sausage-shaped abdominal Mass
b. board like abdomen
c. Constipation
d. increased urinary output – ….ANSWER…a. sausage-shaped abdominal Mass
A nurse is caring for a 14 year old adolescent who has a cast on the right arm and
swelling of their right hand. The nurse elevates The Adolescents affected extremity. The
nurse should identify that which of the following findings is an indication that the
intervention has been effective?
a. The Adolescent reports of the cast feels tight
b. The Adolescents hands feel cool to touch
c. the Adolescent is able to move their fingers freely
d. the Adolescent reports feeling tingling in their arms – ….ANSWER…c. the Adolescent
is able to move their fingers freely
A nurse in a provider’s office is assessing the vital signs of a two-year-old child at a wellchild visit. Which of the following findings should the nurse report to the provider?
a. Respiratory rate 26 / min
b. pulse rate 98 / minutes
c. temperature 37.2 Celsius (99 Fahrenheit)
d. blood pressure 118 / 74 mmhg – ….ANSWER…d. blood pressure 118 / 74 mmhg
A nurse is preparing to administer a prescribed medication to a toddler whose parent is
nearby. Which of the following actions should the nurse take to identify the toddler?
a. check the toddler’s room number against their ID band
b. check the toddler’s ID band against the medical record
c. ask the parent to confirm the toddler’s identity d. ask another nurse to confirm to
toddlers identity – ….ANSWER…b. check the toddler’s ID band against the medical
record
A nurse is teaching home care to the parents of a preschool-age child who has heart
failure. Which of the following information should the nurse include in the teaching?
a. Weight the child once each month month
b. withhold digoxin of the child’s pulse is greater than 100 / minutes
c. provide for periods of rest
d. increase the child’s oxygen flow rate until the child no longer has cyanosis –
….ANSWER…c. provide for periods of rest
A nurse in the PACU is caring for a school-age child immediately following a
tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in a side-lying position
b. offer the child ice cream when alert
c. instruct a child to drink fluids through a straw
d. encourage the child to deep breathe and cough – ….ANSWER…a. Place the child in a
side-lying position
A nurse is reviewing the medical record of a 15 month old child who is scheduled to
receive measles, mumps, rubella1. Which of the following findings Should the nurse
identify as a contradiction for receiving the vaccine?
a. Allergy to neomycin
b. upper respiratory infection 2 days ago
c. temperature of 37.2 (99 Fahrenheit)
d. family history of seizures – ….ANSWER…a. Allergy to neomycin
A nurse is assessing a school-age child cranial nerve function. Which of the following
actions should the nurse ask the child to take when assessing the accessory nerve?
a. Move their tongue in all directions
b. follow a light in the six cardinal position
c. shrug their shoulders against mild pressure
d. show their teeth while smiling – ….ANSWER…c. shrug their shoulders against mild
pressure
A nurse is performing a cranial nerve assessment on a school-age child. Which of the
following findings indicates proper function of the child trigeminal nerve?
a. The child montanes balance when standing with eyes closed
b. the child correctly identify specific scent
c. the child has asymmetrical jaw strength when Biting Down
d. the child exhibits a gag reflex when stimulated with a tongue blade – ….ANSWER…c.
the child has asymmetrical jaw strength when Biting Down
A nurse is providing support to a family whose infant died from sudden infant death
syndrome (SIDS) which of the following actions should the nurse take?
a. Discourage the parents from allowing siblings to view the body
b. avoid discussing details of the attempt to revive the infant
c. provide a follow-up phone call one week following the infant’s death – ….ANSWER…d.
acknowledge the family members feelings of guilt
A nurse in the emergency department is caring for a child who has a temperature of
39.1 degrees C is (102.4 Fahrenheit) and suspect the diagnosis of bacterial meningitis.
Which of the following actions should the nurse take first? Tell me more
a. prepare the child for a lumbar puncture
b. dim the lights in the child’s room (SEIZURE PRECAUTION)
c. administering an antipyretic to the child
d. Implement droplet precautions for the child – ….ANSWER…d. Implement droplet
precautions for the child
A nurse is caring for an infant who has rotavirus. Which of the following findings
indicates that the infant is moderately dehydrated?
a. capillary refill 1 seconds
b. weight loss 7% lower
c. Respiratory rate 28/ minute
d. bradycardia – ….ANSWER…b. weight loss 7% lower