ATI PEDIATRIC EXAM TEST BANK 2024 EVERYTHING ON

ATI PEDIATRIC EXAM TEST BANK 2024 EVERYTHING ON

ATI PEDIATRICS INCLUDING NCLEX 300+ QUESTIONS AND

CORRECT ANSWERS AGRADE

• A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further

intervention?

• Positive Babinski reflex

Rationale: The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old infant with a positive Babinski reflex is a finding that does not require further intervention.

• Positive Moro reflex

Rationale: The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9- month-old infant with a positive Moro reflex is a finding that requires further intervention

• Negative Doll’s eye reflex

Rationale: A negative Doll’s eye reflex is a normal finding. Therefore, a 9-month-old infant with a negative Doll’s eye reflex is a finding that does not require further intervention.

• Negative Crawl reflex

Rationale: A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-month-old infant with a negative Crawl reflex is a finding that does not require further intervention.

• A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the

following is an appropriate statement by the nurse?

• “The blood supply to the bone is disrupted.”

Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate.

• “Normal bone growth can be affected.”

Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly.

• “Bone marrow can be lost though the fracture.”

Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this type of fracture. 1 / 4

• “The healing process will take longer.”

Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate.

• / 4

• A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse knows

that TSS is commonly associated with which of the following?

• High-absorbency tampons

Rationale: Toxic shock syndrome, a severe disease caused by a toxin made by

Staphylococcus aureus, is characterized by shock and multiple organ dysfunction. It most often affects menstruating women who use highly absorbent tampons.

• Mosquito bites

Rationale: Mosquito bites are not associated with TSS.

• International travel

Rationale: International travel is not associated with TSS.

• Multiple sexual partners

Rationale: TSS is not associated with multiple sexual partners.

• A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

• Absent bowel sounds

Rationale: Visible gastric peristaltic waves moving from the left to the right are a clinical manifestation of pyloric stenosis.

• Increased sodium level

Rationale: Vomiting causes a depletion of fluid and electrolytes, therefore a decrease in serum sodium levels is a clinical manifestation of pyloric stenosis.

• Projectile vomiting after feedings

Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum resulting in projectile vomiting.

• Golf ball-sized mass over the left quadrant

Rationale: An olive-shaped mass is palpable right of the umbilicus is a clinical manifestation of pyloric stenosis.

• / 4

• A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an

appropriate action for the nurse to take?

• Administer opioids on a schedule.

Rationale: NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an appropriate action for the nurse to take.

• Schedule prolonged periods of complete joint immobilization daily.

Rationale: Physical mobility will assist in preserving function and maintaining mobility.Therefore, prolonged periods of complete joint immobilization is not an appropriate action for the nurse to take.

• Apply cool compresses for 20 minutes every hour.

Rationale: Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20 minutes every hour is not an appropriate action for the nurse to take.

• Maintain night splints to the affected joint.

Rationale: Maintaining night splints to the affected joints will assist in range of motion.Therefore, this is an appropriate action for the nurse to take.

• / 4