ATI PEDIATRICS CMS FINAL EXAM
QUESTIONS AND VERIFIED ANSWERS
Question 1
A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify
the provider about which of the following assessment findings?
A. A flat, dark pink area between the eyes that blanches
B. An area of deep blue pigmentation over the buttocks
C. A blue coloring of the sclera
D. A patchy, red rash with raised centers
Correct Answer
Correct Answer: C. A blue coloring of the sclera
This discoloration is associated with osteogenesis imperfecta, a genetic disorder
that results in bone fragility. The nurse should notify the provider of this finding.
Incorrect Answers:
A. This discoloration is known as a nevus simplex, or stork bite. It typically blanches
with pressure and becomes more prominent with crying. This finding does not
require notification of the provider.
B. This discoloration is known as a Mongolian spot. It is typically observed in infants
who have increased skin pigmentation (e.g., those of African, Asian, or Hispanic
descent) and does not require notification of the provider.
D. This discoloration is known as erythema toxicum, or newborn rash. It is a benign,
transient finding and does not require notification of the provider.
Page 1 of 50
,Question 2
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the
following findings should the nurse expect?
A. Hypertension
B. Abdominal obesity
C. Bradycardia
D. Loose stools
Correct Answer
Correct Answer: A. Hypertension
The nurse should expect a child who has pheochromocytoma to exhibit
hypertension due to the increased production of catecholamines. Other
manifestations include sweating, weight loss, and polyuria.
Incorrect Answers:
B. The nurse should expect a child who has pheochromocytoma to exhibit anorexia
and weight loss.
C. The nurse should expect a child who has pheochromocytoma to exhibit
tachycardia.
D. The nurse should expect a child who has pheochromocytoma to exhibit
constipation
Question 3
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which
of the following statements by the parent indicates an understanding of the teaching?
A. "Impetigo is caused by a virus."
B. "Impetigo is contagious for 48 hours after vesicles rupture."
C. "I will wash my child's clothes in hot water."
D. "My child now has immunity against impetigo."
Correct Answer
Correct Answer: C. "I will wash my child's clothes in hot water."
The parent should wash the child's clothes in hot water to kill bacteria. The parent
should also keep the child's towels and washcloths separate from those of other
members of the household.
Incorrect Answers:
A. Impetigo is a bacterial infection of the skin caused by staphylococci or
streptococci bacteria.
B. Impetigo is spread via direct contact and is contagious from the time of initial
appearance of lesions UNTIL ALL LESIONS have healed.
D. Impetigo does not cause the formation of antibodies that prevent reinfection.
Therefore, the child can get impetigo again in the future.
Page 2 of 50
,Question 4
A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has
acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of
the test. Which of the following responses should the nurse provide?
A. "The test determines the level of antibiotics in your child's blood."
B. "The test tells us if your child ever had measles."
C. "The test verifies the amount of albumin in your child's blood."
D. "The test shows us if your child had a recent strep infection."
Correct Answer
Correct Answer: D. "The test shows us if your child had a recent strep infection."
An ASO titer indicates the child had a recent strep infection. When determining a
definitive diagnosis for acute glomerulonephritis, this must be documented because
the condition is usually the result of this type of infection.
Incorrect Answers:
A. A therapeutic blood level indicates a medication (e.g. an antibiotic) is effective.
B. A RUBELLA TITER indicates the presence of measles.
C. A serum albumin level is monitored in a child who has nephrotic syndrome.
Page 3 of 50
, Question 5
A school nurse is assessing an adolescent who returned to school following a case of
mononucleosis. The child has a note from his provider excusing him from gym class.
Which of the following findings should the nurse identify as the reason for this
excusal?
A. Potential for sustaining abdominal trauma
B. Deficient dietary intake
C. Exposing peers to the illness
D. Straining sore joints
Correct Answer
Correct Answer: A. Potential for sustaining abdominal trauma
An adolescent who has mononucleosis will have lymphadenopathy AND often
splenomegaly, which can persist for many months. For this reason, even after the
adolescent is able to maintain his usual energy level and return to school, it is
important for him to avoid activities that might result in TRAUMA TO THE
ENLARGED SPLEEN.
Incorrect Answers:
B. Although an adolescent who has mononucleosis might have difficulty swallowing
in the early phases of the illness, after returning to school, he should not have
deficient dietary intake.
C. Epstein-Barr virus causes mononucleosis and is spread primarily through direct
contact with the saliva of an infected individual. Casual contact during gym and
recess would be no more hazardous than having the child in a classroom.
D. An adolescent who has mononucleosis will not have joint inflammation
Page 4 of 50
QUESTIONS AND VERIFIED ANSWERS
Question 1
A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify
the provider about which of the following assessment findings?
A. A flat, dark pink area between the eyes that blanches
B. An area of deep blue pigmentation over the buttocks
C. A blue coloring of the sclera
D. A patchy, red rash with raised centers
Correct Answer
Correct Answer: C. A blue coloring of the sclera
This discoloration is associated with osteogenesis imperfecta, a genetic disorder
that results in bone fragility. The nurse should notify the provider of this finding.
Incorrect Answers:
A. This discoloration is known as a nevus simplex, or stork bite. It typically blanches
with pressure and becomes more prominent with crying. This finding does not
require notification of the provider.
B. This discoloration is known as a Mongolian spot. It is typically observed in infants
who have increased skin pigmentation (e.g., those of African, Asian, or Hispanic
descent) and does not require notification of the provider.
D. This discoloration is known as erythema toxicum, or newborn rash. It is a benign,
transient finding and does not require notification of the provider.
Page 1 of 50
,Question 2
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the
following findings should the nurse expect?
A. Hypertension
B. Abdominal obesity
C. Bradycardia
D. Loose stools
Correct Answer
Correct Answer: A. Hypertension
The nurse should expect a child who has pheochromocytoma to exhibit
hypertension due to the increased production of catecholamines. Other
manifestations include sweating, weight loss, and polyuria.
Incorrect Answers:
B. The nurse should expect a child who has pheochromocytoma to exhibit anorexia
and weight loss.
C. The nurse should expect a child who has pheochromocytoma to exhibit
tachycardia.
D. The nurse should expect a child who has pheochromocytoma to exhibit
constipation
Question 3
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which
of the following statements by the parent indicates an understanding of the teaching?
A. "Impetigo is caused by a virus."
B. "Impetigo is contagious for 48 hours after vesicles rupture."
C. "I will wash my child's clothes in hot water."
D. "My child now has immunity against impetigo."
Correct Answer
Correct Answer: C. "I will wash my child's clothes in hot water."
The parent should wash the child's clothes in hot water to kill bacteria. The parent
should also keep the child's towels and washcloths separate from those of other
members of the household.
Incorrect Answers:
A. Impetigo is a bacterial infection of the skin caused by staphylococci or
streptococci bacteria.
B. Impetigo is spread via direct contact and is contagious from the time of initial
appearance of lesions UNTIL ALL LESIONS have healed.
D. Impetigo does not cause the formation of antibodies that prevent reinfection.
Therefore, the child can get impetigo again in the future.
Page 2 of 50
,Question 4
A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has
acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of
the test. Which of the following responses should the nurse provide?
A. "The test determines the level of antibiotics in your child's blood."
B. "The test tells us if your child ever had measles."
C. "The test verifies the amount of albumin in your child's blood."
D. "The test shows us if your child had a recent strep infection."
Correct Answer
Correct Answer: D. "The test shows us if your child had a recent strep infection."
An ASO titer indicates the child had a recent strep infection. When determining a
definitive diagnosis for acute glomerulonephritis, this must be documented because
the condition is usually the result of this type of infection.
Incorrect Answers:
A. A therapeutic blood level indicates a medication (e.g. an antibiotic) is effective.
B. A RUBELLA TITER indicates the presence of measles.
C. A serum albumin level is monitored in a child who has nephrotic syndrome.
Page 3 of 50
, Question 5
A school nurse is assessing an adolescent who returned to school following a case of
mononucleosis. The child has a note from his provider excusing him from gym class.
Which of the following findings should the nurse identify as the reason for this
excusal?
A. Potential for sustaining abdominal trauma
B. Deficient dietary intake
C. Exposing peers to the illness
D. Straining sore joints
Correct Answer
Correct Answer: A. Potential for sustaining abdominal trauma
An adolescent who has mononucleosis will have lymphadenopathy AND often
splenomegaly, which can persist for many months. For this reason, even after the
adolescent is able to maintain his usual energy level and return to school, it is
important for him to avoid activities that might result in TRAUMA TO THE
ENLARGED SPLEEN.
Incorrect Answers:
B. Although an adolescent who has mononucleosis might have difficulty swallowing
in the early phases of the illness, after returning to school, he should not have
deficient dietary intake.
C. Epstein-Barr virus causes mononucleosis and is spread primarily through direct
contact with the saliva of an infected individual. Casual contact during gym and
recess would be no more hazardous than having the child in a classroom.
D. An adolescent who has mononucleosis will not have joint inflammation
Page 4 of 50
