1|Page
ATI Pediatric Proctored Exam 2026/2027– NGN Test Bank with
Verified Answers and NCLEX Prep Questions|| Sure Pass!!!
79. Kyle, age 6 months, is brought to the clinic. His parent says,
"I think he hurts. He cries and rolls his head from side to side a
lot." This most likely suggests which feature of pain?
a. Type
b. Severity
c. Duration
d. Location - ANS: D
The child is displaying a local sign of pain. Rolling the head from
side to side and pulling at ears indicate pain in the ear. The
child's behavior indicates the location of the pain. The behavior
does not provide information about the type, severity, or
duration.
80. Physiologic measurements in children's pain assessment
are:
a. The best indicator of pain in children of all ages.
b. Essential to determine whether a child is telling the truth
about pain.
c. Of most value when children also report having pain.
,2|Page
d. Of limited value as sole indicator of pain. - ANS: D
Physiologic manifestations of pain may vary considerably, not
providing a consistent measure of pain. Heart rate may increase
or decrease. The same signs that may suggest fear, anxiety, or
anger also indicate pain. In chronic pain the body adapts, and
these signs decrease or stabilize. These are of limited value and
must be viewed in the context of a pain-rating scale, behavioral
assessment, and parental report. When the child states that
pain exists, it does. That is the truth.
81. Nonpharmacologic strategies for pain management:
a. May reduce pain perception.
b. Make pharmacologic strategies unnecessary.
c. Usually take too long to implement.
d. Trick children into believing they do not have pain. - ANS: A
Nonpharmacologic techniques provide coping strategies that
may help reduce pain perception, make the pain more
tolerable, decrease anxiety, and enhance the effectiveness of
analgesics. Nonpharmacologic techniques should be learned
before the pain occurs. With severe pain it is best to use both
pharmacologic and nonpharmacologic measures for pain
control. The nonpharmacologic strategy should be matched
with the child's pain severity and taught to the child before the
,3|Page
onset of the painful experience. Some of the techniques may
facilitate the child's experience with mild pain, but the child will
still know that discomfort is present.
82. Which drug is usually the best choice for patient-controlled
analgesia (PCA) for a child in the immediate postoperative
period?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine - ANS: B
The most commonly prescribed medications for PCA are
morphine, hydromorphone, and fentanyl. Parenteral use of
codeine is not recommended. Methadone is not available in
parenteral form in the United States. Meperidine is not used for
continuous and extended pain relief.
83. A lumbar puncture is needed on a school-age child. The
most appropriate action to provide analgesia during this
procedure is to apply:
a. Tetracaine-adrenaline-cocaine (TAC) 15 minutes before
procedure.
, 4|Page
b. Transdermal fentanyl (Duragesic) patch immediately before
procedure.
c. Eutectic mixture of local anesthetics (EMLA) 1 hour before
procedure.
d. EMLA 30 minutes before procedure. - ANS: C
EMLA is an effective analgesic agent when applied to the skin
60 minutes before a procedure. It eliminates or reduces the
pain from most procedures involving skin puncture. TAC
provides skin anesthesia about 15 minutes after application to
nonintact skin. The gel can be placed on the wound for
suturing. Transdermal fentanyl patches are useful for
continuous pain control, not rapid pain control. For maximal
effectiveness EMLA must be applied approximately 60 minutes
in advance.
84. The nurse is caring for a child receiving intravenous (IV)
morphine for severe postoperative pain. The nurse observes a
slower respiratory rate, and the child cannot be aroused. The
most appropriate management of this child is for the nurse to:
a. Administer naloxone (Narcan).
b. Discontinue IV infusion.
c. Discontinue morphine until child is fully awake.
ATI Pediatric Proctored Exam 2026/2027– NGN Test Bank with
Verified Answers and NCLEX Prep Questions|| Sure Pass!!!
79. Kyle, age 6 months, is brought to the clinic. His parent says,
"I think he hurts. He cries and rolls his head from side to side a
lot." This most likely suggests which feature of pain?
a. Type
b. Severity
c. Duration
d. Location - ANS: D
The child is displaying a local sign of pain. Rolling the head from
side to side and pulling at ears indicate pain in the ear. The
child's behavior indicates the location of the pain. The behavior
does not provide information about the type, severity, or
duration.
80. Physiologic measurements in children's pain assessment
are:
a. The best indicator of pain in children of all ages.
b. Essential to determine whether a child is telling the truth
about pain.
c. Of most value when children also report having pain.
,2|Page
d. Of limited value as sole indicator of pain. - ANS: D
Physiologic manifestations of pain may vary considerably, not
providing a consistent measure of pain. Heart rate may increase
or decrease. The same signs that may suggest fear, anxiety, or
anger also indicate pain. In chronic pain the body adapts, and
these signs decrease or stabilize. These are of limited value and
must be viewed in the context of a pain-rating scale, behavioral
assessment, and parental report. When the child states that
pain exists, it does. That is the truth.
81. Nonpharmacologic strategies for pain management:
a. May reduce pain perception.
b. Make pharmacologic strategies unnecessary.
c. Usually take too long to implement.
d. Trick children into believing they do not have pain. - ANS: A
Nonpharmacologic techniques provide coping strategies that
may help reduce pain perception, make the pain more
tolerable, decrease anxiety, and enhance the effectiveness of
analgesics. Nonpharmacologic techniques should be learned
before the pain occurs. With severe pain it is best to use both
pharmacologic and nonpharmacologic measures for pain
control. The nonpharmacologic strategy should be matched
with the child's pain severity and taught to the child before the
,3|Page
onset of the painful experience. Some of the techniques may
facilitate the child's experience with mild pain, but the child will
still know that discomfort is present.
82. Which drug is usually the best choice for patient-controlled
analgesia (PCA) for a child in the immediate postoperative
period?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine - ANS: B
The most commonly prescribed medications for PCA are
morphine, hydromorphone, and fentanyl. Parenteral use of
codeine is not recommended. Methadone is not available in
parenteral form in the United States. Meperidine is not used for
continuous and extended pain relief.
83. A lumbar puncture is needed on a school-age child. The
most appropriate action to provide analgesia during this
procedure is to apply:
a. Tetracaine-adrenaline-cocaine (TAC) 15 minutes before
procedure.
, 4|Page
b. Transdermal fentanyl (Duragesic) patch immediately before
procedure.
c. Eutectic mixture of local anesthetics (EMLA) 1 hour before
procedure.
d. EMLA 30 minutes before procedure. - ANS: C
EMLA is an effective analgesic agent when applied to the skin
60 minutes before a procedure. It eliminates or reduces the
pain from most procedures involving skin puncture. TAC
provides skin anesthesia about 15 minutes after application to
nonintact skin. The gel can be placed on the wound for
suturing. Transdermal fentanyl patches are useful for
continuous pain control, not rapid pain control. For maximal
effectiveness EMLA must be applied approximately 60 minutes
in advance.
84. The nurse is caring for a child receiving intravenous (IV)
morphine for severe postoperative pain. The nurse observes a
slower respiratory rate, and the child cannot be aroused. The
most appropriate management of this child is for the nurse to:
a. Administer naloxone (Narcan).
b. Discontinue IV infusion.
c. Discontinue morphine until child is fully awake.
