ATI PEDIATRIC PROCTORED EXAM NGN TEST BANK- COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: ATI Pediatric Proctored Exam 2025 – NGN Test Bank
with Verified Answers and NCLEX Prep Questions 73. An important
consideration when using the FACES Pain Rating Scale with
children is:
A. Children color the face with the color they choose to best describe
their pain.
B. The scale can be used with most children as young as 3 years of
age.
C. The scale is not appropriate for use with adolescents.
D. The scale is useful in pain assessment but is not as accurate when
assessing physiologic responses.
Answer:
B. The scale can be used with most children as young as 3 years of age.
Question 2: 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 that they do not have pain.
Answer:
A. May reduce pain perception.
Question 3: The nurses caring for a child are concerned about the
child's frequent requests for pain medication. During a team
conference a nurse suggests that they consider administering a
placebo instead of the usual pain medication. This decision should
be based on knowledge that:
A. This practice is unjustified and unethical.
, B. This practice is effective in determining whether a child's pain is
real.
C. The absence of a response to a placebo means the child's pain
has an organic basis.
D. A positive response to a placebo will not occur if the child's pain
has an organic basis.
Answer:
A. This practice is unjustified and unethical.
Question 4: A child who has been receiving morphine
intravenously will now start receiving it orally. The nurse should
anticipate that, to achieve equianalgesia (equal analgesic effect),
the oral dose will be:
A. The same as the intravenous (IV) dose.
B. Greater than the IV dose.
C. One half of the IV dose.
D. One fourth of the IV dose.
Answer:
B. Greater than the IV dose.
Question 5: Transdermal fentanyl (Duragesic) is being used for an
adolescent with cancer who is in hospice care. The adolescent has
been comfortable for several hours but now complains of severe
pain. The most appropriate nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR)
intravenously (IV).
C. Use a nonpharmacologic strategy.
D. Place another fentanyl patch on the adolescent.
Answer:
,B. Administer morphine sulfate immediate release (MSIR) intravenously
(IV).
Question 6: The nurse is caring postoperatively for an 8-year-old
child with multiple fractures and other trauma resulting from a
motor vehicle injury. The child is experiencing severe pain. An
important consideration in managing the child's pain is to:
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is adequately
sedated.
C. Plan a preventive schedule of pain medication around the clock.
D. Give the child a clock and explain when he or she can have pain
medications.
Answer:
C. Plan a preventive schedule of pain medication around the clock.
Question 7: 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. 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 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.
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.
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: ATI Pediatric Proctored Exam 2025 – NGN Test Bank
with Verified Answers and NCLEX Prep Questions 73. An important
consideration when using the FACES Pain Rating Scale with
children is:
A. Children color the face with the color they choose to best describe
their pain.
B. The scale can be used with most children as young as 3 years of
age.
C. The scale is not appropriate for use with adolescents.
D. The scale is useful in pain assessment but is not as accurate when
assessing physiologic responses.
Answer:
B. The scale can be used with most children as young as 3 years of age.
Question 2: 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 that they do not have pain.
Answer:
A. May reduce pain perception.
Question 3: The nurses caring for a child are concerned about the
child's frequent requests for pain medication. During a team
conference a nurse suggests that they consider administering a
placebo instead of the usual pain medication. This decision should
be based on knowledge that:
A. This practice is unjustified and unethical.
, B. This practice is effective in determining whether a child's pain is
real.
C. The absence of a response to a placebo means the child's pain
has an organic basis.
D. A positive response to a placebo will not occur if the child's pain
has an organic basis.
Answer:
A. This practice is unjustified and unethical.
Question 4: A child who has been receiving morphine
intravenously will now start receiving it orally. The nurse should
anticipate that, to achieve equianalgesia (equal analgesic effect),
the oral dose will be:
A. The same as the intravenous (IV) dose.
B. Greater than the IV dose.
C. One half of the IV dose.
D. One fourth of the IV dose.
Answer:
B. Greater than the IV dose.
Question 5: Transdermal fentanyl (Duragesic) is being used for an
adolescent with cancer who is in hospice care. The adolescent has
been comfortable for several hours but now complains of severe
pain. The most appropriate nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR)
intravenously (IV).
C. Use a nonpharmacologic strategy.
D. Place another fentanyl patch on the adolescent.
Answer:
,B. Administer morphine sulfate immediate release (MSIR) intravenously
(IV).
Question 6: The nurse is caring postoperatively for an 8-year-old
child with multiple fractures and other trauma resulting from a
motor vehicle injury. The child is experiencing severe pain. An
important consideration in managing the child's pain is to:
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is adequately
sedated.
C. Plan a preventive schedule of pain medication around the clock.
D. Give the child a clock and explain when he or she can have pain
medications.
Answer:
C. Plan a preventive schedule of pain medication around the clock.
Question 7: 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. 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 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.
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.
