lOMoAR cPSD| 24815199
ATI PEDIATRIC PROCTORED FINAL
LATEST VERSION 2026-2027 TEST BANK 200
ACTUAL QUESTION AND ANSWERS WITH
RATIONALES |A GRADE.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which
of the following clinical manifestations should the nurse expect?
A) Steatorrhea
B) Projectile vomiting
C) Sunken abdomen
D) Weight gain
Correct Answer: A) Steatorrhea
Rationale
Celiac disease is an autoimmune disorder characterized by an intolerance
to gluten, a protein found in wheat, barley, and rye. Ingestion of gluten
triggers an immune response that damages the villi of the small intestine,
leading to malabsorption of nutrients. Steatorrhea (fatty, foul-smelling
stools) is a classic manifestation of this malabsorption, resulting from the
inability to absorb dietary fats. Projectile vomiting is a hallmark of pyloric
stenosis, not celiac disease. A distended abdomen, rather than a sunken
abdomen, is often seen due to gas and fluid accumulation. Weight loss, not
weight gain, is a common finding due to nutrient malabsorption and
decreased appetite. The nurse should educate the client on the importance
of a lifelong gluten-free diet to manage symptoms and prevent
complications.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Gastrointestinal/Nutrition
MSC: NCLEX: Physiological Integrity
)
, lOMoAR cPSD| 24815199
A nurse is providing teaching to an adolescent about how to manage tinea
pedis. Which of the following statements by the adolescent indicates an
understanding of the teaching?
A) "I should buy some plastic shoes to wear at the swimming pool."
B) "I should wear sandals as much as possible."
C) "I should place the permethrin cream between my toes twice daily."
D) "I should seal my non-washable shoes in plastic bags for a couple of
weeks."
Correct Answer: B) "I should wear sandals as much as possible."
Rationale
Tinea pedis, commonly known as athlete's foot, is a fungal infection that
thrives in warm, moist environments. Wearing sandals or well-ventilated
shoes allows air to circulate around the feet, reducing perspiration and
eliminating the medium for fungal growth. This promotes healing and
prevents recurrence. Plastic shoes trap moisture and should be avoided.
Permethrin cream is a scabicide used to treat scabies, not tinea pedis;
antifungal creams such as clotrimazole or miconazole are appropriate.
Sealing non-washable items in plastic bags for 14 days is a recommended
practice for pediculosis (lice), not for tinea pedis. The nurse should also
instruct the adolescent to keep the feet clean and dry and to avoid walking
barefoot in public areas.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Integumentary/Infectious Disease
MSC: NCLEX: Health Promotion and Maintenance
A nurse is teaching the parents of a school-aged child who has a new
diagnosis of osteomyelitis of the tibia. The nurse should identify that which
of the following statements by the parents indicates an understanding of the
teaching?
A) "My child will have a cast until healing is complete."
B) "My child will receive antibiotics for several weeks."
C) "My child can return to playing sports once he is discharged."
D) "My child needs to be in contact isolation."
Correct Answer: B) "My child will receive antibiotics for several weeks."
)
, lOMoAR cPSD| 24815199
Rationale
Osteomyelitis is a bone infection that requires prolonged antibiotic therapy,
typically for 4 to 6 weeks or longer, often administered intravenously. The
parents' statement about receiving antibiotics for several weeks indicates an
understanding of the treatment regimen. A cast is not typically used for
osteomyelitis; the affected limb is usually supported in a comfortable
position, and weight-bearing is avoided to prevent complications. Return to
sports is restricted for several weeks to months until healing is complete.
Contact isolation is not required because osteomyelitis is not a
communicable illness; standard precautions are sufficient. The nurse should
emphasize the importance of completing the full course of antibiotics and
monitoring for signs of complications.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Musculoskeletal/Infectious Disease
MSC: NCLEX: Physiological Integrity
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse
should identify the sound as which of the following?
A) Biot's respiration
B) Cheyne-Stokes respiration
C) Tachypnea
D) Bradypnea
Correct Answer: C) Tachypnea
Rationale
Tachypnea is a rapid, regular breathing pattern commonly seen in asthma
exacerbations, anxiety, fever, or metabolic acidosis. The adolescent with
asthma may exhibit tachypnea due to increased work of breathing and
hypoxia. Biot's respirations are characterized by periods of apnea
alternating with two or three shallow breaths, often seen in clients with
increased intracranial pressure. Cheyne-Stokes respirations involve periods
of apnea alternating with periods of hyperventilation, commonly associated
with heart failure or brain injury. Bradypnea is a slow, regular breathing
pattern that is not typical in asthma. The nurse should assess the
)
, lOMoAR cPSD| 24815199
adolescent's oxygen saturation and respiratory effort and prepare to
administer bronchodilators as prescribed.
DIF: Cognitive Level: Apply (Application)
TOP: Respiratory
MSC: NCLEX: Physiological Integrity
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority
action by the nurse?
A) Elevate the head of the child's bed.
B) Insert a large-bore IV catheter for the child.
C) Determine the allergen that caused the child's reaction.
D) Administer IM epinephrine to the child.
Correct Answer: D) Administer IM epinephrine to the child.
Rationale
During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation, leading to airway obstruction and
hypotension. The priority action is to administer intramuscular
epinephrine, which rapidly reverses these effects by causing bronchodilation
and vasoconstriction. Epinephrine is the first-line treatment for anaphylaxis
and should be administered immediately. Elevating the head of the bed,
inserting an IV catheter, and determining the allergen are important but are
secondary to administering epinephrine. The nurse should also be prepared
to administer oxygen, IV fluids, and antihistamines as needed. Prompt
recognition and treatment are critical to prevent life-threatening
complications.
DIF: Cognitive Level: Apply (Application)
TOP: Emergency/Allergic Reaction
MSC: NCLEX: Physiological Integrity
A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should the
nurse recognize as a manifestation of pertussis?
)
ATI PEDIATRIC PROCTORED FINAL
LATEST VERSION 2026-2027 TEST BANK 200
ACTUAL QUESTION AND ANSWERS WITH
RATIONALES |A GRADE.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which
of the following clinical manifestations should the nurse expect?
A) Steatorrhea
B) Projectile vomiting
C) Sunken abdomen
D) Weight gain
Correct Answer: A) Steatorrhea
Rationale
Celiac disease is an autoimmune disorder characterized by an intolerance
to gluten, a protein found in wheat, barley, and rye. Ingestion of gluten
triggers an immune response that damages the villi of the small intestine,
leading to malabsorption of nutrients. Steatorrhea (fatty, foul-smelling
stools) is a classic manifestation of this malabsorption, resulting from the
inability to absorb dietary fats. Projectile vomiting is a hallmark of pyloric
stenosis, not celiac disease. A distended abdomen, rather than a sunken
abdomen, is often seen due to gas and fluid accumulation. Weight loss, not
weight gain, is a common finding due to nutrient malabsorption and
decreased appetite. The nurse should educate the client on the importance
of a lifelong gluten-free diet to manage symptoms and prevent
complications.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Gastrointestinal/Nutrition
MSC: NCLEX: Physiological Integrity
)
, lOMoAR cPSD| 24815199
A nurse is providing teaching to an adolescent about how to manage tinea
pedis. Which of the following statements by the adolescent indicates an
understanding of the teaching?
A) "I should buy some plastic shoes to wear at the swimming pool."
B) "I should wear sandals as much as possible."
C) "I should place the permethrin cream between my toes twice daily."
D) "I should seal my non-washable shoes in plastic bags for a couple of
weeks."
Correct Answer: B) "I should wear sandals as much as possible."
Rationale
Tinea pedis, commonly known as athlete's foot, is a fungal infection that
thrives in warm, moist environments. Wearing sandals or well-ventilated
shoes allows air to circulate around the feet, reducing perspiration and
eliminating the medium for fungal growth. This promotes healing and
prevents recurrence. Plastic shoes trap moisture and should be avoided.
Permethrin cream is a scabicide used to treat scabies, not tinea pedis;
antifungal creams such as clotrimazole or miconazole are appropriate.
Sealing non-washable items in plastic bags for 14 days is a recommended
practice for pediculosis (lice), not for tinea pedis. The nurse should also
instruct the adolescent to keep the feet clean and dry and to avoid walking
barefoot in public areas.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Integumentary/Infectious Disease
MSC: NCLEX: Health Promotion and Maintenance
A nurse is teaching the parents of a school-aged child who has a new
diagnosis of osteomyelitis of the tibia. The nurse should identify that which
of the following statements by the parents indicates an understanding of the
teaching?
A) "My child will have a cast until healing is complete."
B) "My child will receive antibiotics for several weeks."
C) "My child can return to playing sports once he is discharged."
D) "My child needs to be in contact isolation."
Correct Answer: B) "My child will receive antibiotics for several weeks."
)
, lOMoAR cPSD| 24815199
Rationale
Osteomyelitis is a bone infection that requires prolonged antibiotic therapy,
typically for 4 to 6 weeks or longer, often administered intravenously. The
parents' statement about receiving antibiotics for several weeks indicates an
understanding of the treatment regimen. A cast is not typically used for
osteomyelitis; the affected limb is usually supported in a comfortable
position, and weight-bearing is avoided to prevent complications. Return to
sports is restricted for several weeks to months until healing is complete.
Contact isolation is not required because osteomyelitis is not a
communicable illness; standard precautions are sufficient. The nurse should
emphasize the importance of completing the full course of antibiotics and
monitoring for signs of complications.
DIF: Cognitive Level: Evaluate (Evaluation)
TOP: Musculoskeletal/Infectious Disease
MSC: NCLEX: Physiological Integrity
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse
should identify the sound as which of the following?
A) Biot's respiration
B) Cheyne-Stokes respiration
C) Tachypnea
D) Bradypnea
Correct Answer: C) Tachypnea
Rationale
Tachypnea is a rapid, regular breathing pattern commonly seen in asthma
exacerbations, anxiety, fever, or metabolic acidosis. The adolescent with
asthma may exhibit tachypnea due to increased work of breathing and
hypoxia. Biot's respirations are characterized by periods of apnea
alternating with two or three shallow breaths, often seen in clients with
increased intracranial pressure. Cheyne-Stokes respirations involve periods
of apnea alternating with periods of hyperventilation, commonly associated
with heart failure or brain injury. Bradypnea is a slow, regular breathing
pattern that is not typical in asthma. The nurse should assess the
)
, lOMoAR cPSD| 24815199
adolescent's oxygen saturation and respiratory effort and prepare to
administer bronchodilators as prescribed.
DIF: Cognitive Level: Apply (Application)
TOP: Respiratory
MSC: NCLEX: Physiological Integrity
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority
action by the nurse?
A) Elevate the head of the child's bed.
B) Insert a large-bore IV catheter for the child.
C) Determine the allergen that caused the child's reaction.
D) Administer IM epinephrine to the child.
Correct Answer: D) Administer IM epinephrine to the child.
Rationale
During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation, leading to airway obstruction and
hypotension. The priority action is to administer intramuscular
epinephrine, which rapidly reverses these effects by causing bronchodilation
and vasoconstriction. Epinephrine is the first-line treatment for anaphylaxis
and should be administered immediately. Elevating the head of the bed,
inserting an IV catheter, and determining the allergen are important but are
secondary to administering epinephrine. The nurse should also be prepared
to administer oxygen, IV fluids, and antihistamines as needed. Prompt
recognition and treatment are critical to prevent life-threatening
complications.
DIF: Cognitive Level: Apply (Application)
TOP: Emergency/Allergic Reaction
MSC: NCLEX: Physiological Integrity
A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should the
nurse recognize as a manifestation of pertussis?
)
