1600 ATI Pediatrics Practice Questions & Answers 2022

A. Positive Babinski 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 B. Positive Moro 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. C. Negative Doll’s eye 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. D. Negative Crawl reflex 1. 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? Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. A. “The blood supply to the bone is disrupted.” Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly. B. “Normal bone growth can be affected.” Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this type of fracture. C. “Bone marrow can be lost though the fracture.” Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. D. “The healing process will take longer.” 2. CAA_DetailedAnswerKey created 10/05/2012 page 1 of 18 Detailed Answer Key Homework 8 - Pediatrics . 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? 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. A. High-absorbency tampons Rationale: Mosquito bites are not associated with TSS. B. Mosquito bites Rationale: International travel is not associated with TSS. C. International travel Rationale: TSS is not associated with multiple sexual partners. D. Multiple sexual partners 3. A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis? Rationale: Visible gastric peristaltic waves moving from the left to the right are a clinical manifestation of pyloric stenosis. A. Absent bowel sounds Rationale: Vomiting causes a depletion of fluid and electrolytes, therefore a decrease in serum sodium levels is a clinical manifestation of pyloric stenosis. B. Increased sodium level Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum resulting in projectile vomiting. C. Projectile vomiting after feedings Rationale: An olive-shaped mass is palpable right of the umbilicus is a clinical manifestation of pyloric stenosis