PEDIATRIC EXAM TEST BANK

PEDIATRIC EXAM TEST BANK EVERYTHING ON ATI PEDIATRICS INCLUDING NCLEX QUESTIONS AND CORRECT ANSWERS GRADED A+ 1. Anurseis collecting data froma 9-month-oldinfant. Whichof thefollowing findingswould requirefurther intervention? A. PositiveBabinski reflex Rationale: TheBabinski reflexdisappearsafter 1 year of age. Therefore, a 9-month-oldinfantwithapositive Babinskireflexisafinding that doesnotrequirefurtherintervention. B. PositiveMororeflex Rationale: TheMororeflexdisappearsapproximatelyat3-4monthsof age. Therefore, a9-month-old infantwithapositiveMoro reflexisafindingthat requiresfurtherintervention C. NegativeDoll’s eyereflex Rationale: AnegativeDoll’s eyereflexisanormalfinding.Therefore, a9-month-oldinfantwithanegative Doll’s eyereflexisafinding that doesnot requirefurtherintervention. D. NegativeCrawl reflex Rationale: AnegativeCrawlreflexdisappearsafter6monthsofage.Therefore,a9-month-oldinfantwitha negativeCrawl reflexisa findingthat doesnotrequirefurther intervention. 2. Anurseisreinforcingteachingaparent of achildwhohasafractureof theepiphyseal plate.Whichof thefollowingis anappropriatestatement by thenurse? A. “The bloodsupplytotheboneisdisrupted.” Rationale: Childrenhealfracturesinlesstimethanadultsbecauseofthegenerousbloodsupplytothebone andtheepiphyseal plate. B. “Normal bonegrowthcanbeaffected.” Rationale:Afractureof theepiphysealplatecanaffectgrowthinachild.Therefore,itneedstobedetected and treated rapidly. page 1 of 18 C. “Bone marrowcanbelost thoughthefracture.” Rationale: Theepiphysealplateisthecartilagegrowthplate.Therefore,bonemarrowisnotlostthroughthis type of fracture. D. “The healingprocesswilltakelonger.” Rationale: Childrenhealfracturesinlesstimethanadultsbecauseofthegenerousbloodsupplytothebone andtheepiphyseal plate. page 2 of 18 3. Anurseisplanningtospeaktoagroupofadolescentsabouttoxicshocksyndrome(TSS).ThenurseknowsthatTSSis commonlyassociatedwith whichofthefollowing? A. High-absorbencytampons Rationale: Toxicshocksyndrome,aseverediseasecausedbyatoxinmadebyStaphylococcusaureus,is characterizedby shock and multipleorgan dysfunction. Itmost oftenaffectsmenstruating womenwhousehighlyabsorbenttampons. B. Mosquitobites Rationale: MosquitobitesarenotassociatedwithTSS. C. Internationaltravel Rationale: International travel isnotassociatedwithTSS. D. Multiplesexual partners Rationale: TSSisnotassociatedwithmultiplesexualpartners. 4. Anurseiscollecting datafromaninfant.Whichof thefollowingisaclinical manifestation of pyloric stenosis? A. Absentbowel sounds Rationale: Visiblegastricperistalticwavesmovingfromthelefttotherightareaclinicalmanifestationof pyloric stenosis. B. Increasedsodiumlevel Rationale:Vomitingcausesadepletionoffluidandelectrolytes, thereforeadecreaseinserumsodiumlevels isaclinicalmanifestation of pyloricstenosis. C. Projectilevomitingafterfeedings Rationale:Pyloricstenosisisanarrowingandthickeningof thepyloriccanalbetweenthestomachandthe duodenumresultingin projectilevomiting. D. Golf ball-sizedmassovertheleftquadrant Rationale: Anolive-shapedmassispalpableright of theumbilicusisaclinical manifestationofpyloric steno