{NGN}ATI PEDIATRIC EXAM TEST BANK

{NGN}ATI PEDIATRIC EXAM TEST BANK EVERYTHING ON ATI PEDIATRICS INCLUDING NCLEX QUESTIONS AND CORRECT ANSWERS (BEST DOCUMENT FOR ATI PEDS)GRADEd A+ 1. A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention? A. Positive Babinski reflex Rationale: The Babinski reflex disappears after 1 year of age. Therefore, a 9-month-old infantwith a positive Babinski reflex is a finding that does not require further intervention. B. Positive Moro 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 C. Negative Doll’s eye 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. D. Negative Crawl reflex Rationale: A negative Crawl reflex disappears after 6 months of age. Therefore, a 9-month-oldinfant with a negative Crawl reflex is a finding that does not require further intervention. 2. A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of thefollowing is an appropriate statement by the nurse? A. “The blood supply to the bone is disrupted.” Rationale: Children heal fractures in less time than adults because of the generous bloodsupply to the bone and the epiphyseal plate. B. “Normal bone growth can be affected.” Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs tobe detected and treated rapidly. page 2 of 18 C. “Bone marrow can be lost though the fracture.” Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is notlost through this type of fracture. D. “The healing process will take longer.” Rationale: Children heal fractures in less time than adults because of the generous bloodsupply to the bone and the epiphyseal plate. page 3 of 18 3. A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse knowsthat TSS is commonly associated with which of the following? A. High-absorbency tampons Rationale: Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is characterized by shock and multiple organ dysfunction. Itmost often affects menstruating women who use highly absorbent tampons. B. Mosquito bites Rationale: Mosquito bites are not associated with TSS. C. International travel Rationale: International travel is not associated with TSS. D. Multiple sexual partners Rationale: TSS is not associated with multiple sexual partners. 4. A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis? A. Absent bowel sounds Rationale: Visible gastric peristaltic waves moving from the left to the right are a clinicalmanifestation of pyloric stenosis. B. Increased sodium level Rationale: Vomiting causes a depletion of fluid and electrolytes, therefore a decrease in serumsodium levels is a clinical manifestation of pyloric stenosis. C. Projectile vomiting after feedings Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between thestomach and the duodenum resulting in projectile vomiting. D. Golf ball-sized mass over the left quadrant Rationale: An olive-shaped mass is palpable right of the umbilicus is a clinical manifestation ofpyloric stenosis