{NGN}ATI PEDIATRIC EXAM TEST BANK EVERYTHING ON ATI PEDIATRICS INCLUDING NCLEX QUESTIONS AND CORRECT ANSWERS (BEST DOCUMENT FOR ATI PEDS)GRADEd A+

page 1 of 18 {NGN }ATI PEDIATRIC EXAM TEST BANK 20 19-2023 EVERYTHING ON ATI PEDIATRICS INCLUDING NCLEX QUESTIONS AND CORRECT ANSWERS (BEST DOCUMENT FOR ATI PEDS) GRADE d 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 infant with 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. Negati ve Crawl 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. 2. A nurse is reinforcing teaching a parent of a chil d who has a fracture of the epiphyseal plate. Which of the following 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 blood supply 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 to be detected and treated rapidly. page 2 of 18 C. “Bone marrow can be lost though the fract ure.” Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost 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 blood supply 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 knows that 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. It most often affects menstruating women who use highly absorbent tampons. B. Mosquito bites Rationa le: 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 clinical manifestation of pyloric stenosis. B. Increased sodium level Rationale: Vomiting causes a depletion of fluid and electrolytes, therefore a decrease in serum sodium levels is a clinical manifestation of pyloric stenosis. C. Projectile vomiting after feedings Rationale: Pyloric stenosis is a narrowing and thickenin g of the pyloric canal between the stomach 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 of pyloric stenosi s. page 4 of 18 5. A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an appropriate action for the nurse to take? A. Administer opioids on a schedule. Rationale: NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an appropriate action for the nurse to take. B. Schedule prolonged periods of complete joint immobilization daily. Rationale: Physical mobility will assist in preserving function and maintaining mobility. Therefore, prolonged periods of complete joint immobilization is not an appropriate action for the nurse to take. C. Apply cool compresses for 20 minutes every hour. Rationale: Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20 minutes every hour is not an appropriate action for the nurse to take. D. Maintain night splints to the affected joint. Rationale: Maintaining night splints to the affected joints will assist in range of motion. Therefore, this is an appropriate action for the nurse to take.