PEDIATRIC EXAM TEST BANK 2022-2023 EVERYTHING ON ATI
PEDIATRICS INCLUDING NCLEX QUESTIONS AND CORRECT
ANSWERS GRADED A+
1. Anurseis collecting data
... [Show More] 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.
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C. “Bone marrowcanbelost thoughthefracture.”
Rationale: Theepiphysealplateisthecartilagegrowthplate.Therefore,bonemarrowisnotlostthroughthis type of fracture.
D. “The healingprocesswilltakelonger.”
Rationale: Childrenhealfracturesinlesstimethanadultsbecauseofthegenerousbloodsupplytothebone andtheepiphyseal plate.
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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 duodenumresultin [Show Less]