PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll’s eye reflex
D. Negative Crawl 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
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?
A. “The blood supply to the bone is disrupted.”
B. “Normal bone growth can be affected.”
C. “Bone marrow can be lost though the fracture.”
D. “The healing process will take longer.”
Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly.
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
,PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
B. Mosquito bites
C. International travel
D. Multiple sexual partners
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 nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
A. Absent bowel sounds
B. Increased sodium level
C. Projectile vomiting after feedings
D. Golf ball-sized mass over the left quadrant
Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum resulting in projectile vomiting.
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.
B. Schedule prolonged periods of complete joint immobilization daily.
C. Apply cool compresses for 20 minutes every hour.
,PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
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. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
A. Symptoms are continuous throughout the day.
B. Daytime symptoms occur more than twice a week.
C. Nighttime symptoms occur approximately twice a month.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
Rationale: Symptoms are continuous throughout the day is incorrect. Continual asthma symptoms throughout the day are seen with severe persistent asthma. Daytime
symptoms occur more than twice a week is correct. A child with mild persistent asthma will typically have daytime symptoms more than twice a week, but not daily.
Nighttime symptoms occur approximately twice a month is incorrect. Nighttime symptoms occurring approximately twice a month are seen with intermittent asthma.
Minor limitations occur with normal activity is correct. A child with mild persistent asthma will have some minor limitations with normal daily activities. Peak expiratory
flow (PEF) is greater than or equal to 80% of the predicted value is correct. A child with mild persistent asthma will have a PEF greater than or equal to 80% of the
predicted value.
A nurse working in a pediatric clinic is collecting data on a preschool-age child who has a rash on his arm. The mother reports that the child was recently exposed to
impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
, PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
A. Scaling patches that are clear in the center.
B. Honey-colored crusts caused by dried exudate.
C. Firm papules with a roughened, finely papillomatous texture.
D. Lines of small blisters surrounding one large blister.
Rationale: This finding is associated with impetigo contagiosa. Honey-colored crusts develop when vesicles rupture and the exudate dries.
During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty getting a preschool-age child to go to bed. Which of the
following statements indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?
A. "I will allow my child to cry himself to sleep each night.”
B. "I will let my child fall asleep with me, and then move him to his own bed.”
C. "I will make sure the room is dark when placing my child in bed.”
D. "I will encourage my child to fall sleep with his favorite toy.”
Rationale: Transitional objects, such as a blanket or toy, will provide a sense of comfort and allow the child to fall asleep more quickly.
A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should concern the nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
UPDATE
A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll’s eye reflex
D. Negative Crawl 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
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?
A. “The blood supply to the bone is disrupted.”
B. “Normal bone growth can be affected.”
C. “Bone marrow can be lost though the fracture.”
D. “The healing process will take longer.”
Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly.
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
,PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
B. Mosquito bites
C. International travel
D. Multiple sexual partners
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 nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
A. Absent bowel sounds
B. Increased sodium level
C. Projectile vomiting after feedings
D. Golf ball-sized mass over the left quadrant
Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum resulting in projectile vomiting.
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.
B. Schedule prolonged periods of complete joint immobilization daily.
C. Apply cool compresses for 20 minutes every hour.
,PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
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. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
A. Symptoms are continuous throughout the day.
B. Daytime symptoms occur more than twice a week.
C. Nighttime symptoms occur approximately twice a month.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
Rationale: Symptoms are continuous throughout the day is incorrect. Continual asthma symptoms throughout the day are seen with severe persistent asthma. Daytime
symptoms occur more than twice a week is correct. A child with mild persistent asthma will typically have daytime symptoms more than twice a week, but not daily.
Nighttime symptoms occur approximately twice a month is incorrect. Nighttime symptoms occurring approximately twice a month are seen with intermittent asthma.
Minor limitations occur with normal activity is correct. A child with mild persistent asthma will have some minor limitations with normal daily activities. Peak expiratory
flow (PEF) is greater than or equal to 80% of the predicted value is correct. A child with mild persistent asthma will have a PEF greater than or equal to 80% of the
predicted value.
A nurse working in a pediatric clinic is collecting data on a preschool-age child who has a rash on his arm. The mother reports that the child was recently exposed to
impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
, PED 330 ATI EXAM QUESTIONS WITH COMPLETE SOLUTIONS PLUS RATIONALE 2023
UPDATE
A. Scaling patches that are clear in the center.
B. Honey-colored crusts caused by dried exudate.
C. Firm papules with a roughened, finely papillomatous texture.
D. Lines of small blisters surrounding one large blister.
Rationale: This finding is associated with impetigo contagiosa. Honey-colored crusts develop when vesicles rupture and the exudate dries.
During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty getting a preschool-age child to go to bed. Which of the
following statements indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?
A. "I will allow my child to cry himself to sleep each night.”
B. "I will let my child fall asleep with me, and then move him to his own bed.”
C. "I will make sure the room is dark when placing my child in bed.”
D. "I will encourage my child to fall sleep with his favorite toy.”
Rationale: Transitional objects, such as a blanket or toy, will provide a sense of comfort and allow the child to fall asleep more quickly.
A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should concern the nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
