ATI PEDIATRICS CMS 2023 AND 2019 TEST
BANK/PEDS CMS CONTAINS 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED
A+||COMPREHENSIVE DOCUMENT FOR PEDS
CMS||BRAND NEW!!!
A nurse is assessing the pain level of a 3 year old toddler. Which of
the following assessment scales should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - ANSWER>>> A. FACES
The nurse should use the FACES pain rating scale for pediatric clients
who are 3 years old and older. this scale allows the toddler to point to
the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following
instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am
and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun
exposure."
D. "reapply sunscreen every 4 hours." - ANSWER>>> B. "choose a
waterproof sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen
with a minimum SPF of 15 for children. the parents should apply the
sunscreen prior to sun exposure to reduce the risk of sunburn.
,A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than
alone
D. an 8 month old infant who is not yet making babbling sounds -
ANSWER>>> D. An 8-month-old who is not yet making babbling
sounds.
The nurse should refer an infant who is not making babbling sounds
by the age of 7 mo to a provider for amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old
infant who has rotavirus and is experiencing acute vomiting and
diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe
dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - ANSWER>>> C. sunken anterior
fontanel
The nurse should recognize that a sunken anterior fontanel is an
indication of moderate to severe dehydration due to the acute loss of
fluid.
A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthrisis. Which of the following instructions
should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
,D. "schedule a 2 hour daily nap for the child in the afternoon." -
ANSWER>>> B. "encourage the child to perform independent self-
care."
The nurse should teach the family the importance of encouraging the
child to perform independent self-care. This will minimize the child's
pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions
should the nurse include in the plan?
A. use sterile scissors to remove the dressing from the site
B. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
C. access the site suing a noncoring angle needle
D. use a semipermeable transparent depressing to cover the site -
ANSWER>>> D. use a semipermeable transparent depressing to
cover the site
The nurse should cover the site with a semipermeable transparent
dressing to reduce the risk of infection.
A nurse is providing anticipatory guidance to the parent of a toddler.
Which of the following expected behavior characteristics of toddlers
should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. easily separates from parents for long periods of time
D. expresses likes and dislikes - ANSWER>>> D. expresses likes and
dislikes
This is the time in life when a toddler is developing autonomy and self-
concept. they will try to assert themselves and frequently refuse to
comply. the parent should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to
control their actions.
, A nurse is providing discharge teaching to the parent of a school age
child who has moderate persistent asthma. Which of the following
instructions should the nurse include?
A. "you should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
B. "you should monitor your child's weight weekly while they are
receiving inhaled corticosteroids therapy."
C. "pulmonary function tests will be performed every 12-24 months to
evaluate how your child is responding to therapy."
D. "when using the peak expiratory flow meter, record your child's
average of three readings." - ANSWER>>> C. "pulmonary function
tests will be performed every 12-24 months to evaluate how your child
is responding to therapy."
AThe nurse should include this to evaluate the presence of lung
disease and how the child is responding to the current treatment
regimen. as children grow, sometimes their manifestations can
improve or decline, and treatment needs to change accordingly.
A nurse is assessing an adolescent who received a sodium
polystyrene sulfonate enema. Which of the following findings indicates
effectiveness of the medication?
A. reports an absence of nausea and vomiting
B. reports experiencing an onset of loose stools within 15 minutes of
administration
C. serum potassium level 4.1 mEq/L
D. blood pressure 86/52 mm Hg - ANSWER>>> C. serum potassium
level 4.1 mEq/L
The nurse should monitor the serum potassium (K) level following the
administration of sodium polystyrene sulfonate. this med is used to
treat hyperkalemia by exchanging sodium ions for K ions in the
intestine. therefore, a K level w/in the expected reference range of 3.4-
4.7 indicates the effectiveness of the med
BANK/PEDS CMS CONTAINS 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED
A+||COMPREHENSIVE DOCUMENT FOR PEDS
CMS||BRAND NEW!!!
A nurse is assessing the pain level of a 3 year old toddler. Which of
the following assessment scales should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - ANSWER>>> A. FACES
The nurse should use the FACES pain rating scale for pediatric clients
who are 3 years old and older. this scale allows the toddler to point to
the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following
instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am
and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun
exposure."
D. "reapply sunscreen every 4 hours." - ANSWER>>> B. "choose a
waterproof sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen
with a minimum SPF of 15 for children. the parents should apply the
sunscreen prior to sun exposure to reduce the risk of sunburn.
,A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than
alone
D. an 8 month old infant who is not yet making babbling sounds -
ANSWER>>> D. An 8-month-old who is not yet making babbling
sounds.
The nurse should refer an infant who is not making babbling sounds
by the age of 7 mo to a provider for amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old
infant who has rotavirus and is experiencing acute vomiting and
diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe
dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - ANSWER>>> C. sunken anterior
fontanel
The nurse should recognize that a sunken anterior fontanel is an
indication of moderate to severe dehydration due to the acute loss of
fluid.
A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthrisis. Which of the following instructions
should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
,D. "schedule a 2 hour daily nap for the child in the afternoon." -
ANSWER>>> B. "encourage the child to perform independent self-
care."
The nurse should teach the family the importance of encouraging the
child to perform independent self-care. This will minimize the child's
pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions
should the nurse include in the plan?
A. use sterile scissors to remove the dressing from the site
B. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
C. access the site suing a noncoring angle needle
D. use a semipermeable transparent depressing to cover the site -
ANSWER>>> D. use a semipermeable transparent depressing to
cover the site
The nurse should cover the site with a semipermeable transparent
dressing to reduce the risk of infection.
A nurse is providing anticipatory guidance to the parent of a toddler.
Which of the following expected behavior characteristics of toddlers
should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. easily separates from parents for long periods of time
D. expresses likes and dislikes - ANSWER>>> D. expresses likes and
dislikes
This is the time in life when a toddler is developing autonomy and self-
concept. they will try to assert themselves and frequently refuse to
comply. the parent should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to
control their actions.
, A nurse is providing discharge teaching to the parent of a school age
child who has moderate persistent asthma. Which of the following
instructions should the nurse include?
A. "you should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
B. "you should monitor your child's weight weekly while they are
receiving inhaled corticosteroids therapy."
C. "pulmonary function tests will be performed every 12-24 months to
evaluate how your child is responding to therapy."
D. "when using the peak expiratory flow meter, record your child's
average of three readings." - ANSWER>>> C. "pulmonary function
tests will be performed every 12-24 months to evaluate how your child
is responding to therapy."
AThe nurse should include this to evaluate the presence of lung
disease and how the child is responding to the current treatment
regimen. as children grow, sometimes their manifestations can
improve or decline, and treatment needs to change accordingly.
A nurse is assessing an adolescent who received a sodium
polystyrene sulfonate enema. Which of the following findings indicates
effectiveness of the medication?
A. reports an absence of nausea and vomiting
B. reports experiencing an onset of loose stools within 15 minutes of
administration
C. serum potassium level 4.1 mEq/L
D. blood pressure 86/52 mm Hg - ANSWER>>> C. serum potassium
level 4.1 mEq/L
The nurse should monitor the serum potassium (K) level following the
administration of sodium polystyrene sulfonate. this med is used to
treat hyperkalemia by exchanging sodium ions for K ions in the
intestine. therefore, a K level w/in the expected reference range of 3.4-
4.7 indicates the effectiveness of the med
