1|Page
ATI PEDIATRIC EXAM TEST BANK LATEST VERSION
2025/ 2026 (EVERYTHING YOU NEED ON ATI
PEDIATRIC) COMPLETE ALL 400 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
102 Transdermal fentanyl (Duragesic) is being used for an
adolescent with cancer who is in hospice care. The
adolescent has been comfortable for several hours but
now complains of severe pain. The most appropriate
nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR)
intravenously (IV).
C. Use a nonpharmacologic strategy.
D. Place another fentanyl patch on the adolescent. -
ANSWER-Administer morphine sulfate immediate release
(MSIR) intravenously (IV)
103 The nurse is caring postoperatively for an 8-year-old
child with multiple fractures and other trauma resulting
from a motor vehicle injury. The child is experiencing
severe pain. An important consideration in managing the
child's pain is to:
,2|Page
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is
adequately sedated.
C. Plan a preventive schedule of pain medication around
the clock.
D. Give the child a clock and explain when he or she can
have pain medications. - ANSWER-Plan a preventive
schedule of pain medication around the clock
104 Kyle, age 6 months, is brought to the clinic. His parent
says, "I think he hurts. He cries and rolls his head from
side to side a lot." This most likely suggests which feature
of pain?
a. Type
b. Severity
c. Duration
d. Location - ANSWER-Location
The child is displaying a local sign of pain. Rolling the
head from side to side and pulling at ears indicate pain in
the ear. The child's behavior indicates the location of the
pain. The behavior does not provide information about the
type, severity, or duration.
,3|Page
105 Physiologic measurements in children's pain
assessment are:
a. The best indicator of pain in children of all ages.
b. Essential to determine whether a child is telling the truth
about pain.
c. Of most value when children also report having pain.
d. Of limited value as sole indicator of pain. - ANSWER-Of
limited value as sole indicator of pain
Physiologic manifestations of pain may vary considerably,
not providing a consistent measure of pain. Heart rate may
increase or decrease. The same signs that may suggest
fear, anxiety, or anger also indicate pain. In chronic pain
the body adapts, and these signs decrease or stabilize.
These are of limited value and must be viewed in the
context of a pain-rating scale, behavioral assessment, and
parental report. When the child states that pain exists, it
does. That is the truth.
106 Nonpharmacologic strategies for pain management:
a. May reduce pain perception.
b. Make pharmacologic strategies unnecessary.
, 4|Page
c. Usually take too long to implement.
d. Trick children into believing they do not have pain. -
ANSWER-May reduce pain perception
Nonpharmacologic techniques provide coping strategies
that may help reduce pain perception, make the pain more
tolerable, decrease anxiety, and enhance the effectiveness
of analgesics. Nonpharmacologic techniques should be
learned before the pain occurs. With severe pain it is best
to use both pharmacologic and nonpharmacologic
measures for pain control. The nonpharmacologic strategy
should be matched with the child's pain severity and
taught to the child before the onset of the painful
experience. Some of the techniques may facilitate the
child's experience with mild pain, but the child will still
know that discomfort is present.
107 Which drug is usually the best choice for patient-
controlled analgesia (PCA) for a child in the immediate
postoperative period?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine - ANSWER-Morphine
ATI PEDIATRIC EXAM TEST BANK LATEST VERSION
2025/ 2026 (EVERYTHING YOU NEED ON ATI
PEDIATRIC) COMPLETE ALL 400 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
102 Transdermal fentanyl (Duragesic) is being used for an
adolescent with cancer who is in hospice care. The
adolescent has been comfortable for several hours but
now complains of severe pain. The most appropriate
nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR)
intravenously (IV).
C. Use a nonpharmacologic strategy.
D. Place another fentanyl patch on the adolescent. -
ANSWER-Administer morphine sulfate immediate release
(MSIR) intravenously (IV)
103 The nurse is caring postoperatively for an 8-year-old
child with multiple fractures and other trauma resulting
from a motor vehicle injury. The child is experiencing
severe pain. An important consideration in managing the
child's pain is to:
,2|Page
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is
adequately sedated.
C. Plan a preventive schedule of pain medication around
the clock.
D. Give the child a clock and explain when he or she can
have pain medications. - ANSWER-Plan a preventive
schedule of pain medication around the clock
104 Kyle, age 6 months, is brought to the clinic. His parent
says, "I think he hurts. He cries and rolls his head from
side to side a lot." This most likely suggests which feature
of pain?
a. Type
b. Severity
c. Duration
d. Location - ANSWER-Location
The child is displaying a local sign of pain. Rolling the
head from side to side and pulling at ears indicate pain in
the ear. The child's behavior indicates the location of the
pain. The behavior does not provide information about the
type, severity, or duration.
,3|Page
105 Physiologic measurements in children's pain
assessment are:
a. The best indicator of pain in children of all ages.
b. Essential to determine whether a child is telling the truth
about pain.
c. Of most value when children also report having pain.
d. Of limited value as sole indicator of pain. - ANSWER-Of
limited value as sole indicator of pain
Physiologic manifestations of pain may vary considerably,
not providing a consistent measure of pain. Heart rate may
increase or decrease. The same signs that may suggest
fear, anxiety, or anger also indicate pain. In chronic pain
the body adapts, and these signs decrease or stabilize.
These are of limited value and must be viewed in the
context of a pain-rating scale, behavioral assessment, and
parental report. When the child states that pain exists, it
does. That is the truth.
106 Nonpharmacologic strategies for pain management:
a. May reduce pain perception.
b. Make pharmacologic strategies unnecessary.
, 4|Page
c. Usually take too long to implement.
d. Trick children into believing they do not have pain. -
ANSWER-May reduce pain perception
Nonpharmacologic techniques provide coping strategies
that may help reduce pain perception, make the pain more
tolerable, decrease anxiety, and enhance the effectiveness
of analgesics. Nonpharmacologic techniques should be
learned before the pain occurs. With severe pain it is best
to use both pharmacologic and nonpharmacologic
measures for pain control. The nonpharmacologic strategy
should be matched with the child's pain severity and
taught to the child before the onset of the painful
experience. Some of the techniques may facilitate the
child's experience with mild pain, but the child will still
know that discomfort is present.
107 Which drug is usually the best choice for patient-
controlled analgesia (PCA) for a child in the immediate
postoperative period?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine - ANSWER-Morphine
