ATI PEDIATRICS CMS 2025 AND 2024,2023 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 an infant who develops respiratory distress, absence of breath sounds on one side,
and deviation of the trachea away from the affected side. Based on these manifestations, which of the
following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib - CORRECT ANSWERS-Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant is developing a tension
pneumothorax. The infant might also become cyanotic and show asymmetry of the thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward during inspiration and
outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia, tachypnea, and
blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma, swelling, and
muscle spasms.
TSH Range: - CORRECT ANSWERS-(0.5-5.0 µU/mL
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the
nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing - CORRECT ANSWERS-Correct Answer: A. Koplik spots
,Koplik spots are small, irregular oral lesions with a bluish-white center. They are characteristic of measles
(rubeola). Koplik spots appear about 2 days before the maculopapular rash and are accompanied by
fevers, malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has MUMPS.
C. Strawberry tongue is an expected finding in a child who has SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has PERTUSSIS
Nevus simplex or Stork bite - CORRECT ANSWERS-Discoloration that typically blanches with
pressure and becomes more prominent with crying. This finding does not require notification of the
provider.
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse
expect?
A. Generalized petechiae
B. Jaundice
C. Obesity
D. Chronic diarrhea - CORRECT ANSWERS-D. Small bowel bacterial overgrowth is possible in
people with HIV. Intestinal problems may make a person with HIV more likely to have an overgrowth of
bacteria. This may lead to diarrhea and other digestive issues
Incorrect Answers:
A. Generalized petechiae are not a manifestation of HIV in a preschooler.
B. Jaundice is not a manifestation of HIV in a preschooler.
C. Failure to thrive and weight loss are expected findings for a preschooler who has HIV.
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should
the nurse expect?
A. Diastolic murmur
B. Murmur at the left sternal border
C. Cyanosis that increases with crying
D. Widened pulse pressure - CORRECT ANSWERS-Correct Answer: B. Murmur at the left
sternal border
, A ventricular septal defect (a hole in the septal wall between the ventricles) is an acyanotic heart defect.
A systolic murmur can be heard best at the lower left sternal border. The sound is transmitted in the
direction of blood flow, so any backflow of blood from the left to the right ventricle through the septal
defect is best heard in this area.
Incorrect Answers:
A. A diastolic murmur is an expected finding in a child who has an ATRIAL SEPTAL DEFECT.
C. Cyanosis that increases with crying is an expected finding in a child who has an AV CANAL DEFECT.
D. Widened pulse pressure is an expected finding in a child who has PDA
A nurse is preparing to administer an enema to a 10-month-old infant. Which of the following actions
should the nurse plan to take?
A. Administer the enema using room-temperature tap water
B. Insert the tubing 7.5 cm (3 in) into the rectum
C. Position the infant sitting upright on a bedpan while administering the enema
D. Hold the infant's buttocks together after administering the fluid Check Answer - CORRECT
ANSWERS-Correct Answer: D. Hold the infant's buttocks together after administering the fluid
Because the infant is incontinent, the nurse should hold the buttocks together for a short time to
maintain retention of the enema.
Incorrect Answers:
A. Tap water is hypotonic and can cause a rapid fluid shift and fluid overload. An isotonic solution of 0.9%
sodium chloride should be used.
B. For an infant, the tubing should be inserted 2.5 cm (1 in) into the rectum for the administration of the
enema.
C. The infant should be placed in a supine position with the buttocks over a bedpan and the head and
back supported by pillows.
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the
following statements should the nurse make?
A. "I will give you an antibiotic before your procedure."
B. "I will place you on your side during the procedure."
C. "You might have a headache following the procedure."
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 an infant who develops respiratory distress, absence of breath sounds on one side,
and deviation of the trachea away from the affected side. Based on these manifestations, which of the
following conditions is the infant experiencing?
A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib - CORRECT ANSWERS-Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant is developing a tension
pneumothorax. The infant might also become cyanotic and show asymmetry of the thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward during inspiration and
outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia, tachypnea, and
blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma, swelling, and
muscle spasms.
TSH Range: - CORRECT ANSWERS-(0.5-5.0 µU/mL
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the
nurse expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing - CORRECT ANSWERS-Correct Answer: A. Koplik spots
,Koplik spots are small, irregular oral lesions with a bluish-white center. They are characteristic of measles
(rubeola). Koplik spots appear about 2 days before the maculopapular rash and are accompanied by
fevers, malaise, conjunctivitis, and other cold manifestations.
Incorrect Answers:
B. Swollen parotid glands are an expected finding in a child who has MUMPS.
C. Strawberry tongue is an expected finding in a child who has SCARLET FEVER.
D. Paroxysmal coughing is an expected finding in a child who has PERTUSSIS
Nevus simplex or Stork bite - CORRECT ANSWERS-Discoloration that typically blanches with
pressure and becomes more prominent with crying. This finding does not require notification of the
provider.
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse
expect?
A. Generalized petechiae
B. Jaundice
C. Obesity
D. Chronic diarrhea - CORRECT ANSWERS-D. Small bowel bacterial overgrowth is possible in
people with HIV. Intestinal problems may make a person with HIV more likely to have an overgrowth of
bacteria. This may lead to diarrhea and other digestive issues
Incorrect Answers:
A. Generalized petechiae are not a manifestation of HIV in a preschooler.
B. Jaundice is not a manifestation of HIV in a preschooler.
C. Failure to thrive and weight loss are expected findings for a preschooler who has HIV.
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should
the nurse expect?
A. Diastolic murmur
B. Murmur at the left sternal border
C. Cyanosis that increases with crying
D. Widened pulse pressure - CORRECT ANSWERS-Correct Answer: B. Murmur at the left
sternal border
, A ventricular septal defect (a hole in the septal wall between the ventricles) is an acyanotic heart defect.
A systolic murmur can be heard best at the lower left sternal border. The sound is transmitted in the
direction of blood flow, so any backflow of blood from the left to the right ventricle through the septal
defect is best heard in this area.
Incorrect Answers:
A. A diastolic murmur is an expected finding in a child who has an ATRIAL SEPTAL DEFECT.
C. Cyanosis that increases with crying is an expected finding in a child who has an AV CANAL DEFECT.
D. Widened pulse pressure is an expected finding in a child who has PDA
A nurse is preparing to administer an enema to a 10-month-old infant. Which of the following actions
should the nurse plan to take?
A. Administer the enema using room-temperature tap water
B. Insert the tubing 7.5 cm (3 in) into the rectum
C. Position the infant sitting upright on a bedpan while administering the enema
D. Hold the infant's buttocks together after administering the fluid Check Answer - CORRECT
ANSWERS-Correct Answer: D. Hold the infant's buttocks together after administering the fluid
Because the infant is incontinent, the nurse should hold the buttocks together for a short time to
maintain retention of the enema.
Incorrect Answers:
A. Tap water is hypotonic and can cause a rapid fluid shift and fluid overload. An isotonic solution of 0.9%
sodium chloride should be used.
B. For an infant, the tubing should be inserted 2.5 cm (1 in) into the rectum for the administration of the
enema.
C. The infant should be placed in a supine position with the buttocks over a bedpan and the head and
back supported by pillows.
A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the
following statements should the nurse make?
A. "I will give you an antibiotic before your procedure."
B. "I will place you on your side during the procedure."
C. "You might have a headache following the procedure."
