ATI PEDIATRICS CMS 2024 AND 2023 TEST BANK/PEDS CMS CONTAIN
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
1 A nurse is teaching an adolescent client who has type 1 diabetes mellitus
about managing hypoglycemia. Which of the following statements should the
nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypo-
glycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia.": Correct
Answer: B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
The nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if
hypoglycemia occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if
hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia
occurs
2. A nurse is assessing a 6-year-old client at a well-child visit. Which of the
following findings requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor: Correct Answer: A. Presence of sparse,
fine pubic hair
The development of sexual characteristics prior to the age of 9 years in boys and 8
years in girls is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to
full height due to skeletal lengthening.
, ATI PEDIATRICS CMS 2024 AND 2023 TEST BANK/PEDS CMS CONTAIN
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
C. Body proportion varies with a slimmer appearance and longer legs in a school-
age child. Leg length increases and waist circumference decreases related to height
in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower
central incisors
3. RBC Range:: Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
4 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 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,
tachy-cardia, tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of
trauma, swelling, and muscle spasms.
5. TSH Range:: (0.5-5.0 µU/mL
6. A nurse is assessing a toddler who has measles (rubeola). Which of the
following findings should the nurse expect?
, ATI PEDIATRICS CMS 2024 AND 2023 TEST BANK/PEDS CMS CONTAIN
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing: 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
7. Nevus simplex or Stork bite: Discoloration that typically blanches with pressure
and becomes more prominent with crying. This finding does not require notification
of the provider.
8 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: 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.
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
1 A nurse is teaching an adolescent client who has type 1 diabetes mellitus
about managing hypoglycemia. Which of the following statements should the
nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypo-
glycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia.": Correct
Answer: B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
The nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if
hypoglycemia occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if
hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia
occurs
2. A nurse is assessing a 6-year-old client at a well-child visit. Which of the
following findings requires further assessment by the nurse?
A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor: Correct Answer: A. Presence of sparse,
fine pubic hair
The development of sexual characteristics prior to the age of 9 years in boys and 8
years in girls is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to
full height due to skeletal lengthening.
, ATI PEDIATRICS CMS 2024 AND 2023 TEST BANK/PEDS CMS CONTAIN
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
C. Body proportion varies with a slimmer appearance and longer legs in a school-
age child. Leg length increases and waist circumference decreases related to height
in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower
central incisors
3. RBC Range:: Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
4 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 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,
tachy-cardia, tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of
trauma, swelling, and muscle spasms.
5. TSH Range:: (0.5-5.0 µU/mL
6. A nurse is assessing a toddler who has measles (rubeola). Which of the
following findings should the nurse expect?
, ATI PEDIATRICS CMS 2024 AND 2023 TEST BANK/PEDS CMS CONTAIN
5
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED
.
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal coughing: 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
7. Nevus simplex or Stork bite: Discoloration that typically blanches with pressure
and becomes more prominent with crying. This finding does not require notification
of the provider.
8 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: 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.
