ATI CAPSTONE PEDIATRICS FINAL PAPER 2026
ACTUAL EXAM
◉ Solids introduced. Answer: 4-6 months
◉ How long for foods to be introduced one at a time. Answer: 5-7
days
◉ Indicators for readiness of solid foods. Answer: Voluntary control
of head and trunk, hunger less than four hours after nursing, or
intake of 8 oz of formula
◉ Foods to be avoided. Answer: Milk, eggs, wheat, citrus fruits,
peanuts, pbutter, honey
◉ Piaget-birth to 1 yr. Answer: Sensorimotor
◉ Piaget 1-3yrs. Answer: Preoperational
◉ Erickson 1-3 yrs. Answer: Autonomy versus shame and doubt
◉ Erickson 3-6 years. Answer: Initiative vs guilt
,◉ Piaget 2-4 years. Answer: Preconceptial thought
◉ Piaget 4-7 years. Answer: Intuitive thought
◉ Piaget 6-12year. Answer: Concrete operations
◉ Erickson 6-12 years. Answer: Industry vs inferiority
◉ Piaget 12-20 years. Answer: Formal operations
◉ Erickson 12-20 years. Answer: Identity vs role confusion
◉ CRIES scale. Answer: Based on pain 32 wks of gestation to 20 wks
of life
◉ FLACC scale. Answer: Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
◉ FACES scale. Answer: Faces to deem pain level 3 yrs or older
,◉ Visual analog scale. Answer: Child points to number 7 yrs and
older
◉ Meningitis. Answer: Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/
infection. Remain in bed 4-8hrs after. Droplet precautions.decrease
environment stimuli.position w/o pillow. May prefer side lying
position.monitor head size
◉ Reyes syndrome. Answer: Testing to seperate from other disease.
Sx- hypoglycemia, liver dysfunction, shock, cerebral edema. R/t
recent viral illness and aspirin use. Five stages.liver biopsy possible.
Lp used to RO meningitis.
◉ Tonic phase. Answer: Stiffening of muscles
◉ Clinic. Answer: Rhythmic jerking
◉ EEG specs. Answer: Abstain for caffeine.wash hair before and
after. Not be painful. Flashing lights possibly
◉ Seizure safety. Answer: Safety.. Airway...suction oral
secretions..turn on side post seiz...side lying.. Check vital signs ..
Assess for injuries ..allow rest
, ◉ Aed. Answer: Valium phenytoin tegretol depakote cerebryx
◉ Brudzinski. Answer: Flexion of extremities including neck
◉ Kernigs. Answer: Resistance to extension of the child's leg from
flexed
◉ Cushing reflex. Answer: Severe hypertension, widening pulse
pressure, bradycardia
◉ Decorticate. Answer: Arms, wrists, fingers flexed....bent inward to
chest
◉ Decerebrate. Answer: Arching of head and arms with legs
extended, toes pointing downward
◉ some head injury signs. Answer: decreasing loc, dilated & fixed o/
slow to react o/ nonreactive pupils, weird breathing
◉ Conductive hearing loss. Answer: otitis media, external ear
infection, foreign bodies, excessive ear wax
ACTUAL EXAM
◉ Solids introduced. Answer: 4-6 months
◉ How long for foods to be introduced one at a time. Answer: 5-7
days
◉ Indicators for readiness of solid foods. Answer: Voluntary control
of head and trunk, hunger less than four hours after nursing, or
intake of 8 oz of formula
◉ Foods to be avoided. Answer: Milk, eggs, wheat, citrus fruits,
peanuts, pbutter, honey
◉ Piaget-birth to 1 yr. Answer: Sensorimotor
◉ Piaget 1-3yrs. Answer: Preoperational
◉ Erickson 1-3 yrs. Answer: Autonomy versus shame and doubt
◉ Erickson 3-6 years. Answer: Initiative vs guilt
,◉ Piaget 2-4 years. Answer: Preconceptial thought
◉ Piaget 4-7 years. Answer: Intuitive thought
◉ Piaget 6-12year. Answer: Concrete operations
◉ Erickson 6-12 years. Answer: Industry vs inferiority
◉ Piaget 12-20 years. Answer: Formal operations
◉ Erickson 12-20 years. Answer: Identity vs role confusion
◉ CRIES scale. Answer: Based on pain 32 wks of gestation to 20 wks
of life
◉ FLACC scale. Answer: Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
◉ FACES scale. Answer: Faces to deem pain level 3 yrs or older
,◉ Visual analog scale. Answer: Child points to number 7 yrs and
older
◉ Meningitis. Answer: Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/
infection. Remain in bed 4-8hrs after. Droplet precautions.decrease
environment stimuli.position w/o pillow. May prefer side lying
position.monitor head size
◉ Reyes syndrome. Answer: Testing to seperate from other disease.
Sx- hypoglycemia, liver dysfunction, shock, cerebral edema. R/t
recent viral illness and aspirin use. Five stages.liver biopsy possible.
Lp used to RO meningitis.
◉ Tonic phase. Answer: Stiffening of muscles
◉ Clinic. Answer: Rhythmic jerking
◉ EEG specs. Answer: Abstain for caffeine.wash hair before and
after. Not be painful. Flashing lights possibly
◉ Seizure safety. Answer: Safety.. Airway...suction oral
secretions..turn on side post seiz...side lying.. Check vital signs ..
Assess for injuries ..allow rest
, ◉ Aed. Answer: Valium phenytoin tegretol depakote cerebryx
◉ Brudzinski. Answer: Flexion of extremities including neck
◉ Kernigs. Answer: Resistance to extension of the child's leg from
flexed
◉ Cushing reflex. Answer: Severe hypertension, widening pulse
pressure, bradycardia
◉ Decorticate. Answer: Arms, wrists, fingers flexed....bent inward to
chest
◉ Decerebrate. Answer: Arching of head and arms with legs
extended, toes pointing downward
◉ some head injury signs. Answer: decreasing loc, dilated & fixed o/
slow to react o/ nonreactive pupils, weird breathing
◉ Conductive hearing loss. Answer: otitis media, external ear
infection, foreign bodies, excessive ear wax
