ATI PEDIATRIC PEDS FINAL STUDY GUIDE
2026 ALL SYLLABUS COMBINATION SIX
DIFFERENT VERSIONS COMPLETE
QUESTIONS GRADED A+
⩥positive brudzinski's sign. Answer: lay flat, pull up on head, this will
cause pain (BRO THAT HURTS) and they flex knees
⩥positive kernigs sign. Answer: lay flat, bend knees, try to straighten the
leg (this will hurt) (knee, kernig)
⩥what lab test is performed when meningitis is suspected?. Answer:
CSF analysis through lumbar puncture
⩥cloudy CSF is a sign of which type of meningitis?. Answer: bacterial
⩥With bacterial meningitis, what kind of lab values would you expect?
(in terms of WBC, protein levels, glucose, and gram stain). Answer:
elevated WBC
elevated protein levels
decreased glucose
positive gram stain
,⩥With viral meningitis, what kind of lab values would you expect?
(in terms of WBC, protein levels, glucose, and gram stain). Answer:
slightly elevated WBC
normal protein
normal glucose
negative gram stain
⩥clear CSF is a sign of which type of meningitis?. Answer: viral
⩥How do you prepare a child for a lumbar puncture?. Answer: - have
them empty their bladder
- apply EMLA cream on injection site one hour before procedure
- place occlusive dressing, take off, clean site
- side-lying cannonball position
⩥What position should a child be placed in after a lumbar puncture, and
for how long?. Answer: - make sure child remains flat for up to 12 hours
to prevent leakage of CSF
⩥what kind of precautions for meningitis?. Answer: droplet
⩥If pt with meningitis has decrease LOC, what kind of diet should they
be placed on?. Answer: NPO, risk for aspiration
,⩥What sort of environment should be provided for someone with
meningitis?. Answer: dark, quiet, decreased stimuli
⩥what sort of medications are used for bacterial meningitis?. Answer:
IV antibiotics, corticosteroids
⩥what are some signs of increased ICP? (watch for this in meningitis).
Answer: bulging fontanels, high pitched cry, increase in head
circumference, irritability, bradycardia, headache, seizures, resp changes
⩥what is the key risk factor for Reye's syndrome?. Answer: recent viral
infection given ASPIRIN
⩥s&s of Reye's syndrome?. Answer: irritability, confusion, excessive
vomiting, seizures, loss of consciousness
⩥what are the expected lab findings in Reye's syndrome?. Answer: liver
enzymes (AST & ALT) will be increased
elevated serum ammonia
⩥what 2 things are required for diagnosis of Reye's syndrome?. Answer:
liver biopsy
CSF analysis (rule out meningitis)
, ⩥nursing actions for Reye's syndrome/avoidance of increase in ICP.
Answer: -maintain head in neutral position
-keep HOB at least 30 degrees up
⩥which medication is commonly used in Reye's syndrome?. Answer:
mannitol (diuretic) can help bring down ICP
⩥prevent hemorrhaging (Reye's syndrome) by what two actions?.
Answer: -monitor for signs of bleeding
-administer vitamin K as needed to produce clotting factors
⩥risk factors associated with seizures. Answer: fever, cerebral edema,
infection, exposure to toxins, brain tumor, hypoxia, lead poisoning,
electrolyte imbalances, hypoglycemia
⩥risk factors associated with epilepsy. Answer: trauma, infection,
hemorrhaging
⩥5 key types of seizures. Answer: tonic clonic
absence
myoclonic
atonic, status epilepticus
2026 ALL SYLLABUS COMBINATION SIX
DIFFERENT VERSIONS COMPLETE
QUESTIONS GRADED A+
⩥positive brudzinski's sign. Answer: lay flat, pull up on head, this will
cause pain (BRO THAT HURTS) and they flex knees
⩥positive kernigs sign. Answer: lay flat, bend knees, try to straighten the
leg (this will hurt) (knee, kernig)
⩥what lab test is performed when meningitis is suspected?. Answer:
CSF analysis through lumbar puncture
⩥cloudy CSF is a sign of which type of meningitis?. Answer: bacterial
⩥With bacterial meningitis, what kind of lab values would you expect?
(in terms of WBC, protein levels, glucose, and gram stain). Answer:
elevated WBC
elevated protein levels
decreased glucose
positive gram stain
,⩥With viral meningitis, what kind of lab values would you expect?
(in terms of WBC, protein levels, glucose, and gram stain). Answer:
slightly elevated WBC
normal protein
normal glucose
negative gram stain
⩥clear CSF is a sign of which type of meningitis?. Answer: viral
⩥How do you prepare a child for a lumbar puncture?. Answer: - have
them empty their bladder
- apply EMLA cream on injection site one hour before procedure
- place occlusive dressing, take off, clean site
- side-lying cannonball position
⩥What position should a child be placed in after a lumbar puncture, and
for how long?. Answer: - make sure child remains flat for up to 12 hours
to prevent leakage of CSF
⩥what kind of precautions for meningitis?. Answer: droplet
⩥If pt with meningitis has decrease LOC, what kind of diet should they
be placed on?. Answer: NPO, risk for aspiration
,⩥What sort of environment should be provided for someone with
meningitis?. Answer: dark, quiet, decreased stimuli
⩥what sort of medications are used for bacterial meningitis?. Answer:
IV antibiotics, corticosteroids
⩥what are some signs of increased ICP? (watch for this in meningitis).
Answer: bulging fontanels, high pitched cry, increase in head
circumference, irritability, bradycardia, headache, seizures, resp changes
⩥what is the key risk factor for Reye's syndrome?. Answer: recent viral
infection given ASPIRIN
⩥s&s of Reye's syndrome?. Answer: irritability, confusion, excessive
vomiting, seizures, loss of consciousness
⩥what are the expected lab findings in Reye's syndrome?. Answer: liver
enzymes (AST & ALT) will be increased
elevated serum ammonia
⩥what 2 things are required for diagnosis of Reye's syndrome?. Answer:
liver biopsy
CSF analysis (rule out meningitis)
, ⩥nursing actions for Reye's syndrome/avoidance of increase in ICP.
Answer: -maintain head in neutral position
-keep HOB at least 30 degrees up
⩥which medication is commonly used in Reye's syndrome?. Answer:
mannitol (diuretic) can help bring down ICP
⩥prevent hemorrhaging (Reye's syndrome) by what two actions?.
Answer: -monitor for signs of bleeding
-administer vitamin K as needed to produce clotting factors
⩥risk factors associated with seizures. Answer: fever, cerebral edema,
infection, exposure to toxins, brain tumor, hypoxia, lead poisoning,
electrolyte imbalances, hypoglycemia
⩥risk factors associated with epilepsy. Answer: trauma, infection,
hemorrhaging
⩥5 key types of seizures. Answer: tonic clonic
absence
myoclonic
atonic, status epilepticus
