2
PEDS ATI study guide questions with precise detailed
|| || || || || || || ||
solutions
pertussis - ✔✔= Whooping cough || || || ||
Droplet isolation ||
*S+S:*
-Dry, hacking cough
|| ||
Urine Specific Gravity (normal) - ✔✔1.010-1.025
|| || || || ||
Dehydration - ✔✔*S+S:* || ||
-Weight loss ||
-Increased HR ||
-Increased RR ||
-Decreased BP ||
-Decreased or absent tears || || ||
*Tx:*
*#1)* Oral rehydration therapy (pedialyte)
|| || || ||
Carseats - ✔✔-*Rear-facing* until 2 yrs
|| || || || ||
-Forward facing until outgrown then booster until 4'9"
|| || || || || || ||
-LATCH child safety seat system: secure the car seat using lower anchors and tethers
|| || || || || || || || || || || || || ||
instead of the seat belt
|| || || ||
-Positioned at a *45 degree angle* || || || || ||
,2
-Do *not* pad the carseat
|| || || ||
-Seat harness in rear-facing car seats should be *positioned at or just below the infant's
|| || || || || || || || || || || || || || ||
shoulders*
Pain scales - ✔✔2mo-7yr = FLACC / CRIES
|| || || || || || ||
3+ years =FACES SCALE
|| || ||
3-13 yrs = OUCHER
|| || ||
5+ years = NUMERIC SCALE
|| || || ||
3-18 yrs (cognitive impairment) = NON-COMMUNICATING CHILD PAIN CHECKLIST
|| || || || || || || ||
Hydrotherapy for debridement of a wound - ✔✔-Extremely painful procedure which || || || || || || || || || || ||
requires analgesia and/or sedation prior to procedure
|| || || || || ||
-Apply mesh gauze to the child's wound following procedure
|| || || || || || || ||
-Apply topical antimicrobial ointment after procedure
|| || || || ||
-Prophylactic antibiotic therapy is *not* recommended for children who have burns
|| || || || || || || || || ||
diabetes insipidus - ✔✔= Antidiuretic hormone is not secreted adequately, or the kidney is
|| || || || || || || || || || || || || ||
resistant to its effect || || ||
*S+S:*
-Polyuria ||
-Polydipsia ||
-Dehydration
-Increased sodium levels || || ||
-Diluted urine ||
Nephrotic Syndrome - ✔✔S+S: || || ||
, 2
-Edema/Facial edema (increased glomerular permeability, which increases protein loss) || || || || || || || || ||
Tx:
-*Tx of choice corticosteroids* (decreases glomerular permeability, decreasing edema)
|| || || || || || || ||
-Low sodium diet || ||
-Fluid restriction ||
peak expiratory flow meter - ✔✔= measures the child's airflow
|| || || || || || || || ||
-This should be done *twice daily* with the skill repeated in a sequence of three, waiting
|| || || || || || || || || || || || || || || ||
*30 seconds* between each measurement.
|| || || || ||
-The parent should *record the highest of the three readings*
|| || || || || || || || ||
pulmonary function tests - ✔✔-Needed every 12-24 months || || || || || || ||
Inhalers - ✔✔-Long-acting beta2 agonists are to be used in conjunction with a low or
|| || || || || || || || || || || || || || ||
medium dosage inhaled corticosteroid, and never used alone
|| || || || || || ||
PEDs VS - ✔✔ || || ||
Lumbar puncture - ✔✔*Pre:* || || ||
-Apply a topical analgesic to the lumbar site 60 min prior to the procedure
|| || || || || || || || || || || || ||
*Post:*
-Prone position or flat in bed for up to 12 hr to prevent post procedural spinal headache
|| || || || || || || || || || || || || || || ||
Eye drops / ointments - ✔✔-Apply the eye ointment from the inner canthus to the outer
|| || || || || || || || || || || || || || || ||
canthus
-Use one hand to pull the lower eyelid downward when instilling the eye medication
|| || || || || || || || || || || || ||
PEDS ATI study guide questions with precise detailed
|| || || || || || || ||
solutions
pertussis - ✔✔= Whooping cough || || || ||
Droplet isolation ||
*S+S:*
-Dry, hacking cough
|| ||
Urine Specific Gravity (normal) - ✔✔1.010-1.025
|| || || || ||
Dehydration - ✔✔*S+S:* || ||
-Weight loss ||
-Increased HR ||
-Increased RR ||
-Decreased BP ||
-Decreased or absent tears || || ||
*Tx:*
*#1)* Oral rehydration therapy (pedialyte)
|| || || ||
Carseats - ✔✔-*Rear-facing* until 2 yrs
|| || || || ||
-Forward facing until outgrown then booster until 4'9"
|| || || || || || ||
-LATCH child safety seat system: secure the car seat using lower anchors and tethers
|| || || || || || || || || || || || || ||
instead of the seat belt
|| || || ||
-Positioned at a *45 degree angle* || || || || ||
,2
-Do *not* pad the carseat
|| || || ||
-Seat harness in rear-facing car seats should be *positioned at or just below the infant's
|| || || || || || || || || || || || || || ||
shoulders*
Pain scales - ✔✔2mo-7yr = FLACC / CRIES
|| || || || || || ||
3+ years =FACES SCALE
|| || ||
3-13 yrs = OUCHER
|| || ||
5+ years = NUMERIC SCALE
|| || || ||
3-18 yrs (cognitive impairment) = NON-COMMUNICATING CHILD PAIN CHECKLIST
|| || || || || || || ||
Hydrotherapy for debridement of a wound - ✔✔-Extremely painful procedure which || || || || || || || || || || ||
requires analgesia and/or sedation prior to procedure
|| || || || || ||
-Apply mesh gauze to the child's wound following procedure
|| || || || || || || ||
-Apply topical antimicrobial ointment after procedure
|| || || || ||
-Prophylactic antibiotic therapy is *not* recommended for children who have burns
|| || || || || || || || || ||
diabetes insipidus - ✔✔= Antidiuretic hormone is not secreted adequately, or the kidney is
|| || || || || || || || || || || || || ||
resistant to its effect || || ||
*S+S:*
-Polyuria ||
-Polydipsia ||
-Dehydration
-Increased sodium levels || || ||
-Diluted urine ||
Nephrotic Syndrome - ✔✔S+S: || || ||
, 2
-Edema/Facial edema (increased glomerular permeability, which increases protein loss) || || || || || || || || ||
Tx:
-*Tx of choice corticosteroids* (decreases glomerular permeability, decreasing edema)
|| || || || || || || ||
-Low sodium diet || ||
-Fluid restriction ||
peak expiratory flow meter - ✔✔= measures the child's airflow
|| || || || || || || || ||
-This should be done *twice daily* with the skill repeated in a sequence of three, waiting
|| || || || || || || || || || || || || || || ||
*30 seconds* between each measurement.
|| || || || ||
-The parent should *record the highest of the three readings*
|| || || || || || || || ||
pulmonary function tests - ✔✔-Needed every 12-24 months || || || || || || ||
Inhalers - ✔✔-Long-acting beta2 agonists are to be used in conjunction with a low or
|| || || || || || || || || || || || || || ||
medium dosage inhaled corticosteroid, and never used alone
|| || || || || || ||
PEDs VS - ✔✔ || || ||
Lumbar puncture - ✔✔*Pre:* || || ||
-Apply a topical analgesic to the lumbar site 60 min prior to the procedure
|| || || || || || || || || || || || ||
*Post:*
-Prone position or flat in bed for up to 12 hr to prevent post procedural spinal headache
|| || || || || || || || || || || || || || || ||
Eye drops / ointments - ✔✔-Apply the eye ointment from the inner canthus to the outer
|| || || || || || || || || || || || || || || ||
canthus
-Use one hand to pull the lower eyelid downward when instilling the eye medication
|| || || || || || || || || || || || ||
