ATI Proctored PEDs, ATI Pediatrics
Proctored Exam, PEDS ATI proctored
review questions with complete answers
Preschool-Aged Children
Body-Integrity - Answer-- Preschool-aged children are very concerned about their body
integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - Answer-- IMITATION of adults: providing a stethoscope allows
child an opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian
safety
- Keep a consistent bedtime routine
Pyloromyotomy - Answer-- Release of hypertrophied muscle around the pyloric
sphincter that causes narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent
oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Chemotherapy - Answer-- Low WBC count places the child at risk for infection and
isolation with monitoring of fever is priority.
↓RBC - Answer-- Quiet play and best rest, administer O2
↓ Platelet - Answer-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - Answer-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator
of hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes
(I/O) and insensible fluid loss (skin and respiratory)
Skeletal Traction - Answer-The most effective means of traction, applying to a bone with
wire pins or tongs
Compartment Syndrome - Answer-Involves the compression of nerves and blood
vessels due to swelling within the enclosed space created by the fascia that separates
groups of muscles
, Acute Glomerulonephritis - Answer-- ASO titer will indicate if the child has had a recent
strep infection. In determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
Myelomeningocele - Answer-- Hydrocephalus; is a post-operative risk because the
pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and once the sac is
removed, there is nowhere for this additional CSF to accumulate except in the ventricles
of the brain.
Intussusception - Answer-- Diagnosed with a barium enema, which may also correct the
condition; the telescoping of the bowel may be reduced by the hydrostatic pressure of
the barium enema.
Nephrotic Syndrome
Prednisone - Answer-- In nephrotic syndrome it acts on the body to decrease the
excretion of protein, and thus helps flush fluids back to their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be measured in
weight loss.
Spinal Fusion - Answer-- Log rolling Q2hr promotes good pulmonary, gastrointestinal
and genitourinary functioning. It also allows the nurse the opportunity to assess the
clients lengthy posterior spinal dressing for drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op, elevated HOB @ 2-
3 days post-op
Milwaukee brace - Answer-- Worn for scoliosis , stabilizes the spine from the neck to the
pelvis. It must be removed daily for hygiene care, but that is all. Once the curves has
stabilized and spinal growth is nearly complete the ortho surgeon will begin to wean the
client out of the brace, but continues to wear it in the evening and at night. The brace
will often be worn at night several years after growth is complete to maintain the spinal
correction.
Steroid Inhaler - Answer-- Help manage asthma be decreasing reactivity of the airways
by preventing or lessening the inflammatory process when the pt. is exposed to a
trigger, so even when manifestation free it is critical to continue using it.
- They have no immediate bronchodilator effect and are not used for prophylactic
measures.
Urine Specific gravity - Answer-Expected finding is 1.010-1.020
↑ = concentration
Anaphylaxis - Answer-- Nausea, Tachycardia, Urticaria (hives), Stridor
Proctored Exam, PEDS ATI proctored
review questions with complete answers
Preschool-Aged Children
Body-Integrity - Answer-- Preschool-aged children are very concerned about their body
integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - Answer-- IMITATION of adults: providing a stethoscope allows
child an opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian
safety
- Keep a consistent bedtime routine
Pyloromyotomy - Answer-- Release of hypertrophied muscle around the pyloric
sphincter that causes narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent
oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Chemotherapy - Answer-- Low WBC count places the child at risk for infection and
isolation with monitoring of fever is priority.
↓RBC - Answer-- Quiet play and best rest, administer O2
↓ Platelet - Answer-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - Answer-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator
of hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes
(I/O) and insensible fluid loss (skin and respiratory)
Skeletal Traction - Answer-The most effective means of traction, applying to a bone with
wire pins or tongs
Compartment Syndrome - Answer-Involves the compression of nerves and blood
vessels due to swelling within the enclosed space created by the fascia that separates
groups of muscles
, Acute Glomerulonephritis - Answer-- ASO titer will indicate if the child has had a recent
strep infection. In determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
Myelomeningocele - Answer-- Hydrocephalus; is a post-operative risk because the
pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid and once the sac is
removed, there is nowhere for this additional CSF to accumulate except in the ventricles
of the brain.
Intussusception - Answer-- Diagnosed with a barium enema, which may also correct the
condition; the telescoping of the bowel may be reduced by the hydrostatic pressure of
the barium enema.
Nephrotic Syndrome
Prednisone - Answer-- In nephrotic syndrome it acts on the body to decrease the
excretion of protein, and thus helps flush fluids back to their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be measured in
weight loss.
Spinal Fusion - Answer-- Log rolling Q2hr promotes good pulmonary, gastrointestinal
and genitourinary functioning. It also allows the nurse the opportunity to assess the
clients lengthy posterior spinal dressing for drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op, elevated HOB @ 2-
3 days post-op
Milwaukee brace - Answer-- Worn for scoliosis , stabilizes the spine from the neck to the
pelvis. It must be removed daily for hygiene care, but that is all. Once the curves has
stabilized and spinal growth is nearly complete the ortho surgeon will begin to wean the
client out of the brace, but continues to wear it in the evening and at night. The brace
will often be worn at night several years after growth is complete to maintain the spinal
correction.
Steroid Inhaler - Answer-- Help manage asthma be decreasing reactivity of the airways
by preventing or lessening the inflammatory process when the pt. is exposed to a
trigger, so even when manifestation free it is critical to continue using it.
- They have no immediate bronchodilator effect and are not used for prophylactic
measures.
Urine Specific gravity - Answer-Expected finding is 1.010-1.020
↑ = concentration
Anaphylaxis - Answer-- Nausea, Tachycardia, Urticaria (hives), Stridor
