ATI PEDS REMEDIATION QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Seizure Finding to Report for a 2-Week-Old Newborn: - ANSWER - Random or roving eye movements
- Eyelid blinking or fluttering
- Eyes rolling up
- Eye opening
- Staring
- Sucking
- Smacking
- Chewing and protruding tongue.
- Unusual bicycling or pedalling movements of the legs.
- Thrashing or struggling movements.
- Long pauses in breathing (apnea)
Planning Care for an Infant Who Has Bacterial Meningitis: - ANSWER - Presence of petechiae or purpuric-
type rash requires immediate medical attention isolate client as soon as meningitis is suspected, and
maintain droplet precautions per facility protocol
- Droplet precautions require private room or room with clients who have same infectious disease,
ensuring each client has own designated equipment
- Providers/visitors wear mask maintain respiratory isolation
- Monitor vitals, urine output, fluid status, pain level, neuro status
- For newborns and infants, monitor head circumference and fontanels for presence of or changes in
bulging fontanels for presence of or changes in bulging
- Correct fluid volume deficits and then restrict fluids until no evidence of increased ICP and serum
sodium levels are within the expected range
- Maintain NPO if client has decreased LOC. as condition improves, advance to clear liquids and then diet
as tolerated
- Decrease environmental stimuli (keep room cool, position client without a pillow, slightly elevate head
of bed, can also be side-lying)
- Maintain safety (bed in low position, seizure precautions)
- Keep family informed of client's condition
,Seizures: Identifying Common Risk Factors: - ANSWER - Some unknown
- Febrile episode
- Cerebral edema
- Intracranial infection/hemorrhage
- Brain tumors or cysts
- AnoxiaToxins/drugs
- Lead poisoning
- Tetanus, shigella,salmonella
- Hypoglycemia, hypocalcemia, alkalosis, hyponatremia, hypomagnesemia
Health Promotion of Toddlers (1 to 3 years): Safety Precautions to Prevent Burns: - ANSWER - The
temperature of bath water should be checked
- Thermostats on hot water heaters should be turned down to 49° C (120° F) or below
- Working smoke detectors should be kept in the home
- Pot handles should be turned toward the back of the stove
- Electrical outlets should be covered
- Toddlers should wear sunscreen when outside.
Planning Care for a Preschooler Who Has Neutropenia: - ANSWER - Provide the child with a book about
adventure.
- The nurse should provide a school-age child with a book about adventure as a developmental activity
because children are expanding their knowledge and imagination during this age. Through reading,
school-age children can feel powerful and skillful as they imagine themselves in the stories they read.
Teaching About Home Care for the Family of a Child Who Has Scabies: - ANSWER - Vacuum carpets &
furnitureb
- Wash call clothing, bedding & towels in hot waterc.Treat family & others that came into contact with
infected personduring & 90 days after infectiond
- Apply calamine lotion or cool compresses until itching subsides following Txe
- Apply scabicide such as 5% permethrin cream over the entire body to remain on the skin for 8 - 14 hrs.
& repeat in 1 - 2 weeks
, Health Promotion of Preschoolers (3 to 6 Years): Expected Phase of Cognitive Development: - ANSWER -
Piaget - The preconceptual phase transitions to the phase of intuitive thought around the age of 4 years.
The phase of intuitive thought lasts until the age of 7 years
- The preschooler moves from totally egocentric thoughts to social awareness and the ability to
understand the viewpoints of others.
- Preschoolers make judgments based on visual appearances. Variations in thinking during this age
include:
- Magical thinking - Thoughts can cause events to occur.
- Animism - Inanimate objects are alive.
- Centration - Focus on one aspect instead of considering the whole.
- Time- Preschoolers begin to understand the sequence of daily events. By the end of the preschool
years, children have a better comprehension of time-oriented words.
Expected Manifestations of Acute Renal Failure: - ANSWER - Oliguria
- Edema
- Cardiac arrhythmias bc hyperkalemia
- Seizures bc hyponatremia or hypocalcemia
- Tachypnea bc metabolic acidosis
- Azotemia
Pain Management: Assessment Technique for a School-Age Child: - ANSWER - Reassess child's pain level
frequently
- Use non-pharm, pharm, or both approaches
- Ask parent to reassess child's pain
- Ask parent their satisfaction of pain management
- Assess child for adverse reactions to pain medications
- Review laboratory reports
- Assess child's physical functioning following pain management intervention
- Assess for negative effects or distress the child might experience related to pain (anxiety, withdrawal,
sleep disruption, fear, depression, unhappiness)
AND ANSWERS WITH SOLUTIONS 2024
Seizure Finding to Report for a 2-Week-Old Newborn: - ANSWER - Random or roving eye movements
- Eyelid blinking or fluttering
- Eyes rolling up
- Eye opening
- Staring
- Sucking
- Smacking
- Chewing and protruding tongue.
- Unusual bicycling or pedalling movements of the legs.
- Thrashing or struggling movements.
- Long pauses in breathing (apnea)
Planning Care for an Infant Who Has Bacterial Meningitis: - ANSWER - Presence of petechiae or purpuric-
type rash requires immediate medical attention isolate client as soon as meningitis is suspected, and
maintain droplet precautions per facility protocol
- Droplet precautions require private room or room with clients who have same infectious disease,
ensuring each client has own designated equipment
- Providers/visitors wear mask maintain respiratory isolation
- Monitor vitals, urine output, fluid status, pain level, neuro status
- For newborns and infants, monitor head circumference and fontanels for presence of or changes in
bulging fontanels for presence of or changes in bulging
- Correct fluid volume deficits and then restrict fluids until no evidence of increased ICP and serum
sodium levels are within the expected range
- Maintain NPO if client has decreased LOC. as condition improves, advance to clear liquids and then diet
as tolerated
- Decrease environmental stimuli (keep room cool, position client without a pillow, slightly elevate head
of bed, can also be side-lying)
- Maintain safety (bed in low position, seizure precautions)
- Keep family informed of client's condition
,Seizures: Identifying Common Risk Factors: - ANSWER - Some unknown
- Febrile episode
- Cerebral edema
- Intracranial infection/hemorrhage
- Brain tumors or cysts
- AnoxiaToxins/drugs
- Lead poisoning
- Tetanus, shigella,salmonella
- Hypoglycemia, hypocalcemia, alkalosis, hyponatremia, hypomagnesemia
Health Promotion of Toddlers (1 to 3 years): Safety Precautions to Prevent Burns: - ANSWER - The
temperature of bath water should be checked
- Thermostats on hot water heaters should be turned down to 49° C (120° F) or below
- Working smoke detectors should be kept in the home
- Pot handles should be turned toward the back of the stove
- Electrical outlets should be covered
- Toddlers should wear sunscreen when outside.
Planning Care for a Preschooler Who Has Neutropenia: - ANSWER - Provide the child with a book about
adventure.
- The nurse should provide a school-age child with a book about adventure as a developmental activity
because children are expanding their knowledge and imagination during this age. Through reading,
school-age children can feel powerful and skillful as they imagine themselves in the stories they read.
Teaching About Home Care for the Family of a Child Who Has Scabies: - ANSWER - Vacuum carpets &
furnitureb
- Wash call clothing, bedding & towels in hot waterc.Treat family & others that came into contact with
infected personduring & 90 days after infectiond
- Apply calamine lotion or cool compresses until itching subsides following Txe
- Apply scabicide such as 5% permethrin cream over the entire body to remain on the skin for 8 - 14 hrs.
& repeat in 1 - 2 weeks
, Health Promotion of Preschoolers (3 to 6 Years): Expected Phase of Cognitive Development: - ANSWER -
Piaget - The preconceptual phase transitions to the phase of intuitive thought around the age of 4 years.
The phase of intuitive thought lasts until the age of 7 years
- The preschooler moves from totally egocentric thoughts to social awareness and the ability to
understand the viewpoints of others.
- Preschoolers make judgments based on visual appearances. Variations in thinking during this age
include:
- Magical thinking - Thoughts can cause events to occur.
- Animism - Inanimate objects are alive.
- Centration - Focus on one aspect instead of considering the whole.
- Time- Preschoolers begin to understand the sequence of daily events. By the end of the preschool
years, children have a better comprehension of time-oriented words.
Expected Manifestations of Acute Renal Failure: - ANSWER - Oliguria
- Edema
- Cardiac arrhythmias bc hyperkalemia
- Seizures bc hyponatremia or hypocalcemia
- Tachypnea bc metabolic acidosis
- Azotemia
Pain Management: Assessment Technique for a School-Age Child: - ANSWER - Reassess child's pain level
frequently
- Use non-pharm, pharm, or both approaches
- Ask parent to reassess child's pain
- Ask parent their satisfaction of pain management
- Assess child for adverse reactions to pain medications
- Review laboratory reports
- Assess child's physical functioning following pain management intervention
- Assess for negative effects or distress the child might experience related to pain (anxiety, withdrawal,
sleep disruption, fear, depression, unhappiness)
