ATI RN PEDIATRICS PROCTORED EXAM
What happens to the voice during epiglottitis? - ANSWER: it becomes hoarse
sodium normal range - ANSWER: 135-145
manifestations of pneumonia in infants - ANSWER: nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER: headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER: brown colored urine
McBurney's point - ANSWER: -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER: -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER: projectile
vomiting
What is used to treat scabies lesions? - ANSWER: permethrin 5% cream
manifestation of pertussis - ANSWER: dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER: inflamed throat with
exudate
manifestation of bacterial conjunctivitis - ANSWER: purulent eye drainage
Koplik spots - ANSWER: rubeola (measles
Diabetes insipidus lab values - ANSWER: -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER: -dietary fluid
restriction
-low sodium diet
-corticosteroids
, How often should a child with asthma get pulmonary function tests? - ANSWER:
every 12-24 months
lumbar puncture nursing care - ANSWER: -apply topical analgesic to the lumbar site
60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER: -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER: no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANSWER: brush
the child's teeth
manifestations of digoxin toxicity - ANSWER: nausea, vomiting, decreased appetite
indications of brainstem herniation - ANSWER: Cushing's triad: htn, bradycardia,
decreased respirations
interventions for lead toxicity - ANSWER: -diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANSWER: -absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER: fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER: -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER: -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
What happens to the voice during epiglottitis? - ANSWER: it becomes hoarse
sodium normal range - ANSWER: 135-145
manifestations of pneumonia in infants - ANSWER: nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER: headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER: brown colored urine
McBurney's point - ANSWER: -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER: -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER: projectile
vomiting
What is used to treat scabies lesions? - ANSWER: permethrin 5% cream
manifestation of pertussis - ANSWER: dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER: inflamed throat with
exudate
manifestation of bacterial conjunctivitis - ANSWER: purulent eye drainage
Koplik spots - ANSWER: rubeola (measles
Diabetes insipidus lab values - ANSWER: -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER: -dietary fluid
restriction
-low sodium diet
-corticosteroids
, How often should a child with asthma get pulmonary function tests? - ANSWER:
every 12-24 months
lumbar puncture nursing care - ANSWER: -apply topical analgesic to the lumbar site
60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER: -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER: no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANSWER: brush
the child's teeth
manifestations of digoxin toxicity - ANSWER: nausea, vomiting, decreased appetite
indications of brainstem herniation - ANSWER: Cushing's triad: htn, bradycardia,
decreased respirations
interventions for lead toxicity - ANSWER: -diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANSWER: -absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER: fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER: -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER: -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
