ATI Pediatrics Exam 1 2025 LATEST
UPDATED VERSION HIGHLY PASSED
CognitiveTandTSensoryTImpairments:TFindingsTtoTReportTtoTProviderT-
T1.TStrabismusTshouldTbeTreportedTtoTtheTprovider.
2. ForThearingTimpairmentsTinTinfants,TnursesTshouldTreportTlackTofTstartleTreflex
,TfailureTtoTrespondTtoTnoise,TabsenceTofTvocalizationTbyT7Tmonths,TandTlackTofT
responseTtoTtheTspokenTword.
3. ForThearingTimpairmentsTinTolderTchildren,TnursesTshouldTreportTnotTtalkingTafterT1
5Tmonths,TspeakingTinTmonotone,TneedTforTrepeatedTconversation,TandTspeakingTlou
dlyTforTtheTsituation.
4. ForTDownsTSyndrome,TtheTnurseTshouldTreportTseparatedTsagittalTsutureTan
dTenlargedTanteriorTfontanel.
ATITChT15
EstablishingTPriorities:TManagingTClientTCare:TIdentifyingTPriorityTChildTtoTAssessT(Ma
nagementTofTCare)T-T-prioritizeTsystemicTbeforeTlocalT("lifeTbeforeTlimb"
-prioritizeTacuteTbeforeTchronic
-prioritizeTactualTproblemsTbeforeTpotentialTfutureTproblems
-listenTcarefullyTtoTclientsTandTdon'tTassume
-recognizeTandTrespondTtoTtrendsTvs.TtransientTfindings
-
recognizeTindicationsTofTmedicalTemergencesTandTcomplicationsTvs.TexpectedTfindin
gs
-applyTclinicalTknowledgeTtoTproceduralTstandardsTtoTdetermineTtheTpriorityTaction
-considerTMaslow'sThierarchTofThumanTneeds
-ABCDET(airway,Tbreathing,Tcirculation,Tdisability,Texposure)
-lookTforTsafetyTrisks
-
leastTrestrictiveTandTleastTinvasiveTinterventionsTshouldTbeTutilizedTasTmuchTasTpossibl
e.
CysticTfibrosisTdescriptionT-
TRespiratoryTdisorderTthatTresultsTfromTinheritingTaTmutatedTgene.TCharacteristics:TM
ucusTglandsTthatTsecreteTincreasedTquantityTofTthickTtenaciousTmucus,TleadingTtoTme
chanicalTobstructionTofTorgansT(pancreas,Tlungs,Tliver,TsmallTintestine,TreproductiveT
system).TIncreasedTorganicTandTenzymaticTconstituentsTofTsaliva.TIncreasedTsodiumT
andTchlorideTinTsweat.TCNSTabnormalities.****
PediatricTEmergencies:TPlanningTinterventionTforTleadTexposureT-
T*CanTbeTfromTleadTingestionTfromTlead-basedTpaintTorTsoilTcontamination
*Symptoms:Tdistractibility,Timpulsiveness,Thyperactivity,ThearingTimpairment,TmildTint
ellectualTdifficultyT(Low-
dose),TcognitiveTdelays,Tseverity,Tblindness,Tparalysis,Tcoma,Tseizures,TdeathT(highTd
oes),TKidneyTimpairment,TimpairedTcalciumTfunctionsTandTanemia.
*ChelationTtherapyTusingTcalciumTEDTATforThighTserumTlevels
Burns:TTeachingTAboutTSunburnTPreventionT(RNTQSENT-
TSafetyT,TActiveTLearningTTemplateT-TBasicTConcept,TRMTNCC
RNT10.0TchpT32)T-T-adolescentsTshouldTapplyTsuncreenTwithTatTleastT15TSPF
-adolescentsTshouldTreapplyTsunscreenTeveryT2-3Thours
-adolescentsTshouldTavoidTtanningTbeds
,-itTisTimportantTtoTavoidTlongTperiodsTofTdirectTUVTcontact
HealthTPromotionTofTAdolescentsT(12TtoT20TYears):TInformedTConsent*T-
T1.TYouTcanTbeTaTminorTandTnotTneedTconsentTforTSTDTscreeningTifTtheyTareTaboveT1
3.
2. PregnancyTisTanotherTreasonTtoTnotTneedTconsent.
3. EmancipatedTminorsTareTanTexceptionTasTwell.
TChpT7TpgT33
PsychosocialTIssuesTofTInfants,TChildren,TandTAdolescents:TDiagnosticTFindingsTtoTRe
portTtoTtheTProviderT-
TAssessmentTfindingsTforTchildrenTwithTADHD:Tinattention,Thyperactivity,Timpulsivity
AssessmentTfindingsTforTchildrenTwithTautism:TdelaysTinTsocialTinteraction,TsocialTcom
munication,TimaginativeTplay;TspendsTtimeTalone,TheightenedTorTloweredTsenses
HeadTInjury:TPlanningTCareTforTanTInfantTWhoTHasTanTEpiduralTHematomaT-T-
MonitorTvitalTsigns,TlevelTofTconsciousness,TpupilsTICP,TmotorTactivity,TsensoryTperce
ption,TandTverbalTresponsesTatTfrequentTintervals.TUseTGlascowTComaTScale.
-
MaintainTpatentTairway.TAdministerToxygenTasTneeded.TKeepTsaturationTatTorTaboveT9
5%.
-AssessTforTclearTfluidTdrainageTfromTearsTorTnose.
-ImplementTactionsTthatTwillTdecreaseTICP
-ProvideTcalm,TrestfulTenvironment.
-ProvideTadequateTfluids
-MonitorTfluidTandTelectrolyteTvalues.
HealthTPromotionTofTSchool-
AgeTChildrenT(6TtoT12TYears):TTeachingTAboutTBicycleTSafetyT-
T1.TToTdecreaseTtheTriskTofTinjury,TparentsTshouldTensureTthatTtheTbikeTisTtheTcorrectTs
izeTforTtheTchild.TWhenTseatedTonTtheTbike,TtheTchildTshouldTbeTableTtoTstandTwithTtheT
ballTofTeachTfootTtouchingTtheTgroundTandTshouldTbeTableTtoTstandTwithTeachTfootTonTt
heTgroundTwhenTstraddlingTtheTbike'sTcenterTbar.
2. ChildrenTshouldTrideTtheirTbikesTsingleTfileTratherTthanTsideTbyTside.
3. ChildrenTshouldTwearTlight-
coloredTclothingTthatThasTaTfluorescentTmaterialTattached.TFluorescentTmater
ialTonTtheTbikeTitselfTtoo.
4. BikeTridersTshouldTrideTinTtheTdirectionTofTtheTflowTofTtraffic
.TChpT6TpgT29
HealthTPromotionTofTInfantsT(2TDaysTtoT1TYear):TTeachingTAboutTHomeTSafetyT(chp.T
3)T-TaspirationT--
>TteachTparentsTtoTholdTtheTinfantsTforTfeedingsT(doTnotTpropTbottle),TputTawayTsmallT
objectsTandTkeepToutTofTreachTofTbaby,TuseTage-
appropriateTtoysTonly,TcheckTclothingTforTsafetyThazardsT(i.e.TlooseTbuttons).
bodilyTharmT--
>TkeepTsharpTobjectsToutTofTreach,TanchorTheavyTobjects/furniture,TdoTnotTleaveTunat
tendedTwithTanimalsTpresent.
burnsT--
>TavoidTwarmingTformulaTinTmicrowaveT(checkTtempTbeforeTfeeding),TalsoTcheckTbath
TwaterTtempT(hotTwaterTthermostatsTshouldTbeTsetTatT120˚TorTless),TcheckTsmokeTdete
ctors,TturnThandlesTofTpots/pansTinwardTtowardsTstove,TuseTsunscreenTwhenTexposed
TtoTsun,TcoverTelectricalToutlets.
drowningT--
,>TdoTnotTleaveTunattendedTnearTanyTwater,TsecureTfencingTaroundTpools,TcloseTbathr
oomTdoors.
, fallsT--
>TcribTmattressesTinTtheTlowestTposition/railsTallTtheTwayTup,TrestraintsTinTinfantTseats,
TdoTnotTleaveTunattendedTonTelevatedTsurfaces,TuseTsafetyTguardsTatTtop/bottomTofTs
tairs.
poisoningT--
>TavoidTleadTpaint,TkeepTtoxins/plantsToutTofTreach,TsafetyTlocksTonTcabinets,TkeepTpo
isonTcontrolTphoneTnumberTcloseTby,TmedsTinTchildproofTcontainers,TworkingTcarbonT
monoxideTalarm.
motorTvehicleT-->TremainTinTrear-
facingTcarTseatsTuntilT2Tyrs.TorTatTheightTrecommendationT(doTnotTuseTcarTseatsTinTthe
TfrontTseatT-TsafestTinTtheTbackseatTofTtheTcar),TdoTnotTleaveTinTparkedTcars.
suffocationT--
>TavoidTplasticTbags/balloons,TfitTcribTmattressesTsnuglyT(slatsTnoTfurtherTthanT6TcmTa
part),TremoveTmobilesTorTcribTgymsTbyT4-
5Tmonths,TplaceTonTbackTtoTsleep,TkeepTtoysTwithTsmallTpartsToutTofTreach,TremoveTd
rawstringsTfromTjackets/clothing.
Accident/Error/InjuryTPrevention:
PediatricTEmergencies:TPlanningTInterventionsTforTLeadTExposureT(SafetyTandTInfecti
onTControl)T-T-ManifestationsTofTLeadTexposure:
---
lowTdoseTexposure:Tdistractibility,Timpulsiveness,Thyperactivity,ThearingTimpairme
nt,TandTmildTintellectualTdifficultly
---
highTdoseTexposure:TcognitiveTdelaysTvaryingTinTseverity,Tblindness,Tparalysis,Tcoma,
Tseizures,TandTdeath
---other:TkidneyTimpairment,TimpairedTcalciumTfunction,TandTanemia
-
InterventionsTforTleadTexposure:TchelationTtherapyTusingTcalciumTEDTAT(calciumTdiso
diumTversante
-
InterventionsTforTpoisonTprevention:TkeepTtoxicTagentsToutTofTreachTofTchildren,TlockT
cabinetsTcontainingTpotentiallyTharmfulTsubstances,TdoTnotTtakeTmedicationsTinTfrontT
ofTchildren,TdiscardTunusedTmedications,TwhenTgivingTmedsTdoTnotTsayTitTisTcandy,Tu
seTnonTmercuryTthermometers,TeliminateTlead-
basedTpaintTinTtheTenvironment,TencourageThandThygieneTpriorTtoTeating,TandTdoTnot
TstoreTfoodTinTlead-basedTcontainers
RiskTfactorsTforTCFT-TBothTbiologicalTparentsTcarryTtraitTforTCFT(recessive).
HeadTInjury:TPlanningTcareTforTanTinfantTwithTanTepiduralThematomaT-
T*BleedingTbetweenTtheTduraTandTtheTskull
*BloodTaccumulatesTinTepiduralTspaceTandTcompressesTtheTbrain
*StartsTw/TshortTperiodTofTunconsciousness,TthenTnormalTperiodTforTseveralThours,Tth
enTbloodTaccumulationTcausesTlethargyTorTcoma
HealthTPromotionTofTInfantsT(1TMonthTtoT1TYear):TCarTSeatTUseT(RNTQSENT-TSafetyT,
ActiveTLearningTTemplateT-TGrowth
andTDevelopment,TRMTNCCTRNT10.0TChpT3)T-T--
infantsTshouldTbeTplacedTinTaTfederallyTapprovedTcarTseatTatTaT45TdegreeTangleTtoTpr
eventTslumpingTorTairwayTobstruction
-
placeTcarTseatTrearTfacingTandTsecuredTusingTsafetyTbeltTofTLATCHTsystemTifTposs
ible
UPDATED VERSION HIGHLY PASSED
CognitiveTandTSensoryTImpairments:TFindingsTtoTReportTtoTProviderT-
T1.TStrabismusTshouldTbeTreportedTtoTtheTprovider.
2. ForThearingTimpairmentsTinTinfants,TnursesTshouldTreportTlackTofTstartleTreflex
,TfailureTtoTrespondTtoTnoise,TabsenceTofTvocalizationTbyT7Tmonths,TandTlackTofT
responseTtoTtheTspokenTword.
3. ForThearingTimpairmentsTinTolderTchildren,TnursesTshouldTreportTnotTtalkingTafterT1
5Tmonths,TspeakingTinTmonotone,TneedTforTrepeatedTconversation,TandTspeakingTlou
dlyTforTtheTsituation.
4. ForTDownsTSyndrome,TtheTnurseTshouldTreportTseparatedTsagittalTsutureTan
dTenlargedTanteriorTfontanel.
ATITChT15
EstablishingTPriorities:TManagingTClientTCare:TIdentifyingTPriorityTChildTtoTAssessT(Ma
nagementTofTCare)T-T-prioritizeTsystemicTbeforeTlocalT("lifeTbeforeTlimb"
-prioritizeTacuteTbeforeTchronic
-prioritizeTactualTproblemsTbeforeTpotentialTfutureTproblems
-listenTcarefullyTtoTclientsTandTdon'tTassume
-recognizeTandTrespondTtoTtrendsTvs.TtransientTfindings
-
recognizeTindicationsTofTmedicalTemergencesTandTcomplicationsTvs.TexpectedTfindin
gs
-applyTclinicalTknowledgeTtoTproceduralTstandardsTtoTdetermineTtheTpriorityTaction
-considerTMaslow'sThierarchTofThumanTneeds
-ABCDET(airway,Tbreathing,Tcirculation,Tdisability,Texposure)
-lookTforTsafetyTrisks
-
leastTrestrictiveTandTleastTinvasiveTinterventionsTshouldTbeTutilizedTasTmuchTasTpossibl
e.
CysticTfibrosisTdescriptionT-
TRespiratoryTdisorderTthatTresultsTfromTinheritingTaTmutatedTgene.TCharacteristics:TM
ucusTglandsTthatTsecreteTincreasedTquantityTofTthickTtenaciousTmucus,TleadingTtoTme
chanicalTobstructionTofTorgansT(pancreas,Tlungs,Tliver,TsmallTintestine,TreproductiveT
system).TIncreasedTorganicTandTenzymaticTconstituentsTofTsaliva.TIncreasedTsodiumT
andTchlorideTinTsweat.TCNSTabnormalities.****
PediatricTEmergencies:TPlanningTinterventionTforTleadTexposureT-
T*CanTbeTfromTleadTingestionTfromTlead-basedTpaintTorTsoilTcontamination
*Symptoms:Tdistractibility,Timpulsiveness,Thyperactivity,ThearingTimpairment,TmildTint
ellectualTdifficultyT(Low-
dose),TcognitiveTdelays,Tseverity,Tblindness,Tparalysis,Tcoma,Tseizures,TdeathT(highTd
oes),TKidneyTimpairment,TimpairedTcalciumTfunctionsTandTanemia.
*ChelationTtherapyTusingTcalciumTEDTATforThighTserumTlevels
Burns:TTeachingTAboutTSunburnTPreventionT(RNTQSENT-
TSafetyT,TActiveTLearningTTemplateT-TBasicTConcept,TRMTNCC
RNT10.0TchpT32)T-T-adolescentsTshouldTapplyTsuncreenTwithTatTleastT15TSPF
-adolescentsTshouldTreapplyTsunscreenTeveryT2-3Thours
-adolescentsTshouldTavoidTtanningTbeds
,-itTisTimportantTtoTavoidTlongTperiodsTofTdirectTUVTcontact
HealthTPromotionTofTAdolescentsT(12TtoT20TYears):TInformedTConsent*T-
T1.TYouTcanTbeTaTminorTandTnotTneedTconsentTforTSTDTscreeningTifTtheyTareTaboveT1
3.
2. PregnancyTisTanotherTreasonTtoTnotTneedTconsent.
3. EmancipatedTminorsTareTanTexceptionTasTwell.
TChpT7TpgT33
PsychosocialTIssuesTofTInfants,TChildren,TandTAdolescents:TDiagnosticTFindingsTtoTRe
portTtoTtheTProviderT-
TAssessmentTfindingsTforTchildrenTwithTADHD:Tinattention,Thyperactivity,Timpulsivity
AssessmentTfindingsTforTchildrenTwithTautism:TdelaysTinTsocialTinteraction,TsocialTcom
munication,TimaginativeTplay;TspendsTtimeTalone,TheightenedTorTloweredTsenses
HeadTInjury:TPlanningTCareTforTanTInfantTWhoTHasTanTEpiduralTHematomaT-T-
MonitorTvitalTsigns,TlevelTofTconsciousness,TpupilsTICP,TmotorTactivity,TsensoryTperce
ption,TandTverbalTresponsesTatTfrequentTintervals.TUseTGlascowTComaTScale.
-
MaintainTpatentTairway.TAdministerToxygenTasTneeded.TKeepTsaturationTatTorTaboveT9
5%.
-AssessTforTclearTfluidTdrainageTfromTearsTorTnose.
-ImplementTactionsTthatTwillTdecreaseTICP
-ProvideTcalm,TrestfulTenvironment.
-ProvideTadequateTfluids
-MonitorTfluidTandTelectrolyteTvalues.
HealthTPromotionTofTSchool-
AgeTChildrenT(6TtoT12TYears):TTeachingTAboutTBicycleTSafetyT-
T1.TToTdecreaseTtheTriskTofTinjury,TparentsTshouldTensureTthatTtheTbikeTisTtheTcorrectTs
izeTforTtheTchild.TWhenTseatedTonTtheTbike,TtheTchildTshouldTbeTableTtoTstandTwithTtheT
ballTofTeachTfootTtouchingTtheTgroundTandTshouldTbeTableTtoTstandTwithTeachTfootTonTt
heTgroundTwhenTstraddlingTtheTbike'sTcenterTbar.
2. ChildrenTshouldTrideTtheirTbikesTsingleTfileTratherTthanTsideTbyTside.
3. ChildrenTshouldTwearTlight-
coloredTclothingTthatThasTaTfluorescentTmaterialTattached.TFluorescentTmater
ialTonTtheTbikeTitselfTtoo.
4. BikeTridersTshouldTrideTinTtheTdirectionTofTtheTflowTofTtraffic
.TChpT6TpgT29
HealthTPromotionTofTInfantsT(2TDaysTtoT1TYear):TTeachingTAboutTHomeTSafetyT(chp.T
3)T-TaspirationT--
>TteachTparentsTtoTholdTtheTinfantsTforTfeedingsT(doTnotTpropTbottle),TputTawayTsmallT
objectsTandTkeepToutTofTreachTofTbaby,TuseTage-
appropriateTtoysTonly,TcheckTclothingTforTsafetyThazardsT(i.e.TlooseTbuttons).
bodilyTharmT--
>TkeepTsharpTobjectsToutTofTreach,TanchorTheavyTobjects/furniture,TdoTnotTleaveTunat
tendedTwithTanimalsTpresent.
burnsT--
>TavoidTwarmingTformulaTinTmicrowaveT(checkTtempTbeforeTfeeding),TalsoTcheckTbath
TwaterTtempT(hotTwaterTthermostatsTshouldTbeTsetTatT120˚TorTless),TcheckTsmokeTdete
ctors,TturnThandlesTofTpots/pansTinwardTtowardsTstove,TuseTsunscreenTwhenTexposed
TtoTsun,TcoverTelectricalToutlets.
drowningT--
,>TdoTnotTleaveTunattendedTnearTanyTwater,TsecureTfencingTaroundTpools,TcloseTbathr
oomTdoors.
, fallsT--
>TcribTmattressesTinTtheTlowestTposition/railsTallTtheTwayTup,TrestraintsTinTinfantTseats,
TdoTnotTleaveTunattendedTonTelevatedTsurfaces,TuseTsafetyTguardsTatTtop/bottomTofTs
tairs.
poisoningT--
>TavoidTleadTpaint,TkeepTtoxins/plantsToutTofTreach,TsafetyTlocksTonTcabinets,TkeepTpo
isonTcontrolTphoneTnumberTcloseTby,TmedsTinTchildproofTcontainers,TworkingTcarbonT
monoxideTalarm.
motorTvehicleT-->TremainTinTrear-
facingTcarTseatsTuntilT2Tyrs.TorTatTheightTrecommendationT(doTnotTuseTcarTseatsTinTthe
TfrontTseatT-TsafestTinTtheTbackseatTofTtheTcar),TdoTnotTleaveTinTparkedTcars.
suffocationT--
>TavoidTplasticTbags/balloons,TfitTcribTmattressesTsnuglyT(slatsTnoTfurtherTthanT6TcmTa
part),TremoveTmobilesTorTcribTgymsTbyT4-
5Tmonths,TplaceTonTbackTtoTsleep,TkeepTtoysTwithTsmallTpartsToutTofTreach,TremoveTd
rawstringsTfromTjackets/clothing.
Accident/Error/InjuryTPrevention:
PediatricTEmergencies:TPlanningTInterventionsTforTLeadTExposureT(SafetyTandTInfecti
onTControl)T-T-ManifestationsTofTLeadTexposure:
---
lowTdoseTexposure:Tdistractibility,Timpulsiveness,Thyperactivity,ThearingTimpairme
nt,TandTmildTintellectualTdifficultly
---
highTdoseTexposure:TcognitiveTdelaysTvaryingTinTseverity,Tblindness,Tparalysis,Tcoma,
Tseizures,TandTdeath
---other:TkidneyTimpairment,TimpairedTcalciumTfunction,TandTanemia
-
InterventionsTforTleadTexposure:TchelationTtherapyTusingTcalciumTEDTAT(calciumTdiso
diumTversante
-
InterventionsTforTpoisonTprevention:TkeepTtoxicTagentsToutTofTreachTofTchildren,TlockT
cabinetsTcontainingTpotentiallyTharmfulTsubstances,TdoTnotTtakeTmedicationsTinTfrontT
ofTchildren,TdiscardTunusedTmedications,TwhenTgivingTmedsTdoTnotTsayTitTisTcandy,Tu
seTnonTmercuryTthermometers,TeliminateTlead-
basedTpaintTinTtheTenvironment,TencourageThandThygieneTpriorTtoTeating,TandTdoTnot
TstoreTfoodTinTlead-basedTcontainers
RiskTfactorsTforTCFT-TBothTbiologicalTparentsTcarryTtraitTforTCFT(recessive).
HeadTInjury:TPlanningTcareTforTanTinfantTwithTanTepiduralThematomaT-
T*BleedingTbetweenTtheTduraTandTtheTskull
*BloodTaccumulatesTinTepiduralTspaceTandTcompressesTtheTbrain
*StartsTw/TshortTperiodTofTunconsciousness,TthenTnormalTperiodTforTseveralThours,Tth
enTbloodTaccumulationTcausesTlethargyTorTcoma
HealthTPromotionTofTInfantsT(1TMonthTtoT1TYear):TCarTSeatTUseT(RNTQSENT-TSafetyT,
ActiveTLearningTTemplateT-TGrowth
andTDevelopment,TRMTNCCTRNT10.0TChpT3)T-T--
infantsTshouldTbeTplacedTinTaTfederallyTapprovedTcarTseatTatTaT45TdegreeTangleTtoTpr
eventTslumpingTorTairwayTobstruction
-
placeTcarTseatTrearTfacingTandTsecuredTusingTsafetyTbeltTofTLATCHTsystemTifTposs
ible
