Peds ATI exam
(NGN) A nurse is reviewing a child's
medical record. Which of the following
medications should the nurse expect the
provider to prescribe or reconcile from
the child's home meds list?
Scenario: Cystic fibrosis at 3 months,
failure to thrive, has chronic obstructive
pulmonary disease. Wheezing, rhonchi,
paroxysmal cough, dyspnea. Parent re-
ports large frothy, foul-smelling stool.
Child has deficient levels of vitamins A,
D, E and K
Barrel shape chest, clubbed finger bi-
B. Dornase alfa
laterally, RR 40/min wheezing rhonchi,
D. Water soluble vitamins
bilateral dyspnea, paroxysmal cough.
E. Pancreatic lipase
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for
pseudomonas aeruginosa
Stool analysis: the presence of fat and
enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
(NGN) A nurse is caring for a 7-year-old
child who has urinary incontinence. A
7-year-old client who weight is 18.1 kg
(39.9 lb.) was admitted with a UTI. The
- Anticipated:
child reports pain and burning upon uri-
A. Educate the child about proper per-
nation and feeling like they need to go
sonal hygiene.
to the bathroom all the time. The child
B. Administer sulfamethoxazole and
guardian reports client has been incon-
tinent of urine the past 2 nights and the
urine has very strong odor.
T: 100.4 HR 80 RR: 22 BP: 106/65
, Peds ATI exam
T: 101.1 F HR: 90 RR: 23 BP: 105/65
Indicate if the potential intervention is an-
ticipated or contraindicated for the client.
trimethronin.
A. Educate the child about proper per- E. Advise child guardians about use of
sonal hygiene. sunscreen.
B. Administer sulfamethoxazole and - Contraindicated:
trimethronin. C. Administer salicylic acid for pain and
C. Administer salicylic acid for pain and fever.
fever. D. Ensure child receives a maximum of
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
1,200 mL/day of fluid.
E. Advise child guardians about use of
sunscreen.
(NGN) Child presents to ED guardian
reports a child woke up coughing with
a low-grade fever. Child alert restless
in guardians' arms. RR easy. No cough
noted. Child became agitated. Hoarse
cry noted with audible inspiratory stridor.
Barking non-productive cough present. - Acute Laryngotrancheobronchitis:
7:15 A. Irritability
T: 100.6 B. Cough findings at 0800
98 o2 C. Stridor
0800? D. Temperature
T: 101 HR 112 RR: 24 o2 96 - Pneumonia:
Assessment findings consistent with B. Cough findings at 0800
Acute Laryngotrancheobronchitis, or D. Temperature
Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
(NGN) Received the child awake, alert,
and crying. Parent noticed battery on
control toy missing parent states child
was drooling more than usual and wit-
, Peds ATI exam
nessed gaging periodically.
0930
The child is lying on the parent's chest
with eyes open and requesting sippy
cups. He continues to have expiratory
wheeze in bilateral upper lobes. Prepar-
ing child for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
D. Prepare for flexible endoscopy.
A. Keep them NPO.
B. Teach parents importance of inspect-
ing Childs gasp area?
C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for
easily removable parts.
The nurse is caring for a client who is
postop following the placement of a halo
vest to manage cervical fracture. Which
actions should the nurse take?
A. Tighten screws on halo device
B. Reposition client using turning sheet.
on-quarter turn every 48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of
neck.
D. Assess pin sites for infection once
every other day
ED preparing to discharge 3-year-old
The child's guardian states that the child
has been unable to sleep recently and
has been irritable. Guardian expresses
concern about the child's atopic dermati-
tis worsening and the child scratching
excessively, which results in the areas
bleeding. Guardian states child has hx of
allergic rhinitis.
(NGN) A nurse is reviewing a child's
medical record. Which of the following
medications should the nurse expect the
provider to prescribe or reconcile from
the child's home meds list?
Scenario: Cystic fibrosis at 3 months,
failure to thrive, has chronic obstructive
pulmonary disease. Wheezing, rhonchi,
paroxysmal cough, dyspnea. Parent re-
ports large frothy, foul-smelling stool.
Child has deficient levels of vitamins A,
D, E and K
Barrel shape chest, clubbed finger bi-
B. Dornase alfa
laterally, RR 40/min wheezing rhonchi,
D. Water soluble vitamins
bilateral dyspnea, paroxysmal cough.
E. Pancreatic lipase
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for
pseudomonas aeruginosa
Stool analysis: the presence of fat and
enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
(NGN) A nurse is caring for a 7-year-old
child who has urinary incontinence. A
7-year-old client who weight is 18.1 kg
(39.9 lb.) was admitted with a UTI. The
- Anticipated:
child reports pain and burning upon uri-
A. Educate the child about proper per-
nation and feeling like they need to go
sonal hygiene.
to the bathroom all the time. The child
B. Administer sulfamethoxazole and
guardian reports client has been incon-
tinent of urine the past 2 nights and the
urine has very strong odor.
T: 100.4 HR 80 RR: 22 BP: 106/65
, Peds ATI exam
T: 101.1 F HR: 90 RR: 23 BP: 105/65
Indicate if the potential intervention is an-
ticipated or contraindicated for the client.
trimethronin.
A. Educate the child about proper per- E. Advise child guardians about use of
sonal hygiene. sunscreen.
B. Administer sulfamethoxazole and - Contraindicated:
trimethronin. C. Administer salicylic acid for pain and
C. Administer salicylic acid for pain and fever.
fever. D. Ensure child receives a maximum of
D. Ensure child receives a maximum of 1,200 mL/day of fluid.
1,200 mL/day of fluid.
E. Advise child guardians about use of
sunscreen.
(NGN) Child presents to ED guardian
reports a child woke up coughing with
a low-grade fever. Child alert restless
in guardians' arms. RR easy. No cough
noted. Child became agitated. Hoarse
cry noted with audible inspiratory stridor.
Barking non-productive cough present. - Acute Laryngotrancheobronchitis:
7:15 A. Irritability
T: 100.6 B. Cough findings at 0800
98 o2 C. Stridor
0800? D. Temperature
T: 101 HR 112 RR: 24 o2 96 - Pneumonia:
Assessment findings consistent with B. Cough findings at 0800
Acute Laryngotrancheobronchitis, or D. Temperature
Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
(NGN) Received the child awake, alert,
and crying. Parent noticed battery on
control toy missing parent states child
was drooling more than usual and wit-
, Peds ATI exam
nessed gaging periodically.
0930
The child is lying on the parent's chest
with eyes open and requesting sippy
cups. He continues to have expiratory
wheeze in bilateral upper lobes. Prepar-
ing child for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
D. Prepare for flexible endoscopy.
A. Keep them NPO.
B. Teach parents importance of inspect-
ing Childs gasp area?
C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for
easily removable parts.
The nurse is caring for a client who is
postop following the placement of a halo
vest to manage cervical fracture. Which
actions should the nurse take?
A. Tighten screws on halo device
B. Reposition client using turning sheet.
on-quarter turn every 48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of
neck.
D. Assess pin sites for infection once
every other day
ED preparing to discharge 3-year-old
The child's guardian states that the child
has been unable to sleep recently and
has been irritable. Guardian expresses
concern about the child's atopic dermati-
tis worsening and the child scratching
excessively, which results in the areas
bleeding. Guardian states child has hx of
allergic rhinitis.
