ATI PEDIATRIC 2023 PROCTORED EXAM Bundle
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin
(Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record
your answer using one decimal place. - __100% correct answer as 1.5 tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2 hours.
The child weighs 36 kg. Calculate the infusion rate in mL/hr. - __100% correct answer
as 180 mL/hr
What happens to the voice during epiglottitis? - __100% correct answer as it becomes
hoarse
Leukotreine modifiers - __100% correct answer as -Blocks leukotriene receptors or
synthesis of leukotrienes (Singulair)
hand preference - __100% correct answer as all kids normally show hand preference
by 1 year old
plaster casts - __100% correct answer as -heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts - __100% correct answer as -light weight
-water resistant
-dry in 15-20 min
types of traction - __100% correct answer as Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction - __100% correct answer as -assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
,Halo: ensure wrench is readily available
surgical intervention for scoliosis - __100% correct answer as -realign (2 rods on either
side of spine)
-internal fixation
-fusion
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade) - __100% correct answer as -Anti-inflammatory
agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics - __100% correct answer as -Salmeterol (Serevent) -
used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours
Lortab - __100% correct answer as tylenol with hydrocodone
dornase alpha - __100% correct answer as decreases viscosity of secretions (thins
mucous) for CF patients
tobramycin - __100% correct answer as aerosolized antibiotics used for CF
Norwood procedure - __100% correct answer as -Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
, Biot's respirations - __100% correct answer as periods of apnea alternating with 2 or 3
shallow breaths
Cheyne-Stokes respirations - __100% correct answer as periods of apnea alternating
with periods of hyperventilation
What gauge needle should be used when administering an immunization to a toddler? -
__100% correct answer as 24 gauge
sodium normal range - __100% correct answer as 135-145
Recommended play activities for infant, toddler, preschool, and school age children -
__100% correct answer as Infant: play pat-a-cake
Toddler: push-pull toy
Preschool: play dress-up
School age: create a scrapbook
protecting against SIDS - __100% correct answer as -supine to sleep
-empty bed: firm mattress only
-breastfeeding
-use of pacifier while sleeping
manifestations of pneumonia in infants - __100% correct answer as nasal flaring
increased WBCs
diarrhea
abdominal distention
steps to take during a tonic-clonic seizure - __100% correct answer as **FIRST: assist
child to side-lying position on the floor
then...
-apply O2 mask
-clear immediate area
-loosen restrictive clothing
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38
degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is
ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant
per dose? Round to nearest whole number. - __100% correct answer as 2 mL
What is an indication of IICP in a child with a concussion? - __100% correct answer as
forceful vomiting
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin
(Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record
your answer using one decimal place. - __100% correct answer as 1.5 tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2 hours.
The child weighs 36 kg. Calculate the infusion rate in mL/hr. - __100% correct answer
as 180 mL/hr
What happens to the voice during epiglottitis? - __100% correct answer as it becomes
hoarse
Leukotreine modifiers - __100% correct answer as -Blocks leukotriene receptors or
synthesis of leukotrienes (Singulair)
hand preference - __100% correct answer as all kids normally show hand preference
by 1 year old
plaster casts - __100% correct answer as -heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts - __100% correct answer as -light weight
-water resistant
-dry in 15-20 min
types of traction - __100% correct answer as Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction - __100% correct answer as -assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
,Halo: ensure wrench is readily available
surgical intervention for scoliosis - __100% correct answer as -realign (2 rods on either
side of spine)
-internal fixation
-fusion
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade) - __100% correct answer as -Anti-inflammatory
agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics - __100% correct answer as -Salmeterol (Serevent) -
used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours
Lortab - __100% correct answer as tylenol with hydrocodone
dornase alpha - __100% correct answer as decreases viscosity of secretions (thins
mucous) for CF patients
tobramycin - __100% correct answer as aerosolized antibiotics used for CF
Norwood procedure - __100% correct answer as -Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
, Biot's respirations - __100% correct answer as periods of apnea alternating with 2 or 3
shallow breaths
Cheyne-Stokes respirations - __100% correct answer as periods of apnea alternating
with periods of hyperventilation
What gauge needle should be used when administering an immunization to a toddler? -
__100% correct answer as 24 gauge
sodium normal range - __100% correct answer as 135-145
Recommended play activities for infant, toddler, preschool, and school age children -
__100% correct answer as Infant: play pat-a-cake
Toddler: push-pull toy
Preschool: play dress-up
School age: create a scrapbook
protecting against SIDS - __100% correct answer as -supine to sleep
-empty bed: firm mattress only
-breastfeeding
-use of pacifier while sleeping
manifestations of pneumonia in infants - __100% correct answer as nasal flaring
increased WBCs
diarrhea
abdominal distention
steps to take during a tonic-clonic seizure - __100% correct answer as **FIRST: assist
child to side-lying position on the floor
then...
-apply O2 mask
-clear immediate area
-loosen restrictive clothing
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38
degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is
ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant
per dose? Round to nearest whole number. - __100% correct answer as 2 mL
What is an indication of IICP in a child with a concussion? - __100% correct answer as
forceful vomiting
