ATI PROCTORED PEDS QUESTIONS
WITH ACCURATE ANSWERS.
Preschool-Aged Children
Body-Integrity ANSWER :-- Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) ANSWER :-- IMITATION of adults: providing a stethoscope allows child an
opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy ANSWER :-- Release of hypertrophied muscle around the pyloric sphincter that causes
narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care ANSWER :-- ↑ Protein, Carbs and minerals, to promote weight gain
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients so they
can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due to thick
mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular bowel
movements
- C.F. patients excrete excess salt through the skin, the child with cystic fibrosis will likely require
additional salt in their diet, especially during activities.
,- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory compromise
worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy ANSWER :-- Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
-if uriticaria or any rashes occur STOP immediately
↓RBC ANSWER :-- Quiet play and best rest, administer O2
↓ Platelet ANSWER :-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration ANSWER :-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration
status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots ANSWER :-- Maculopapular rash and fever; Rubeola aka Measle
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular spots with a
blue/white center are seen on the Buccal mucosa, which is opposite the molars, in the prodromal stage
of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles i s conferred by the
MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola ANSWER :-Measles; Maculopapular starts on the face and spreads downward. It desquamates
after about 3-4 days. The rash does not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas of the
body.
, Varicella ANSWER :-Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on erythematous bases which
eventually rupture and crust over.
-NO longer contagious when lesions are crusted, 6 days after they appear
Kawasaki Syndrome (Scarlet Fever) ANSWER :-- Strawberry tongue; sloughed off its normal coating,
exposing swollen prominent papillae.
Pertussis (whooping Cough) ANSWER :-Paroxysmal Cough
A1C ANSWER :-AKA glycosylated hemoglobin assay; is the most sensitive indication of client
compliance with the treatment regimen. The life span of RBC is about 120 days, and glucose molecules
adhere to about 4-6% of hemoglobin. Because of the longevity of the RBC's recent changes in diet,
activity or medication will not affect the results of this test.
Skeletal Traction ANSWER :-The most effective means of traction, applying to a bone with wire pins or
tongs
Compartment Syndrome ANSWER :-Involves the compression of nerves and blood vessels due to
swelling within the enclosed space created by the fascia that separates groups of muscles
Ventricular Septal Defect ANSWER :-- Murmur best heard at the lower left sternal border; Ventricular
septal wall defect between ventricles is an Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood from the left to the right
ventricle through the septal defect would be best heard in this area.
Acute Glomerulonephritis ANSWER :-- ASO titer will indicate if the child has had a recent strep
infection. In determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
WITH ACCURATE ANSWERS.
Preschool-Aged Children
Body-Integrity ANSWER :-- Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) ANSWER :-- IMITATION of adults: providing a stethoscope allows child an
opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy ANSWER :-- Release of hypertrophied muscle around the pyloric sphincter that causes
narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care ANSWER :-- ↑ Protein, Carbs and minerals, to promote weight gain
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients so they
can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due to thick
mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular bowel
movements
- C.F. patients excrete excess salt through the skin, the child with cystic fibrosis will likely require
additional salt in their diet, especially during activities.
,- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory compromise
worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy ANSWER :-- Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
-if uriticaria or any rashes occur STOP immediately
↓RBC ANSWER :-- Quiet play and best rest, administer O2
↓ Platelet ANSWER :-- Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration ANSWER :-- Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of hydration
status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots ANSWER :-- Maculopapular rash and fever; Rubeola aka Measle
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular spots with a
blue/white center are seen on the Buccal mucosa, which is opposite the molars, in the prodromal stage
of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles i s conferred by the
MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola ANSWER :-Measles; Maculopapular starts on the face and spreads downward. It desquamates
after about 3-4 days. The rash does not progress to vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas of the
body.
, Varicella ANSWER :-Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on erythematous bases which
eventually rupture and crust over.
-NO longer contagious when lesions are crusted, 6 days after they appear
Kawasaki Syndrome (Scarlet Fever) ANSWER :-- Strawberry tongue; sloughed off its normal coating,
exposing swollen prominent papillae.
Pertussis (whooping Cough) ANSWER :-Paroxysmal Cough
A1C ANSWER :-AKA glycosylated hemoglobin assay; is the most sensitive indication of client
compliance with the treatment regimen. The life span of RBC is about 120 days, and glucose molecules
adhere to about 4-6% of hemoglobin. Because of the longevity of the RBC's recent changes in diet,
activity or medication will not affect the results of this test.
Skeletal Traction ANSWER :-The most effective means of traction, applying to a bone with wire pins or
tongs
Compartment Syndrome ANSWER :-Involves the compression of nerves and blood vessels due to
swelling within the enclosed space created by the fascia that separates groups of muscles
Ventricular Septal Defect ANSWER :-- Murmur best heard at the lower left sternal border; Ventricular
septal wall defect between ventricles is an Acyanotic heart defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood from the left to the right
ventricle through the septal defect would be best heard in this area.
Acute Glomerulonephritis ANSWER :-- ASO titer will indicate if the child has had a recent strep
infection. In determining a definitive diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
