PEDS ATI PROCTORED REVIEW| QUESTIONS AND ANSWERS
VERIFIED| LATEST EXAM UPDATE 2025/2026
Preschool-Aged Children
Body-Integrity -CORRECT 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) -CORRECT 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 -CORRECT 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 -CORRECT ANSWER - ↑ Protein, Carbs and minerals, to
promote weight gain
- They have difficulty absorbing nutrients due to blockage of pancreatic
enzymes by thick mucus secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can
metabolize nutrients.
,- 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 excessive 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 -CORRECT ANSWER - Low WBC count places the child at
risk for infection and isolation with monitoring of fever is priority.
↓RBC -CORRECT ANSWER - Quiet play and best rest, administer O2
↓ Platelet -CORRECT ANSWER - Protect child from injury and monitor for
bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
Dehydration -CORRECT 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 -CORRECT ANSWER - Maculopapular rash and fever; Rubeola
- 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
is conferred by the MMR (Measles-Mumps-Rubella) immunization that
children receive @ 15 months.
Rubeola -CORRECT 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 -CORRECT 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.
Kawasaki Syndrome (Scarlet Fever) -CORRECT ANSWER - Strawberry
tongue; sloughed off its normal coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) -CORRECT ANSWER Paroxysmal Cough
A1C -CORRECT 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
VERIFIED| LATEST EXAM UPDATE 2025/2026
Preschool-Aged Children
Body-Integrity -CORRECT 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) -CORRECT 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 -CORRECT 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 -CORRECT ANSWER - ↑ Protein, Carbs and minerals, to
promote weight gain
- They have difficulty absorbing nutrients due to blockage of pancreatic
enzymes by thick mucus secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can
metabolize nutrients.
,- 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 excessive 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 -CORRECT ANSWER - Low WBC count places the child at
risk for infection and isolation with monitoring of fever is priority.
↓RBC -CORRECT ANSWER - Quiet play and best rest, administer O2
↓ Platelet -CORRECT ANSWER - Protect child from injury and monitor for
bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
Dehydration -CORRECT 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 -CORRECT ANSWER - Maculopapular rash and fever; Rubeola
- 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
is conferred by the MMR (Measles-Mumps-Rubella) immunization that
children receive @ 15 months.
Rubeola -CORRECT 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 -CORRECT 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.
Kawasaki Syndrome (Scarlet Fever) -CORRECT ANSWER - Strawberry
tongue; sloughed off its normal coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) -CORRECT ANSWER Paroxysmal Cough
A1C -CORRECT 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
