ATI PROCTORED PEDs, ATI PEDIATRICS
PROCTORED EXAM, PEDS ATI PROCTORED REVIEW
LATEST 2023-2024 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)AGRADE
1. Preschool-Ageda1Children
Body-Integrity:a1-a1Preschool-
ageda1childrena1area1verya1concerneda1abouta1theira1bodya1integrity
- Theya1believea1thata1theira1insidesa1cana1leaka1oura1froma1evena1aa1smalla1wound.
- Explainsa1reasona1fora1theira1preoccupationa1witha1bandages
2. Preschoola1(3-6a1Years):a1-
a1IMITATIONa1ofa1adults:a1providinga1aa1stethoscopea1allowsa1childa1ana1opportunit
ya1fora1THERAPEUTICa1play.
- Timea1baseda1ona1events,a1magicala1thinking,a1animism,a1centration.
- Stressa1=a1Regresion;a1maya1stilla1bea1pickya1eatersa1,a1sleepa112a1hoursa1average,a1pe
destriana1safety
- Keepa1aa1consistenta1bedtimea1routine
3. Pyloromyotomy:a1-
a1Releasea1ofa1hypertrophieda1musclea1arounda1thea1pylorica1sphinctera1thata1causesa1na
rrowinga1ofa1thea1pylorica1canal.
- Infantsa1willa1bea1feda1shortlya1postoperativea1(witha1returna1ofa1bowela1sounds)a1i
na1small,a1frequenta1orala1feeds.
- Therea1isa1noa1incisiona1toa1thea1gastrica1wallsa1ora1mucosaa1anda1NPOa1isa1nota1required.
4. Cystica1Fibrosis
Nutritionala1Care:a1-a1‘a1Protein,a1Carbsa1anda1minerals,a1toa1promotea1weighta1gain
- Theya1havea1difficultya1absorbinga1nutrientsa1duea1toa1blockagea1ofa1pancreatica1enzy
mesa1bya1thicka1mucusa1secretionsa1ina1thea1pancreasa1anda1liver.
- Pancreatica1enzymesa1helpa1breakdowna1ingesteda1foodsa1soa1thea1bodya1cana1meta
bolizea1nutrients.
- Administeringa1pancreatica1enzymesa1BEFOREa1eatinga1willa1enablea1childrena1toa1
metab-a1olizea1nutrientsa1soa1theya1cana1bea1useda1morea1effectively
- Fata1contenta1doesn'ta1needa1toa1bea1decreaseda1ora1eliminated.a1Theya1havea1diff
icultya1absorbinga1fata1duea1toa1thicka1mucusa1ina1intestinesa1anda1thea1inabilitya1ofa1
thea1pancreatica1enzymesa1toa1reacha1thea1duodenum.
- ‘a1ofa1fibera1isa1NOTa1needed,a1theira1stoolsa1area1bulkya1becausea1ofa1fata1content,a1buta1t
1a1/a1
42
,heya1havea1regulara1bowela1movements
- C.F.a1patientsa1excretea1excessivea1salta1througha1thea1skin,a1thea1childa1witha1cystica1f
ibrosisa1willa1likelya1requirea1additionala1salta1ina1theira1diet,a1especiallya1duringa1a
ctivities.
- 85%a1O2a1Sata1=a1milda1hypoxemia,a1asa1mucopurulenta1secretionsa1gathera1ina1ai
rways,a1respiratorya1compromisea1worsensa1anda1oxygenationa1becomesa1impaire
da1anda1“a1ina1O2a1Sata1isa1likelya1seen
5. Chemotherapy:a1-
a1Lowa1WBCa1counta1placesa1thea1childa1ata1riska1fora1infectiona1anda1isolationa1w
itha1monitoringa1ofa1fevera1isa1priority.
2a1/a1
42
,6. “Ra1BC:a1 -a1Quieta1playa1anda1besta1rest,a1administera1O2
7. “Platelet:a1-a1Protecta1childa1froma1injurya1anda1monitora1fora1bleeding.
- Quieta1playa1shoulda1bea1encouraged,a1ita1willa1lessena1thea1R/Fa1injurya1anda1“a1hemorrha
e
3a1/a1
42
, 8. Dehydration:a1-a1Assessment,a1responsea1toa1parenterala1fluids.
thea1nursea1shoulda1weigha1thea1patienta1dailya1becausea1weighta1isa1thea1mosta1sensitivea1
dicatora1ofa1hydrationa1statusa1ina1clientsa1ofa1alla1ages.
- Weighta1isa1thea1onlya1measurementa1thea1reflectsa1botha1measurablea1fluida1b
alancea1changesa1(I/O)a1anda1insensiblea1fluida1lossa1(skina1anda1respiratory)
9. Koplika1spots:a1-a1Maculopapulara1rasha1anda1fever;a1Rubeola
- Koplika1spots:a1orala1lesionsa1thata1area1characteristicsa1ofa1rubeolaa1(measles).a1Thea
1small,a1irregulara1spotsa1witha1aa1blue/whitea1centera1area1seena1ona1thea1Buccala1m
ucosa,a1whicha1isa1oppositea1thea1molars,a1ina1thea1prodromala1stagea1ofa1measles.
- Koplika 1 spotsa 1 appeara 1 abouta 1 2a 1 daysa 1 beforea 1 maculopapulara 1 rasha 1 appearsa1an
1are
accompanieda 1 manifestationsa 1 ofa 1 fever,a 1 malaise,a 1 conjunctivitis,a 1 anda 1 othera1colda1m
ani-
festations.
- Theya1begina1toa1fadea1thea1seconda1daya1aftera1thea1rasha1appears.a1Immunitya1toa1m
easlesa1isa1conferreda1bya1thea1MMRa1(Measles-Mumps-
Rubella)a1immunizationa1thata1childrena1receivea1@a115a1months.
10. Rubeola:a1Measles;a1Maculopapulara1startsa1ona1thea1facea1anda1spreadsa1dowa1Itn
ward.a1desquamatesa 1 aftera 1 abouta 1 3-
4a 1 days.a 1 Thea 1 rasha 1 doesa 1 nota 1 progressa 1 toa 1 vesiclesa1and
crustsa1likea1thea1papulesa1ofa1chickena1pox.
- cephalocaudala 1 rasha 1 uppera 1 trunka 1 anda 1 faceanda 1 morea 1 confluencea 1 asa 1 ita 1 sprea
sa1toa1the
lowera1areasa1ofa1thea1body.
11. Varicella:a1Chickena1Pox;a1Vesiclesa1anda1crustsa1area1present
- Commencesa1witha1aa1maculopapulara 1 rasha1thata1progressessa1toa1vesiclesa rythema-
1 ona1ea 1 tousa1basesa1whicha1eventuallya1rupturea1anda1crusta1over.
12. Kawasakia1Syndromea1(Scarleta1Fever):a1-
a1Strawberrya1tongue;a1slougheda1offa1itsa1normala1coating,a1exposinga1swollena1pr
ominenta1papillae.
13. Pertussisa1(whoopinga1Cough):a1Paroxysmala1Cough
4a1/a1
42
PROCTORED EXAM, PEDS ATI PROCTORED REVIEW
LATEST 2023-2024 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)AGRADE
1. Preschool-Ageda1Children
Body-Integrity:a1-a1Preschool-
ageda1childrena1area1verya1concerneda1abouta1theira1bodya1integrity
- Theya1believea1thata1theira1insidesa1cana1leaka1oura1froma1evena1aa1smalla1wound.
- Explainsa1reasona1fora1theira1preoccupationa1witha1bandages
2. Preschoola1(3-6a1Years):a1-
a1IMITATIONa1ofa1adults:a1providinga1aa1stethoscopea1allowsa1childa1ana1opportunit
ya1fora1THERAPEUTICa1play.
- Timea1baseda1ona1events,a1magicala1thinking,a1animism,a1centration.
- Stressa1=a1Regresion;a1maya1stilla1bea1pickya1eatersa1,a1sleepa112a1hoursa1average,a1pe
destriana1safety
- Keepa1aa1consistenta1bedtimea1routine
3. Pyloromyotomy:a1-
a1Releasea1ofa1hypertrophieda1musclea1arounda1thea1pylorica1sphinctera1thata1causesa1na
rrowinga1ofa1thea1pylorica1canal.
- Infantsa1willa1bea1feda1shortlya1postoperativea1(witha1returna1ofa1bowela1sounds)a1i
na1small,a1frequenta1orala1feeds.
- Therea1isa1noa1incisiona1toa1thea1gastrica1wallsa1ora1mucosaa1anda1NPOa1isa1nota1required.
4. Cystica1Fibrosis
Nutritionala1Care:a1-a1‘a1Protein,a1Carbsa1anda1minerals,a1toa1promotea1weighta1gain
- Theya1havea1difficultya1absorbinga1nutrientsa1duea1toa1blockagea1ofa1pancreatica1enzy
mesa1bya1thicka1mucusa1secretionsa1ina1thea1pancreasa1anda1liver.
- Pancreatica1enzymesa1helpa1breakdowna1ingesteda1foodsa1soa1thea1bodya1cana1meta
bolizea1nutrients.
- Administeringa1pancreatica1enzymesa1BEFOREa1eatinga1willa1enablea1childrena1toa1
metab-a1olizea1nutrientsa1soa1theya1cana1bea1useda1morea1effectively
- Fata1contenta1doesn'ta1needa1toa1bea1decreaseda1ora1eliminated.a1Theya1havea1diff
icultya1absorbinga1fata1duea1toa1thicka1mucusa1ina1intestinesa1anda1thea1inabilitya1ofa1
thea1pancreatica1enzymesa1toa1reacha1thea1duodenum.
- ‘a1ofa1fibera1isa1NOTa1needed,a1theira1stoolsa1area1bulkya1becausea1ofa1fata1content,a1buta1t
1a1/a1
42
,heya1havea1regulara1bowela1movements
- C.F.a1patientsa1excretea1excessivea1salta1througha1thea1skin,a1thea1childa1witha1cystica1f
ibrosisa1willa1likelya1requirea1additionala1salta1ina1theira1diet,a1especiallya1duringa1a
ctivities.
- 85%a1O2a1Sata1=a1milda1hypoxemia,a1asa1mucopurulenta1secretionsa1gathera1ina1ai
rways,a1respiratorya1compromisea1worsensa1anda1oxygenationa1becomesa1impaire
da1anda1“a1ina1O2a1Sata1isa1likelya1seen
5. Chemotherapy:a1-
a1Lowa1WBCa1counta1placesa1thea1childa1ata1riska1fora1infectiona1anda1isolationa1w
itha1monitoringa1ofa1fevera1isa1priority.
2a1/a1
42
,6. “Ra1BC:a1 -a1Quieta1playa1anda1besta1rest,a1administera1O2
7. “Platelet:a1-a1Protecta1childa1froma1injurya1anda1monitora1fora1bleeding.
- Quieta1playa1shoulda1bea1encouraged,a1ita1willa1lessena1thea1R/Fa1injurya1anda1“a1hemorrha
e
3a1/a1
42
, 8. Dehydration:a1-a1Assessment,a1responsea1toa1parenterala1fluids.
thea1nursea1shoulda1weigha1thea1patienta1dailya1becausea1weighta1isa1thea1mosta1sensitivea1
dicatora1ofa1hydrationa1statusa1ina1clientsa1ofa1alla1ages.
- Weighta1isa1thea1onlya1measurementa1thea1reflectsa1botha1measurablea1fluida1b
alancea1changesa1(I/O)a1anda1insensiblea1fluida1lossa1(skina1anda1respiratory)
9. Koplika1spots:a1-a1Maculopapulara1rasha1anda1fever;a1Rubeola
- Koplika1spots:a1orala1lesionsa1thata1area1characteristicsa1ofa1rubeolaa1(measles).a1Thea
1small,a1irregulara1spotsa1witha1aa1blue/whitea1centera1area1seena1ona1thea1Buccala1m
ucosa,a1whicha1isa1oppositea1thea1molars,a1ina1thea1prodromala1stagea1ofa1measles.
- Koplika 1 spotsa 1 appeara 1 abouta 1 2a 1 daysa 1 beforea 1 maculopapulara 1 rasha 1 appearsa1an
1are
accompanieda 1 manifestationsa 1 ofa 1 fever,a 1 malaise,a 1 conjunctivitis,a 1 anda 1 othera1colda1m
ani-
festations.
- Theya1begina1toa1fadea1thea1seconda1daya1aftera1thea1rasha1appears.a1Immunitya1toa1m
easlesa1isa1conferreda1bya1thea1MMRa1(Measles-Mumps-
Rubella)a1immunizationa1thata1childrena1receivea1@a115a1months.
10. Rubeola:a1Measles;a1Maculopapulara1startsa1ona1thea1facea1anda1spreadsa1dowa1Itn
ward.a1desquamatesa 1 aftera 1 abouta 1 3-
4a 1 days.a 1 Thea 1 rasha 1 doesa 1 nota 1 progressa 1 toa 1 vesiclesa1and
crustsa1likea1thea1papulesa1ofa1chickena1pox.
- cephalocaudala 1 rasha 1 uppera 1 trunka 1 anda 1 faceanda 1 morea 1 confluencea 1 asa 1 ita 1 sprea
sa1toa1the
lowera1areasa1ofa1thea1body.
11. Varicella:a1Chickena1Pox;a1Vesiclesa1anda1crustsa1area1present
- Commencesa1witha1aa1maculopapulara 1 rasha1thata1progressessa1toa1vesiclesa rythema-
1 ona1ea 1 tousa1basesa1whicha1eventuallya1rupturea1anda1crusta1over.
12. Kawasakia1Syndromea1(Scarleta1Fever):a1-
a1Strawberrya1tongue;a1slougheda1offa1itsa1normala1coating,a1exposinga1swollena1pr
ominenta1papillae.
13. Pertussisa1(whoopinga1Cough):a1Paroxysmala1Cough
4a1/a1
42