ATI Proctored PEDs EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
Preschool-Aged Children
Body-Integrity - Correct Answer - 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 - Correct Answer: - IMITATION of adults - Correct Answer:
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 - 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 - 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 - Correct Answer: - Low WBC count places the child at risk for infection
and isolation with monitoring of fever is priority.
↓RBC - Correct Answer - Correct Answer: - Quiet play and best rest, administer O2
↓ Platelet - Correct Answer - 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 - 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 - Correct Answer: - Maculopapular rash and fever; Rubeola
- Koplik spots - Correct Answer: 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 - 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.
QUESTIONS AND CORRECT
DETAILED ANSWERS
Preschool-Aged Children
Body-Integrity - Correct Answer - 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 - Correct Answer: - IMITATION of adults - Correct Answer:
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 - 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 - 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 - Correct Answer: - Low WBC count places the child at risk for infection
and isolation with monitoring of fever is priority.
↓RBC - Correct Answer - Correct Answer: - Quiet play and best rest, administer O2
↓ Platelet - Correct Answer - 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 - 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 - Correct Answer: - Maculopapular rash and fever; Rubeola
- Koplik spots - Correct Answer: 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 - 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.
