ATI PEDIATRICS PROCTORED EXAM PACK 6
FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ Spinal Fusion.
Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the
nurse the opportunity to assess the clients lengthy posterior spinal
dressing for drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
◉ Milwaukee brace.
Answer: - Worn for scoliosis , stabilizes the spine from the neck to
the pelvis. It must be removed daily for hygiene care, but that is all.
Once the curves has stabilized and spinal growth is nearly complete
the ortho surgeon will begin to wean the client out of the brace, but
continues to wear it in the evening and at night. The brace will often
be worn at night several years after growth is complete to maintain
the spinal correction.
◉ Steroid Inhaler.
Answer: - Help manage asthma be decreasing reactivity of the
airways by preventing or lessening the inflammatory process when
,the pt. is exposed to a trigger, so even when manifestation free it is
critical to continue using it.
- They have no immediate bronchodilator effect and are not used for
prophylactic measures.
◉ Urine Specific gravity.
Answer: Expected finding is 1.010-1.020
↑ = concentration
◉ Anaphylaxis.
Answer: - Nausea, Tachycardia, Urticaria (hives), Stridor
- Histamine is a vasodilator = Tachycardia and ↓B.P.
- GI response due to increase of histamine release = Nausea
◉ Superficial Partial-Thickness Burn.
Answer: - High Carbohydrates and Protein with adequate fat for
healing.
- Administer medication 30min. before dressing changes
- Do not change dressings close to feedings therefore perform at
least 1 hour before or after meals.
◉ Autistic.
, Answer: Characteristics include engagement in repetitive activities
and stereotyped movements, resistance to environmental change or
change in daily routines and unusual responses to sensory
experiences. The child with autism has unusual responses to painful
stimuli and may engage in self-injurious behaviors as a form of auto-
stimulation.
◉ Bone Marrow Aspiration.
Answer: - Lie on abdomen because the specimen is obtained from
the iliac crest.
◉ Iliac crest.
Answer: Bone marrow aspiration.
◉ Iron Supplement.
Answer: - Best time is between meals because it is best absorbed on
an empty stomach and in concomitant intake of vitamin C will
increase the bio-availability of the iron.
◉ PICC Line.
Answer: Preferred venous access device for moderate term IV
therapy, can remain in place for 6 Months or longer with proper
care, it is meant to remain in place for duration of the entire
treatment, the catheters designed are highly flexible and there is no
need to immobilize the client, movement is encouraged to stimulate
FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ Spinal Fusion.
Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the
nurse the opportunity to assess the clients lengthy posterior spinal
dressing for drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
◉ Milwaukee brace.
Answer: - Worn for scoliosis , stabilizes the spine from the neck to
the pelvis. It must be removed daily for hygiene care, but that is all.
Once the curves has stabilized and spinal growth is nearly complete
the ortho surgeon will begin to wean the client out of the brace, but
continues to wear it in the evening and at night. The brace will often
be worn at night several years after growth is complete to maintain
the spinal correction.
◉ Steroid Inhaler.
Answer: - Help manage asthma be decreasing reactivity of the
airways by preventing or lessening the inflammatory process when
,the pt. is exposed to a trigger, so even when manifestation free it is
critical to continue using it.
- They have no immediate bronchodilator effect and are not used for
prophylactic measures.
◉ Urine Specific gravity.
Answer: Expected finding is 1.010-1.020
↑ = concentration
◉ Anaphylaxis.
Answer: - Nausea, Tachycardia, Urticaria (hives), Stridor
- Histamine is a vasodilator = Tachycardia and ↓B.P.
- GI response due to increase of histamine release = Nausea
◉ Superficial Partial-Thickness Burn.
Answer: - High Carbohydrates and Protein with adequate fat for
healing.
- Administer medication 30min. before dressing changes
- Do not change dressings close to feedings therefore perform at
least 1 hour before or after meals.
◉ Autistic.
, Answer: Characteristics include engagement in repetitive activities
and stereotyped movements, resistance to environmental change or
change in daily routines and unusual responses to sensory
experiences. The child with autism has unusual responses to painful
stimuli and may engage in self-injurious behaviors as a form of auto-
stimulation.
◉ Bone Marrow Aspiration.
Answer: - Lie on abdomen because the specimen is obtained from
the iliac crest.
◉ Iliac crest.
Answer: Bone marrow aspiration.
◉ Iron Supplement.
Answer: - Best time is between meals because it is best absorbed on
an empty stomach and in concomitant intake of vitamin C will
increase the bio-availability of the iron.
◉ PICC Line.
Answer: Preferred venous access device for moderate term IV
therapy, can remain in place for 6 Months or longer with proper
care, it is meant to remain in place for duration of the entire
treatment, the catheters designed are highly flexible and there is no
need to immobilize the client, movement is encouraged to stimulate
