ATI PEDS PROCTORED EXAM SCRIPT
COMPLETE SOLVED QUESTIONS
◉ 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.
,◉ Chemotherapy. Answer: - Low WBC count places the child at risk
for infection and isolation with monitoring of fever is priority.
◉ ↓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)
◉ 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
, ◉ 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
◉ Myelomeningocele. Answer: - Hydrocephalus; is a post-operative
risk because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid
and once the sac is removed, there is nowhere for this additional CSF
to accumulate except in the ventricles of the brain.
◉ Intussusception. Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
◉ Nephrotic Syndrome
Prednisone. Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
◉ Spinal Fusion. Answer: - Log rolling Q2hr promotes good
pulmonary, gastrointestinal and genitourinary functioning. It also
COMPLETE SOLVED QUESTIONS
◉ 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.
,◉ Chemotherapy. Answer: - Low WBC count places the child at risk
for infection and isolation with monitoring of fever is priority.
◉ ↓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)
◉ 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
, ◉ 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
◉ Myelomeningocele. Answer: - Hydrocephalus; is a post-operative
risk because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
- children with NTDs usually produce too much cerebral spinal fluid
and once the sac is removed, there is nowhere for this additional CSF
to accumulate except in the ventricles of the brain.
◉ Intussusception. Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
◉ Nephrotic Syndrome
Prednisone. Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
◉ Spinal Fusion. Answer: - Log rolling Q2hr promotes good
pulmonary, gastrointestinal and genitourinary functioning. It also
