FINAL EXAMINATION PAPER tb tb
tbATI PN PEDIATRICS PROCTORED EXAM QUESTIONS ANSWERS
tb tb tb tb tb tb
STUDENT NAME: ________________________________
tb tb DATE: _____________
tb
COURSE: ATI Pediatrics Proctored Exam
tb tb tb tb TIME: _____________
tb
EXAM CODE: ATI PN PEDIATRICS PROCTORED EXAM QU
tb tb tb tb tb tb tb
ESTIONS ANSWERS-101 tb
EXAM INSTRUCTIONS:
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1. Print your full name and date clearly in the header above.
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2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
3. Answer all multiple-choice questions clearly. Double-check your work.
tb tb tb tb tb tb tb tb
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
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Q1. hand preference
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[Verified Solution]: all kids normally show hand preference by 1 year old
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Q2. plaster casts
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[Verified Solution]: -heavy -not water resistant -dry in 10-72 hrs
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Q3. fiberglass casts
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[Verified Solution]: -light weight -water resistant -dry in 15-20 min
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Q4. types of traction
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[Verified Solution]: Skin traction: -Buck -Bryant -Russell Skeletal traction Halo traction -
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cervical traction tb
Q5. care for traction
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[Verified Solution]: -assess pin sites -ensure hardware is tight -ensure bed is in correct position -
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb
ensure weights do not touch floor Halo: ensure wrench is readily available
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Q6. surgical intervention for scoliosis
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[Verified Solution]: -realign (2 rods on either side of spine) -internal fixation -fusion
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,Q7. The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Di
tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
goxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your answer
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using one decimal place.
tb tb tb
[Verified Solution]: 1.5 tablets tb tbtb tb
Q8. The physician orders the patient a 10-
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mL/kg normal saline bolus to infuse over 2 hours. The child weighs 36 kg. Calculate the infusion
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rate in mL/hr.
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[Verified Solution]: 180 mL/hr tb tbtb tb
Q9. Leukotreine modifiers
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[Verified Solution]: -Blocks leukotriene receptors or synthesis of leukotrienes (Singulair) -
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Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal, ag
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gression -Generally well tolerated. -Monitor for improvement in symptoms
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Q10. Cromolyn (Intal) and nedocomil (Tilade)
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[Verified Solution]: -Anti-inflammatory agents that inhibit release of histamine, leukotrienes, -
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Prevention or maintenance drugs -Administered by inhalation, onset of action in 2-4 weeks -
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Side effects: cough, headache, throat irritation, GI upset
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Q11. Long acting beta-adrenergics
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[Verified Solution]: -Salmeterol (Serevent) -used twice daily -Added to anti-inflammatory therapy -
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Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours
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Q12. Lortab
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[Verified Solution]: tylenol with hydrocodone
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Q13. dornase alpha
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[Verified Solution]: decreases viscosity of secretions (thins mucous) for CF patients
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, Q14. tobramycin
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[Verified Solution]: aerosolized antibiotics used for CF
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Q15. Norwood procedure
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[Verified Solution]: -Treats hypoplastic left heart -3 stages -done shortly after birth -
tb tbtb tb tb tb tb tb tb tb tb tb tb
Right ventricle is converted: connects aorta to right ventricle -Between step 1&2 is highest risk for death -
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
bi-directional Glenn operation (stage 2, under 6 mo. old) -superior vena cava redirected to lungs -
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Fontan operation (1.5-3 yrs old) -inferior vena cava redirected to lungs Heart transplant is another option
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Q16. Biot's respirations
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[Verified Solution]: periods of apnea alternating with 2 or 3 shallow breaths
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Q17. Cheyne-Stokes respirations
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[Verified Solution]: periods of apnea alternating with periods of hyperventilation
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Q18. What gauge needle should be used when administering an immunization to a toddler?
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[Verified Solution]: 24 gauge tb tbtb tb
Q19. Recommended play activities for infant, toddler, preschool, and school age children
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[Verified Solution]: Infant: play pat-a-cake Toddler: push-pull toy Preschool: play dress-
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up School age: create a scrapbook
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Q20. protecting against SIDS
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[Verified Solution]: -supine to sleep -empty bed: firm mattress only -breastfeeding -
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use of pacifier while sleeping
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Q21. steps to take during a tonic-clonic seizure
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[Verified Solution]: **FIRST: assist child to side-lying position on the floor then... -apply O2 mask -
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clear immediate area -loosen restrictive clothing
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Q22. A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38 degre
tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
es F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is ibuprofen liquid
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb t
tbATI PN PEDIATRICS PROCTORED EXAM QUESTIONS ANSWERS
tb tb tb tb tb tb
STUDENT NAME: ________________________________
tb tb DATE: _____________
tb
COURSE: ATI Pediatrics Proctored Exam
tb tb tb tb TIME: _____________
tb
EXAM CODE: ATI PN PEDIATRICS PROCTORED EXAM QU
tb tb tb tb tb tb tb
ESTIONS ANSWERS-101 tb
EXAM INSTRUCTIONS:
tb
1. Print your full name and date clearly in the header above.
tb tb tb tb tb tb tb tb tb tb tb
2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
3. Answer all multiple-choice questions clearly. Double-check your work.
tb tb tb tb tb tb tb tb
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Q1. hand preference
tbtb tb
[Verified Solution]: all kids normally show hand preference by 1 year old
tb tbtb tb tb tb tb tb tb tb tb tb
Q2. plaster casts
tbtb tb
[Verified Solution]: -heavy -not water resistant -dry in 10-72 hrs
tb tbtb tb tb tb tb tb tb tb
Q3. fiberglass casts
tbtb tb
[Verified Solution]: -light weight -water resistant -dry in 15-20 min
tb tbtb tb tb tb tb tb tb tb
Q4. types of traction
tbtb tb tb
[Verified Solution]: Skin traction: -Buck -Bryant -Russell Skeletal traction Halo traction -
tb tbtb tb tb tb tb tb tb tb tb tb
cervical traction tb
Q5. care for traction
tbtb tb tb
[Verified Solution]: -assess pin sites -ensure hardware is tight -ensure bed is in correct position -
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb
ensure weights do not touch floor Halo: ensure wrench is readily available
tb tb tb tb tb tb tb tb tb tb tb
Q6. surgical intervention for scoliosis
tbtb tb tb tb
[Verified Solution]: -realign (2 rods on either side of spine) -internal fixation -fusion
tb tbtb tb tb tb tb tb tb tb tb tb tb
,Q7. The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Di
tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
goxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your answer
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
using one decimal place.
tb tb tb
[Verified Solution]: 1.5 tablets tb tbtb tb
Q8. The physician orders the patient a 10-
tbtb tb tb tb tb tb tb
mL/kg normal saline bolus to infuse over 2 hours. The child weighs 36 kg. Calculate the infusion
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
rate in mL/hr.
tb tb
[Verified Solution]: 180 mL/hr tb tbtb tb
Q9. Leukotreine modifiers
tbtb tb
[Verified Solution]: -Blocks leukotriene receptors or synthesis of leukotrienes (Singulair) -
tb tbtb tb tb tb tb tb tb tb tb
Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal, ag
tb tb tb tb tb tb tb tb tb tb tb tb tb tb
gression -Generally well tolerated. -Monitor for improvement in symptoms
tb tb tb tb tb tb tb tb
Q10. Cromolyn (Intal) and nedocomil (Tilade)
tbtb tb tb tb tb
[Verified Solution]: -Anti-inflammatory agents that inhibit release of histamine, leukotrienes, -
tb tbtb tb tb tb tb tb tb tb tb
Prevention or maintenance drugs -Administered by inhalation, onset of action in 2-4 weeks -
tb tb tb tb tb tb tb tb tb tb tb tb tb
Side effects: cough, headache, throat irritation, GI upset
tb tb tb tb tb tb tb
Q11. Long acting beta-adrenergics
tbtb tb tb
[Verified Solution]: -Salmeterol (Serevent) -used twice daily -Added to anti-inflammatory therapy -
tb tbtb tb tb tb tb tb tb tb tb tb
Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Q12. Lortab
tbtb
[Verified Solution]: tylenol with hydrocodone
tb tbtb tb tb
Q13. dornase alpha
tbtb tb
[Verified Solution]: decreases viscosity of secretions (thins mucous) for CF patients
tb tbtb tb tb tb tb tb tb tb tb
, Q14. tobramycin
tbtb
[Verified Solution]: aerosolized antibiotics used for CF
tb tbtb tb tb tb tb
Q15. Norwood procedure
tbtb tb
[Verified Solution]: -Treats hypoplastic left heart -3 stages -done shortly after birth -
tb tbtb tb tb tb tb tb tb tb tb tb tb
Right ventricle is converted: connects aorta to right ventricle -Between step 1&2 is highest risk for death -
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
bi-directional Glenn operation (stage 2, under 6 mo. old) -superior vena cava redirected to lungs -
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Fontan operation (1.5-3 yrs old) -inferior vena cava redirected to lungs Heart transplant is another option
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
Q16. Biot's respirations
tbtb tb
[Verified Solution]: periods of apnea alternating with 2 or 3 shallow breaths
tb tbtb tb tb tb tb tb tb tb tb tb
Q17. Cheyne-Stokes respirations
tbtb tb
[Verified Solution]: periods of apnea alternating with periods of hyperventilation
tb tbtb tb tb tb tb tb tb tb
Q18. What gauge needle should be used when administering an immunization to a toddler?
tbtb tb tb tb tb tb tb tb tb tb tb tb tb
[Verified Solution]: 24 gauge tb tbtb tb
Q19. Recommended play activities for infant, toddler, preschool, and school age children
tbtb tb tb tb tb tb tb tb tb tb tb
[Verified Solution]: Infant: play pat-a-cake Toddler: push-pull toy Preschool: play dress-
tb tbtb tb tb tb tb tb tb tb tb
up School age: create a scrapbook
tb tb tb tb tb
Q20. protecting against SIDS
tbtb tb tb
[Verified Solution]: -supine to sleep -empty bed: firm mattress only -breastfeeding -
tb tbtb tb tb tb tb tb tb tb tb tb
use of pacifier while sleeping
tb tb tb tb
Q21. steps to take during a tonic-clonic seizure
tbtb tb tb tb tb tb tb
[Verified Solution]: **FIRST: assist child to side-lying position on the floor then... -apply O2 mask -
tb tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb
clear immediate area -loosen restrictive clothing
tb tb tb tb tb
Q22. A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38 degre
tbtb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb
es F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is ibuprofen liquid
tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb tb t
