ATI PEDIATRICS PROCTORED LATEST
EXAM QUESTIONS AND ANSWERS
plan of care pre-op for a preschooler with a Wilm's tumor - Answer--avoid palpating the
abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - Answer--low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
An allergy to neomycin, eggs, or gelatin contraindicates what vaccine? - Answer-MMR
wheezes - Answer-high-pitched, musical, whistling-like sounds heard primarily on
expiration as air passes through and vibrates narrowed airways
crackles - Answer--high-pitched, short, and noncontinuous sounds heard usually at the
end of inspiration
-occur when air expands deflated alveoli or when the passage of air through small
airways is disrupted
post op care following a cardiac catheterization - Answer--avoid strenuous activities but
may attend school the next day
-resume regular diet
-keep site clean and dry for at least 3 days and do not take a tub bath for those 3 days
-remove the pressure dressing the day after the procedure and apply a new adhesive
bandage strip daily for at least the next 2 days
mononucleosis - Answer--caused by Epstein-Barr virus
-no known specific txt
-monospot to diagnose
-acute s/s last approx. 10 days with fatigue lasting up to 4 wks
-complications: splenomegaly - restrict activities for 2-3 months to avoid rupturing the
spleen
intussusception - Answer--bloody stools that are currant jelly-like in appearance
, -vomiting
-lethargy
-diarrhea
-weight loss
-leaking blood and mucus into the intestines
VSD - Answer-loud, harsh murmur
coarctation of the aorta - Answer--weak femoral pulses
-elevated BP
infant with a hypercyanotic spell r/t Tetralogy of Fallot - Answer--place infant in knee-to-
chest position
-administer morphine IV to decrease infundibular spasms
-administer IV fluids
-apply oxygen at 100% via face mask
precautions for pertussis - Answer-droplet
positive pressure airflow - Answer-reduces risk of disease transmission to the patient
negative pressure airflow - Answer-patient with airborne infection (measles, varicella)
diabetes mellitus type 1 teaching the child - Answer--avoid puncturing pads of the
fingers
-give self shot of regular insulin 30 min before meals
-eat snack of 15 g of carbs such as 120 mL (4 oz) of fruit juice or 66 g (1/2 cup) of ice
cream to rapidly decrease a mild hypoglycemic reaction
-increase fluids when sick
desmopressin - Answer-used to treat hyposecretion of ADH
CF diet management - Answer--administer pancreatic enzymes within 30 min of meals
and snacks
-increase pancreatic enzymes if steatorrhea occurs
-encourage fluid intake
-increase fat content to 40% of total calories
priority intervention for a toddler with epiglottitis - Answer-prepare the toddler for
nasotracheal intubation/tracheostomy
vaccine that can prevent epiglottitis - Answer-Haemophilus influenzae type B conjugate
vaccine (Hib)
Kawasaki disease - Answer--increased temp lasting >4 days unresponsive to
antipyretics or abx
EXAM QUESTIONS AND ANSWERS
plan of care pre-op for a preschooler with a Wilm's tumor - Answer--avoid palpating the
abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - Answer--low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
An allergy to neomycin, eggs, or gelatin contraindicates what vaccine? - Answer-MMR
wheezes - Answer-high-pitched, musical, whistling-like sounds heard primarily on
expiration as air passes through and vibrates narrowed airways
crackles - Answer--high-pitched, short, and noncontinuous sounds heard usually at the
end of inspiration
-occur when air expands deflated alveoli or when the passage of air through small
airways is disrupted
post op care following a cardiac catheterization - Answer--avoid strenuous activities but
may attend school the next day
-resume regular diet
-keep site clean and dry for at least 3 days and do not take a tub bath for those 3 days
-remove the pressure dressing the day after the procedure and apply a new adhesive
bandage strip daily for at least the next 2 days
mononucleosis - Answer--caused by Epstein-Barr virus
-no known specific txt
-monospot to diagnose
-acute s/s last approx. 10 days with fatigue lasting up to 4 wks
-complications: splenomegaly - restrict activities for 2-3 months to avoid rupturing the
spleen
intussusception - Answer--bloody stools that are currant jelly-like in appearance
, -vomiting
-lethargy
-diarrhea
-weight loss
-leaking blood and mucus into the intestines
VSD - Answer-loud, harsh murmur
coarctation of the aorta - Answer--weak femoral pulses
-elevated BP
infant with a hypercyanotic spell r/t Tetralogy of Fallot - Answer--place infant in knee-to-
chest position
-administer morphine IV to decrease infundibular spasms
-administer IV fluids
-apply oxygen at 100% via face mask
precautions for pertussis - Answer-droplet
positive pressure airflow - Answer-reduces risk of disease transmission to the patient
negative pressure airflow - Answer-patient with airborne infection (measles, varicella)
diabetes mellitus type 1 teaching the child - Answer--avoid puncturing pads of the
fingers
-give self shot of regular insulin 30 min before meals
-eat snack of 15 g of carbs such as 120 mL (4 oz) of fruit juice or 66 g (1/2 cup) of ice
cream to rapidly decrease a mild hypoglycemic reaction
-increase fluids when sick
desmopressin - Answer-used to treat hyposecretion of ADH
CF diet management - Answer--administer pancreatic enzymes within 30 min of meals
and snacks
-increase pancreatic enzymes if steatorrhea occurs
-encourage fluid intake
-increase fat content to 40% of total calories
priority intervention for a toddler with epiglottitis - Answer-prepare the toddler for
nasotracheal intubation/tracheostomy
vaccine that can prevent epiglottitis - Answer-Haemophilus influenzae type B conjugate
vaccine (Hib)
Kawasaki disease - Answer--increased temp lasting >4 days unresponsive to
antipyretics or abx
