ATI PEDIATRICS PROCTORED EXAM
QUESTIONS WITH 100% CORRECT
ANSWERS
Recommended play activities for infant, toddler, preschool, and school age children -
Answer-Infant: play pat-a-cake
Toddler: push-pull toy
Preschool: play dress-up
School age: create a scrapbook
protecting against SIDS - Answer--supine to sleep
-empty bed: firm mattress only
-breastfeeding
-use of pacifier while sleeping
manifestations of pneumonia in infants - Answer-nasal flaring
increased WBCs
diarrhea
abdominal distention
steps to take during a tonic-clonic seizure - Answer-**FIRST: assist child to side-lying
position on the floor
then...
-apply O2 mask
-clear immediate area
-loosen restrictive clothing
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38
degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is
ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant
per dose? Round to nearest whole number. - Answer-2 mL
What is an indication of IICP in a child with a concussion? - Answer-forceful vomiting
What is an expected finding of endocarditis? - Answer-headache
What is an expected finding in a school-age child with glomerulonephritis? - Answer-
brown colored urine
,McBurney's point - Answer--lower right abdomen
-pain in appendicitis
teaching to parents of child with juvenile idiopathic arthritis - Answer--exercise large
joints regularly
-encourage child to perform independent self-care
-provide a firm mattress for sleeping
-discourage daytime naps because stiffness can occur quickly
Celiac disease expected findings - Answer--steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - Answer-projectile vomiting
management of tinea pedis - Answer--avoid wearing plastic shoes
-wear sandals as much as possible
What is used to treat scabies lesions? - Answer-permethrin 5% cream
For what disease should non-washable items be sealed in a plastic bag for 14 days? -
Answer-pediculosis
manifestation of pertussis - Answer-dry hacking cough
manifestation of acute streptococcal pharyngitis - Answer-inflamed throat with exudate
manifestation of bacterial conjunctivitis - Answer-purulent eye drainage
Koplik spots - Answer-rubeola (measles
securing an infant's car seat - Answer-lower anchors and tethers (the LATCH child
safety system)
when this is available the seatbelt does not have to be used
Where should the car seat harness in rear-facing car seat be positioned? - Answer-at or
just below the infant's shoulders
At what angle should an infant's car seat be placed? - Answer-45 degree angle
1. Who should the FACES pain rating scale be used for?
2. Who should the numeric pain rating scale be used for?
3. Who should the CRIES pain assessment scale be used for?
, 4. Who should the non communicating children's pain checklist be used for? - Answer-
1) 3+ yrs old
2) 5+ yrs old
3) infants
4) pediatric clients with cognitive impairments
Diabetes insipidus lab values - Answer--dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - Answer--dietary fluid restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - Answer-every 12-
24 months
lumbar puncture nursing care - Answer--apply topical analgesic to the lumbar site 60
min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
care for a partial-thickness burn - Answer--wash the affected area with mild soap &
water
-apply antibiotic ointment to the affected area
For what type of burn would you insert and NG tube? - Answer-a major burn - to empty
the contents of the stomach & maintain decompression
CF diet - Answer--well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - Answer-no, it has gluten in it
What should be done after administering PO suspension digoxin? - Answer-brush the
child's teeth
manifestations of digoxin toxicity - Answer-nausea, vomiting, decreased appetite
age of controlling impulsive feelings - Answer-school age
QUESTIONS WITH 100% CORRECT
ANSWERS
Recommended play activities for infant, toddler, preschool, and school age children -
Answer-Infant: play pat-a-cake
Toddler: push-pull toy
Preschool: play dress-up
School age: create a scrapbook
protecting against SIDS - Answer--supine to sleep
-empty bed: firm mattress only
-breastfeeding
-use of pacifier while sleeping
manifestations of pneumonia in infants - Answer-nasal flaring
increased WBCs
diarrhea
abdominal distention
steps to take during a tonic-clonic seizure - Answer-**FIRST: assist child to side-lying
position on the floor
then...
-apply O2 mask
-clear immediate area
-loosen restrictive clothing
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38
degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is
ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant
per dose? Round to nearest whole number. - Answer-2 mL
What is an indication of IICP in a child with a concussion? - Answer-forceful vomiting
What is an expected finding of endocarditis? - Answer-headache
What is an expected finding in a school-age child with glomerulonephritis? - Answer-
brown colored urine
,McBurney's point - Answer--lower right abdomen
-pain in appendicitis
teaching to parents of child with juvenile idiopathic arthritis - Answer--exercise large
joints regularly
-encourage child to perform independent self-care
-provide a firm mattress for sleeping
-discourage daytime naps because stiffness can occur quickly
Celiac disease expected findings - Answer--steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - Answer-projectile vomiting
management of tinea pedis - Answer--avoid wearing plastic shoes
-wear sandals as much as possible
What is used to treat scabies lesions? - Answer-permethrin 5% cream
For what disease should non-washable items be sealed in a plastic bag for 14 days? -
Answer-pediculosis
manifestation of pertussis - Answer-dry hacking cough
manifestation of acute streptococcal pharyngitis - Answer-inflamed throat with exudate
manifestation of bacterial conjunctivitis - Answer-purulent eye drainage
Koplik spots - Answer-rubeola (measles
securing an infant's car seat - Answer-lower anchors and tethers (the LATCH child
safety system)
when this is available the seatbelt does not have to be used
Where should the car seat harness in rear-facing car seat be positioned? - Answer-at or
just below the infant's shoulders
At what angle should an infant's car seat be placed? - Answer-45 degree angle
1. Who should the FACES pain rating scale be used for?
2. Who should the numeric pain rating scale be used for?
3. Who should the CRIES pain assessment scale be used for?
, 4. Who should the non communicating children's pain checklist be used for? - Answer-
1) 3+ yrs old
2) 5+ yrs old
3) infants
4) pediatric clients with cognitive impairments
Diabetes insipidus lab values - Answer--dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - Answer--dietary fluid restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - Answer-every 12-
24 months
lumbar puncture nursing care - Answer--apply topical analgesic to the lumbar site 60
min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
care for a partial-thickness burn - Answer--wash the affected area with mild soap &
water
-apply antibiotic ointment to the affected area
For what type of burn would you insert and NG tube? - Answer-a major burn - to empty
the contents of the stomach & maintain decompression
CF diet - Answer--well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - Answer-no, it has gluten in it
What should be done after administering PO suspension digoxin? - Answer-brush the
child's teeth
manifestations of digoxin toxicity - Answer-nausea, vomiting, decreased appetite
age of controlling impulsive feelings - Answer-school age
