PEDS ATI TEST PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔parental grief - ✔✔Intense long-lasting and complex
Differences in maternal and paternal
✔✔sibling grief - ✔✔Differs from adult/parental grief
Reactions depend on age and developmental stage
✔✔Toddler's View of Death - ✔✔no concept of death
may regress
may mimic parents emotions
✔✔preschoolers view of death - ✔✔temporary and magical
death is punishment for bad behavior
✔✔school-age view of death - ✔✔uncooperative behavior
adult view of death
✔✔Adolescence view of death - ✔✔adult concept of death
rely on peers rather than parents
body image
✔✔signs of death in children - ✔✔heat when body is cold
loss of senses
decreased LOC
bradycardia
hypotension
Cheyenne-strokes respirations
swallowing difficulties
✔✔after death nursing care - ✔✔allow family to be with body as long as wants
remove tubes and equipment
allow family to help get the body ready
allow family to rock the infant or toddler
✔✔acute neurological disorders - ✔✔meningitis and reyes syndrome
✔✔meningitis - ✔✔inflammation of the meninges of the CSF and meninges
✔✔Reye's syndrome - ✔✔life threatening
acute encephalopathy and fatty changes of the liver
✔✔viral meningitis is....? - ✔✔aseptic
,✔✔what type of care is needed for viral meningitis - ✔✔supportive care
✔✔bacterial meningitis is...? - ✔✔septic, contagious
✔✔what does prognosis of bacterial meningitis depend on? - ✔✔how quickly care is
initiated
✔✔expected findings of meningitis - ✔✔photophobia
nausea
irritability
headache
✔✔Brudzinski's sign - ✔✔Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed.
✔✔when is Brudzinski's sign applicable - ✔✔2 to adolescents
✔✔what vaccines prevent bacterial meningitis - ✔✔PCV and Hib vaccine
✔✔meningitis in newborns signs - ✔✔poor muscle tone
weak cry
no eating
✔✔LATE SIGN of meningitis in newborns - ✔✔bulging fontanels
✔✔positive signs of meningitis in 2-adolescents - ✔✔positive Brudzinski's sign
positive kernig sign
✔✔Kernig sign - ✔✔resistance to knee extension when the hips are flexed
✔✔initial sign in 2 - adolescents for meningitis - ✔✔seizures
✔✔lab tests for meningitis - ✔✔CSF
✔✔procedure for meningitis - ✔✔lumbar puncture
✔✔CSF in bacterial meningitis - ✔✔CLOUDY color
elevated WBC
elevated protein
decrease glucose
POSITIVE GRAM STAIN
✔✔CSF in viral meningitis - ✔✔CLEAR color
,slightly elevated WBC
normal or slightly elevated protein
normal glucose
NEGATIVE GRAM STAIN
✔✔nursing actions for lumbar puncture - ✔✔side-lying
EMPTY BLADDER
EMLA cream 45-60 min prior
✔✔post nursing care for lumbar puncture and why - ✔✔laying flat and in bed for 48
hours after procedure to prevent spinal headache and leakage of fluids
✔✔precautions for someone who is thought to have meningitis - ✔✔DROPLET
✔✔infants signs for ICP (intracranial pressure) - ✔✔bulging fontanels
increased head circumference
high pitch cry
bradycardia
✔✔child signs for ICP (intracranial pressure) - ✔✔headache
nausea
vomit
resp changes
seizures
✔✔Reye's syndrome is related to....? - ✔✔giving children aspirin
✔✔Reyes syndrome typically follows a..? - ✔✔viral infection (flu, varicella)
✔✔lab tests for Reyes - ✔✔AST and ALT
✔✔diagnostic test done for Reyes syndrome - ✔✔liver biopsy
CSF analysis
✔✔what is a common analysis used for both meningitis and reyes syndrome - ✔✔CSF
analysis
✔✔what is used only in reyes and not in meningitis - ✔✔liver biopsy
✔✔tonic-clonic seizure - ✔✔a seizure characterized by both a tonic and a clonic phase
onset without warning
✔✔Phases of tonic-clonic seizure - ✔✔tonic
clonic
, postictal
✔✔tonic phase - ✔✔arms and legs flexed
neck and head extend
loss of consciousness
✔✔how long does tonic phase last - ✔✔10-30 seconds
✔✔clonic phase - ✔✔violent jerking of the body
foaming of the mouth
can be incontinent
✔✔how long does clonic phase last - ✔✔30-50 seconds
✔✔postictal state - ✔✔sleeps for hours
lack of coordination
feels tired and can complain of sore muscles
confused
✔✔how long are you in a postictal state - ✔✔30 minutes
✔✔what seizure do you see most commonly with school aged children - ✔✔absence
seizure
✔✔absence seizure - ✔✔loss of consciousness for 5-10 seconds
thought to be daydreaming
✔✔myoclonic seizure - ✔✔brief contraction of muscle or group
-no postichtal phase
✔✔Atonic or akinetic seizure - ✔✔loss of muscle tone for a few seconds frequently
results in falling
✔✔diagnostic test for seizure - ✔✔EEG
✔✔prior to EEG make sure the patient does what? - ✔✔NO caffeine
washes their hair
✔✔seizure precautions - ✔✔oxygen and suction available
pad railings
***place patient on side
IV patient
loosen restrictive clothing
nothing in mouth
SOLUTIONS GRADED A+
✔✔parental grief - ✔✔Intense long-lasting and complex
Differences in maternal and paternal
✔✔sibling grief - ✔✔Differs from adult/parental grief
Reactions depend on age and developmental stage
✔✔Toddler's View of Death - ✔✔no concept of death
may regress
may mimic parents emotions
✔✔preschoolers view of death - ✔✔temporary and magical
death is punishment for bad behavior
✔✔school-age view of death - ✔✔uncooperative behavior
adult view of death
✔✔Adolescence view of death - ✔✔adult concept of death
rely on peers rather than parents
body image
✔✔signs of death in children - ✔✔heat when body is cold
loss of senses
decreased LOC
bradycardia
hypotension
Cheyenne-strokes respirations
swallowing difficulties
✔✔after death nursing care - ✔✔allow family to be with body as long as wants
remove tubes and equipment
allow family to help get the body ready
allow family to rock the infant or toddler
✔✔acute neurological disorders - ✔✔meningitis and reyes syndrome
✔✔meningitis - ✔✔inflammation of the meninges of the CSF and meninges
✔✔Reye's syndrome - ✔✔life threatening
acute encephalopathy and fatty changes of the liver
✔✔viral meningitis is....? - ✔✔aseptic
,✔✔what type of care is needed for viral meningitis - ✔✔supportive care
✔✔bacterial meningitis is...? - ✔✔septic, contagious
✔✔what does prognosis of bacterial meningitis depend on? - ✔✔how quickly care is
initiated
✔✔expected findings of meningitis - ✔✔photophobia
nausea
irritability
headache
✔✔Brudzinski's sign - ✔✔Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed.
✔✔when is Brudzinski's sign applicable - ✔✔2 to adolescents
✔✔what vaccines prevent bacterial meningitis - ✔✔PCV and Hib vaccine
✔✔meningitis in newborns signs - ✔✔poor muscle tone
weak cry
no eating
✔✔LATE SIGN of meningitis in newborns - ✔✔bulging fontanels
✔✔positive signs of meningitis in 2-adolescents - ✔✔positive Brudzinski's sign
positive kernig sign
✔✔Kernig sign - ✔✔resistance to knee extension when the hips are flexed
✔✔initial sign in 2 - adolescents for meningitis - ✔✔seizures
✔✔lab tests for meningitis - ✔✔CSF
✔✔procedure for meningitis - ✔✔lumbar puncture
✔✔CSF in bacterial meningitis - ✔✔CLOUDY color
elevated WBC
elevated protein
decrease glucose
POSITIVE GRAM STAIN
✔✔CSF in viral meningitis - ✔✔CLEAR color
,slightly elevated WBC
normal or slightly elevated protein
normal glucose
NEGATIVE GRAM STAIN
✔✔nursing actions for lumbar puncture - ✔✔side-lying
EMPTY BLADDER
EMLA cream 45-60 min prior
✔✔post nursing care for lumbar puncture and why - ✔✔laying flat and in bed for 48
hours after procedure to prevent spinal headache and leakage of fluids
✔✔precautions for someone who is thought to have meningitis - ✔✔DROPLET
✔✔infants signs for ICP (intracranial pressure) - ✔✔bulging fontanels
increased head circumference
high pitch cry
bradycardia
✔✔child signs for ICP (intracranial pressure) - ✔✔headache
nausea
vomit
resp changes
seizures
✔✔Reye's syndrome is related to....? - ✔✔giving children aspirin
✔✔Reyes syndrome typically follows a..? - ✔✔viral infection (flu, varicella)
✔✔lab tests for Reyes - ✔✔AST and ALT
✔✔diagnostic test done for Reyes syndrome - ✔✔liver biopsy
CSF analysis
✔✔what is a common analysis used for both meningitis and reyes syndrome - ✔✔CSF
analysis
✔✔what is used only in reyes and not in meningitis - ✔✔liver biopsy
✔✔tonic-clonic seizure - ✔✔a seizure characterized by both a tonic and a clonic phase
onset without warning
✔✔Phases of tonic-clonic seizure - ✔✔tonic
clonic
, postictal
✔✔tonic phase - ✔✔arms and legs flexed
neck and head extend
loss of consciousness
✔✔how long does tonic phase last - ✔✔10-30 seconds
✔✔clonic phase - ✔✔violent jerking of the body
foaming of the mouth
can be incontinent
✔✔how long does clonic phase last - ✔✔30-50 seconds
✔✔postictal state - ✔✔sleeps for hours
lack of coordination
feels tired and can complain of sore muscles
confused
✔✔how long are you in a postictal state - ✔✔30 minutes
✔✔what seizure do you see most commonly with school aged children - ✔✔absence
seizure
✔✔absence seizure - ✔✔loss of consciousness for 5-10 seconds
thought to be daydreaming
✔✔myoclonic seizure - ✔✔brief contraction of muscle or group
-no postichtal phase
✔✔Atonic or akinetic seizure - ✔✔loss of muscle tone for a few seconds frequently
results in falling
✔✔diagnostic test for seizure - ✔✔EEG
✔✔prior to EEG make sure the patient does what? - ✔✔NO caffeine
washes their hair
✔✔seizure precautions - ✔✔oxygen and suction available
pad railings
***place patient on side
IV patient
loosen restrictive clothing
nothing in mouth
