ATI PEDIATRIC PROCTORED EXAM 2025 NEWEST EXAM/NGN ATI PEDS
PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
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.
Cystic Fibrosis
Nutritional Care - ANSWER - ↑ Protein, Carbs and minerals, to promote weight
gain
- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes
by thick mucus secretions in the pancreas and liver.
,- Pancreatic enzymes help breakdown ingested foods so the body can metabolize
nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to
metabolize nutrients so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty
absorbing fat due to thick mucus in intestines and the inability of the pancreatic
enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they
have regular bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis
will likely require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways,
respiratory compromise worsens and oxygenation becomes impaired and ↓ in O2
Sat is likely seen
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)
Koplik spots - ANSWER - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small,
irregular spots with a blue/white center are seen on the Buccal mucosa, which is
opposite the molars, in the prodromal stage of measles.
,- Koplik spots appear about 2 days before maculopapular rash appears and are
accompanied manifestations of fever, malaise, conjunctivitis, and other cold
manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is
conferred by the MMR (Measles-Mumps-Rubella) immunization that children
receive @ 15 months.
Rubeola - ANSWER Measles; Maculopapular starts on the face and spreads
downward. It desquamates after about 3-4 days. The rash does not progress to
vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to
the lower areas of the body.
Varicella - ANSWER Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on
erythematous bases which eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) - ANSWER - Strawberry tongue; sloughed off
its normal coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) - ANSWER Paroxysmal Cough
A1C - ANSWER AKA glycosylated hemoglobin assay; is the most sensitive
indication of client compliance with the treatment regimen. The life span of RBC is
about 120 days, and glucose molecules adhere to about 4-6% of hemoglobin.
Because of the longevity of the RBC's recent changes in diet, activity or
medication will not affect the results of this test.
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
, Ventricular Septal Defect - ANSWER - Murmur best heard at the lower left sternal
border; Ventricular septal wall defect between ventricles is an Acyanotic heart
defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood
from the left to the right ventricle through the septal defect would be best heard
in this area.
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
HIV
Preschooler - ANSWER - Immunizations contraindicated for this patient is the oral
polio
- the child is susceptible to infection and must be immunized to the common
preventable childhood diseases.
- However, the oral polio vaccine contains a form of the virus that in SOME clients
can lead to an actual case of polio, this risk is increased with HIV and must receive
the injectable form of the polio immunization.
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.
Epiglottitis - ANSWER D/O caused by inflammation and it has been decreased
since the inclusion of the HiB vaccine; it is common in children between 2-6.
PROCTORED EXAM 2 VERSIONS EACH WITH 70 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
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.
Cystic Fibrosis
Nutritional Care - ANSWER - ↑ Protein, Carbs and minerals, to promote weight
gain
- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes
by thick mucus secretions in the pancreas and liver.
,- Pancreatic enzymes help breakdown ingested foods so the body can metabolize
nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to
metabolize nutrients so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty
absorbing fat due to thick mucus in intestines and the inability of the pancreatic
enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they
have regular bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis
will likely require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways,
respiratory compromise worsens and oxygenation becomes impaired and ↓ in O2
Sat is likely seen
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)
Koplik spots - ANSWER - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small,
irregular spots with a blue/white center are seen on the Buccal mucosa, which is
opposite the molars, in the prodromal stage of measles.
,- Koplik spots appear about 2 days before maculopapular rash appears and are
accompanied manifestations of fever, malaise, conjunctivitis, and other cold
manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is
conferred by the MMR (Measles-Mumps-Rubella) immunization that children
receive @ 15 months.
Rubeola - ANSWER Measles; Maculopapular starts on the face and spreads
downward. It desquamates after about 3-4 days. The rash does not progress to
vesicles and crusts like the papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to
the lower areas of the body.
Varicella - ANSWER Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on
erythematous bases which eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) - ANSWER - Strawberry tongue; sloughed off
its normal coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) - ANSWER Paroxysmal Cough
A1C - ANSWER AKA glycosylated hemoglobin assay; is the most sensitive
indication of client compliance with the treatment regimen. The life span of RBC is
about 120 days, and glucose molecules adhere to about 4-6% of hemoglobin.
Because of the longevity of the RBC's recent changes in diet, activity or
medication will not affect the results of this test.
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
, Ventricular Septal Defect - ANSWER - Murmur best heard at the lower left sternal
border; Ventricular septal wall defect between ventricles is an Acyanotic heart
defect.
- Sound is transmitted in the direction of blood flow, so any back flow of blood
from the left to the right ventricle through the septal defect would be best heard
in this area.
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
HIV
Preschooler - ANSWER - Immunizations contraindicated for this patient is the oral
polio
- the child is susceptible to infection and must be immunized to the common
preventable childhood diseases.
- However, the oral polio vaccine contains a form of the virus that in SOME clients
can lead to an actual case of polio, this risk is increased with HIV and must receive
the injectable form of the polio immunization.
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.
Epiglottitis - ANSWER D/O caused by inflammation and it has been decreased
since the inclusion of the HiB vaccine; it is common in children between 2-6.
