Peds ATI exam protoco
Study online at https://quizlet.com/_gw2tpj
1. (NGN) A nurse is reviewing a child's medical record. B. Dornase alfa
Which of the following medications should the nurse D. Water soluble vitamins
expect the provider to prescribe or reconcile from the E. Pancreatic lipase
child's home meds list?
Scenario: Cystic fibrosis at 3 months, failure to thrive,
has chronic obstructive pulmonary disease. Wheezing,
rhonchi, paroxysmal cough, dyspnea. Parent reports
large frothy, foul-smelling stool. Child has deficient
levels of vitamins A, D, E and K
Barrel shape chest, clubbed finger bilaterally, RR
40/min wheezing rhonchi, bilateral dyspnea, paroxys-
mal cough.
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for pseudomonas aerug-
inosa
Stool analysis: the presence of fat and enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
2. (NGN) A nurse is caring for a 7-year-old child who has - Anticipated:
urinary incontinence. A 7-year-old client who weight is A. Educate the child about
18.1 kg (39.9 lb.) was admitted with a UTI. The child proper personal hygiene.
reports pain and burning upon urination and feeling B. Administer sul-
like they need to go to the bathroom all the time. The famethoxazole and
child guardian reports client has been incontinent of trimethronin.
urine the past 2 nights and the urine has very strong E. Advise child guardians
, Peds ATI exam protoco
Study online at https://quizlet.com/_gw2tpj
odor. about use of sunscreen.
T: 100.4 HR 80 RR: 22 BP: 106/65 - Contraindicated:
T: 101.1 F HR: 90 RR: 23 BP: 105/65 C. Administer salicylic acid
Indicate if the potential intervention is anticipated or for pain and fever.
contraindicated for the client. D. Ensure child receives
a maximum of 1,200
A. Educate the child about proper personal hygiene. mL/day of fluid.
B. Administer sulfamethoxazole and trimethronin.
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day
of fluid.
E. Advise child guardians about use of sunscreen.
3. (NGN) Child presents to ED guardian reports a child - Acute Laryngotrancheo-
woke up coughing with a low-grade fever. Child alert bronchitis:
restless in guardians' arms. RR easy. No cough noted. A. Irritability
Child became agitated. Hoarse cry noted with audible B. Cough findings at 0800
inspiratory stridor. Barking non-productive cough pre- C. Stridor
sent. D. Temperature
7:15 - Pneumonia:
T: 100.6 B. Cough findings at 0800
98 o2 D. Temperature
0800?
T: 101 HR 112 RR: 24 o2 96
Assessment findings consistent with Acute Laryngo-
trancheobronchitis, or Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
, Peds ATI exam protoco
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4. (NGN) Received the child awake, alert, and crying. A. Keep them NPO.
Parent noticed battery on control toy missing parent D. Prepare for flexible en-
states child was drooling more than usual and wit- doscopy.
nessed gaging periodically.
0930
The child is lying on the parent's chest with eyes open
and requesting sippy cups. He continues to have expi-
ratory wheeze in bilateral upper lobes. Preparing child
for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
B. Teach parents importance of inspecting Childs gasp
area?
C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for easily remov-
able parts.
5. The nurse is caring for a client who is postop following B. Reposition client using
the placement of a halo vest to manage cervical frac- turning sheet.
ture. Which actions should the nurse take?
A. Tighten screws on halo device on-quarter turn every
48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of neck.
D. Assess pin sites for infection once every other day
6. ED preparing to discharge 3-year-old a. You should apply emol-
The child's guardian states that the child has been un- lients in your child's skin
Study online at https://quizlet.com/_gw2tpj
1. (NGN) A nurse is reviewing a child's medical record. B. Dornase alfa
Which of the following medications should the nurse D. Water soluble vitamins
expect the provider to prescribe or reconcile from the E. Pancreatic lipase
child's home meds list?
Scenario: Cystic fibrosis at 3 months, failure to thrive,
has chronic obstructive pulmonary disease. Wheezing,
rhonchi, paroxysmal cough, dyspnea. Parent reports
large frothy, foul-smelling stool. Child has deficient
levels of vitamins A, D, E and K
Barrel shape chest, clubbed finger bilaterally, RR
40/min wheezing rhonchi, bilateral dyspnea, paroxys-
mal cough.
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for pseudomonas aerug-
inosa
Stool analysis: the presence of fat and enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
2. (NGN) A nurse is caring for a 7-year-old child who has - Anticipated:
urinary incontinence. A 7-year-old client who weight is A. Educate the child about
18.1 kg (39.9 lb.) was admitted with a UTI. The child proper personal hygiene.
reports pain and burning upon urination and feeling B. Administer sul-
like they need to go to the bathroom all the time. The famethoxazole and
child guardian reports client has been incontinent of trimethronin.
urine the past 2 nights and the urine has very strong E. Advise child guardians
, Peds ATI exam protoco
Study online at https://quizlet.com/_gw2tpj
odor. about use of sunscreen.
T: 100.4 HR 80 RR: 22 BP: 106/65 - Contraindicated:
T: 101.1 F HR: 90 RR: 23 BP: 105/65 C. Administer salicylic acid
Indicate if the potential intervention is anticipated or for pain and fever.
contraindicated for the client. D. Ensure child receives
a maximum of 1,200
A. Educate the child about proper personal hygiene. mL/day of fluid.
B. Administer sulfamethoxazole and trimethronin.
C. Administer salicylic acid for pain and fever.
D. Ensure child receives a maximum of 1,200 mL/day
of fluid.
E. Advise child guardians about use of sunscreen.
3. (NGN) Child presents to ED guardian reports a child - Acute Laryngotrancheo-
woke up coughing with a low-grade fever. Child alert bronchitis:
restless in guardians' arms. RR easy. No cough noted. A. Irritability
Child became agitated. Hoarse cry noted with audible B. Cough findings at 0800
inspiratory stridor. Barking non-productive cough pre- C. Stridor
sent. D. Temperature
7:15 - Pneumonia:
T: 100.6 B. Cough findings at 0800
98 o2 D. Temperature
0800?
T: 101 HR 112 RR: 24 o2 96
Assessment findings consistent with Acute Laryngo-
trancheobronchitis, or Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
, Peds ATI exam protoco
Study online at https://quizlet.com/_gw2tpj
4. (NGN) Received the child awake, alert, and crying. A. Keep them NPO.
Parent noticed battery on control toy missing parent D. Prepare for flexible en-
states child was drooling more than usual and wit- doscopy.
nessed gaging periodically.
0930
The child is lying on the parent's chest with eyes open
and requesting sippy cups. He continues to have expi-
ratory wheeze in bilateral upper lobes. Preparing child
for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
B. Teach parents importance of inspecting Childs gasp
area?
C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for easily remov-
able parts.
5. The nurse is caring for a client who is postop following B. Reposition client using
the placement of a halo vest to manage cervical frac- turning sheet.
ture. Which actions should the nurse take?
A. Tighten screws on halo device on-quarter turn every
48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of neck.
D. Assess pin sites for infection once every other day
6. ED preparing to discharge 3-year-old a. You should apply emol-
The child's guardian states that the child has been un- lients in your child's skin
