ATI PROCTORED PEDS, ATI
PEDIATRICS PROCTORED EXAM,
PEDS ATI PROCTORED REVIEWED
QUIZZES AND ANSWERS.
Preschool-Aged Children
Body-Integrity ANS - - 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) ANS - - 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 ANS - - 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.
Chemotherapy ANS - - Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
↓RBC ANS - - Quiet play and best rest, administer O2
↓ Platelet ANS - - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
, Dehydration ANS - - 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)
Skeletal Traction ANS - The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome ANS - Involves the compression of nerves and blood vessels due to swelling
within the enclosed space created by the fascia that separates groups of muscles
Acute Glomerulonephritis ANS - - 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
Myelomeningocele ANS - - 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.
Intussusception ANS - - Diagnosed with a barium enema, which may also correct the condition; the
telescoping of the bowel may be reduced by the hydrostatic pressure of the barium enema.
Nephrotic Syndrome
Prednisone ANS - - In nephrotic syndrome it acts on the body to decrease the excretion of protein, and
thus helps flush fluids back to their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be measured in weight loss.
PEDIATRICS PROCTORED EXAM,
PEDS ATI PROCTORED REVIEWED
QUIZZES AND ANSWERS.
Preschool-Aged Children
Body-Integrity ANS - - 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) ANS - - 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 ANS - - 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.
Chemotherapy ANS - - Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
↓RBC ANS - - Quiet play and best rest, administer O2
↓ Platelet ANS - - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
, Dehydration ANS - - 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)
Skeletal Traction ANS - The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome ANS - Involves the compression of nerves and blood vessels due to swelling
within the enclosed space created by the fascia that separates groups of muscles
Acute Glomerulonephritis ANS - - 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
Myelomeningocele ANS - - 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.
Intussusception ANS - - Diagnosed with a barium enema, which may also correct the condition; the
telescoping of the bowel may be reduced by the hydrostatic pressure of the barium enema.
Nephrotic Syndrome
Prednisone ANS - - In nephrotic syndrome it acts on the body to decrease the excretion of protein, and
thus helps flush fluids back to their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be measured in weight loss.