ATI PEDIATRICS PROCTORED EXAM
QUESTIONS AND ANSWERS |UPDATED
SOLUTIONS |VERIFIED ANSWERS
all kids normally show hand preference by 1 year old - answer ✔✔-hand preference
-heavy
-not water resistant
-dry in 10-72 hrs - answer ✔✔-plaster casts
-light weight
-water resistant
-dry in 15-20 min - answer ✔✔-fiberglass casts
Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction - answer ✔✔-types of traction
-assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
,-ensure weights do not touch floor
Halo: ensure wrench is readily available - answer ✔✔-care for traction
-realign (2 rods on either side of spine)
-internal fixation
-fusion - answer ✔✔-surgical intervention for scoliosis
1.5 tablets - answer ✔✔-The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies
lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your
answer using one decimal place.
180 mL/hr - answer ✔✔-The physician orders the patient a 10-mL/kg normal saline bolus to infuse over
2 hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr.
it becomes hoarse - answer ✔✔-What happens to the voice during epiglottitis?
-Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal,
aggression
-Generally well tolerated.
-Monitor for improvement in symptoms - answer ✔✔-Leukotreine modifiers
-Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset - answer ✔✔-Cromolyn (Intal) and nedocomil
(Tilade)
-Salmeterol (Serevent) -used twice daily
, -Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours - answer ✔✔-Long
acting beta-adrenergics
tylenol with hydrocodone - answer ✔✔-Lortab
decreases viscosity of secretions (thins mucous) for CF patients - answer ✔✔-dornase alpha
aerosolized antibiotics used for CF - answer ✔✔-tobramycin
-Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option - answer ✔✔-Norwood procedure
periods of apnea alternating with 2 or 3 shallow breaths - answer ✔✔-Biot's respirations
periods of apnea alternating with periods of hyperventilation - answer ✔✔-Cheyne-Stokes respirations
QUESTIONS AND ANSWERS |UPDATED
SOLUTIONS |VERIFIED ANSWERS
all kids normally show hand preference by 1 year old - answer ✔✔-hand preference
-heavy
-not water resistant
-dry in 10-72 hrs - answer ✔✔-plaster casts
-light weight
-water resistant
-dry in 15-20 min - answer ✔✔-fiberglass casts
Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction - answer ✔✔-types of traction
-assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
,-ensure weights do not touch floor
Halo: ensure wrench is readily available - answer ✔✔-care for traction
-realign (2 rods on either side of spine)
-internal fixation
-fusion - answer ✔✔-surgical intervention for scoliosis
1.5 tablets - answer ✔✔-The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies
lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your
answer using one decimal place.
180 mL/hr - answer ✔✔-The physician orders the patient a 10-mL/kg normal saline bolus to infuse over
2 hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr.
it becomes hoarse - answer ✔✔-What happens to the voice during epiglottitis?
-Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal,
aggression
-Generally well tolerated.
-Monitor for improvement in symptoms - answer ✔✔-Leukotreine modifiers
-Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset - answer ✔✔-Cromolyn (Intal) and nedocomil
(Tilade)
-Salmeterol (Serevent) -used twice daily
, -Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4 hours - answer ✔✔-Long
acting beta-adrenergics
tylenol with hydrocodone - answer ✔✔-Lortab
decreases viscosity of secretions (thins mucous) for CF patients - answer ✔✔-dornase alpha
aerosolized antibiotics used for CF - answer ✔✔-tobramycin
-Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option - answer ✔✔-Norwood procedure
periods of apnea alternating with 2 or 3 shallow breaths - answer ✔✔-Biot's respirations
periods of apnea alternating with periods of hyperventilation - answer ✔✔-Cheyne-Stokes respirations
