ATI CMS Nursing Exam 1 2024
Assisting with administration of nasogastric enteral feeding for an infant (x2) -
Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - Always confirm placement first
(with pH- you cannot just auscultate to confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - Child with PKU cannot digest
phenylalanine, which is present in most animal products
Caring for a child in buck's traction - This is a skin traction of the lower extremity;
make sure that knots are away from pulleys, that the leg remains extended, that
weights are free-hanging at all times, that blankets do not cover ropes and that the
child cannot reach or interfere with the mechanism
Converting ounces to mL - 1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - Child with celiac
disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid
oats b/c usually contaminated with gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - Child needs
supplementary calcium and vitamin D intake, as the dairy products that they cannot
consume are high in calcium. Also, take lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - Oliguria
Nutritional needs of the child who has acute postreptococcal glomerulonephritis -
Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis -
Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - Adolescents tend to eat a lot of junk
foods high in calories but low in other nutritional content. At risk for inadequate
micronutrient nutrition.
Priority findings to report with skeletal traction - Skeletal traction consists of force
applied directly to bones through pins. Increased crusting or purulent drainage, along
with other signs of infection, should be reported to provider.
Priority intervention during a lumbar puncture - Immediately after the procedure,
maintain the child in their side lying position to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - "Provide the parent with vaccine
information sheet." (Don't ask why, don't question them, don't tell them they HAVE to
get vaccine)
, Identifying risk factors for Urinary Tract Infection - Constipation (bowel movements
every 4-5 days), urinary stasis, episode/hypospadias
Assisting with scoliosis screenings for school age children - Stand with feet together
and then bend down as if touching toes, back parallel to floor
Checking skin turgor in a child - Best on abdomen
Deviation from expected growth and development for a 12 month old infant - Birth
weight should be tripled
Expected behavior for a 7 year old female child - Spends a lot of time by herself
Facilitating communication for a child who has hearing loss - Speak slowly, facing
the patient, avoid exaggerated movements, use facial expressions and hand
gestures
Interventions to promote sleep for a toddler - Provide a consistent bedtime routine,
"favorite stuffed animal"
Reportable vital signs for a 12 month old infant - Blood pressure in young children is
usually low. Report 120/80 because outside of range
Obtaining an infant's heart rate - Apical pulse 60s
Recommended immunizations for an adolescent - Usually HPV, Tdap, or
meningococcal vaccine
Risk factors for primary amenorrhea - Hypothyroidism, cannabis use, emotional
stress, oral contraceptive use
Administering ophthalmic drops to a child - Apply pressure to tear duct for 1 min
after, wipe from inner canthus to outer canthus, instill eye drops immediately after
cleaning the eye
Evaluating compliance to ferrous sulfate therapy, reinforcing teaching about liquid
iron supplements - Iron supplements are given with citrus fruit, between meals when
the stomach is most acidic for better absorption, taken with a straw to avoid teeth
discoloration, administered IM using z-track technique to prevent tissue staining. Iron
supplements turn stool to a tarry green.
Evaluating therapeutic effect of pancrelipase - Pancrelipase is effective if steatorrhea
resolves
Identifying therapeutic effect of digoxin, findings to report for a child who is receiving
digoxin, identifying digoxin toxicity - Therapeutic effect: increased cardiac output, "my
baby is breathing easier than she used to." Findings to report: anorexia, n/v, infant
HR < 90, child HR < 70, vision changes, hypokalemia potentiates digoxin toxicity
Assisting with administration of nasogastric enteral feeding for an infant (x2) -
Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - Always confirm placement first
(with pH- you cannot just auscultate to confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - Child with PKU cannot digest
phenylalanine, which is present in most animal products
Caring for a child in buck's traction - This is a skin traction of the lower extremity;
make sure that knots are away from pulleys, that the leg remains extended, that
weights are free-hanging at all times, that blankets do not cover ropes and that the
child cannot reach or interfere with the mechanism
Converting ounces to mL - 1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - Child with celiac
disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid
oats b/c usually contaminated with gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - Child needs
supplementary calcium and vitamin D intake, as the dairy products that they cannot
consume are high in calcium. Also, take lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - Oliguria
Nutritional needs of the child who has acute postreptococcal glomerulonephritis -
Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis -
Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - Adolescents tend to eat a lot of junk
foods high in calories but low in other nutritional content. At risk for inadequate
micronutrient nutrition.
Priority findings to report with skeletal traction - Skeletal traction consists of force
applied directly to bones through pins. Increased crusting or purulent drainage, along
with other signs of infection, should be reported to provider.
Priority intervention during a lumbar puncture - Immediately after the procedure,
maintain the child in their side lying position to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - "Provide the parent with vaccine
information sheet." (Don't ask why, don't question them, don't tell them they HAVE to
get vaccine)
, Identifying risk factors for Urinary Tract Infection - Constipation (bowel movements
every 4-5 days), urinary stasis, episode/hypospadias
Assisting with scoliosis screenings for school age children - Stand with feet together
and then bend down as if touching toes, back parallel to floor
Checking skin turgor in a child - Best on abdomen
Deviation from expected growth and development for a 12 month old infant - Birth
weight should be tripled
Expected behavior for a 7 year old female child - Spends a lot of time by herself
Facilitating communication for a child who has hearing loss - Speak slowly, facing
the patient, avoid exaggerated movements, use facial expressions and hand
gestures
Interventions to promote sleep for a toddler - Provide a consistent bedtime routine,
"favorite stuffed animal"
Reportable vital signs for a 12 month old infant - Blood pressure in young children is
usually low. Report 120/80 because outside of range
Obtaining an infant's heart rate - Apical pulse 60s
Recommended immunizations for an adolescent - Usually HPV, Tdap, or
meningococcal vaccine
Risk factors for primary amenorrhea - Hypothyroidism, cannabis use, emotional
stress, oral contraceptive use
Administering ophthalmic drops to a child - Apply pressure to tear duct for 1 min
after, wipe from inner canthus to outer canthus, instill eye drops immediately after
cleaning the eye
Evaluating compliance to ferrous sulfate therapy, reinforcing teaching about liquid
iron supplements - Iron supplements are given with citrus fruit, between meals when
the stomach is most acidic for better absorption, taken with a straw to avoid teeth
discoloration, administered IM using z-track technique to prevent tissue staining. Iron
supplements turn stool to a tarry green.
Evaluating therapeutic effect of pancrelipase - Pancrelipase is effective if steatorrhea
resolves
Identifying therapeutic effect of digoxin, findings to report for a child who is receiving
digoxin, identifying digoxin toxicity - Therapeutic effect: increased cardiac output, "my
baby is breathing easier than she used to." Findings to report: anorexia, n/v, infant
HR < 90, child HR < 70, vision changes, hypokalemia potentiates digoxin toxicity
