ATI PROCTORED PEDs, ATI PEDIATRICS
PROCTORED EXAM, PEDS ATI PROCTORED REVIEW
LATEST 2023-2024 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)AGRADE
1. Preschool-Aged\Children
Body-Integrity:\-\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
2. Preschool\(3-6\Years):\-
\IMITATION\of\adults:\providing\a\stethoscope\allows\child\an\opportunity\for\T
HERAPEUTIC\play.
- Time\based\on\events,\magical\thinking,\animism,\centration.
- Stress\=\Regresion;\may\still\be\picky\eaters\,\sleep\12\hours\average,\pedestria
n\safety
- Keep\a\consistent\bedtime\routine
3. Pyloromyotomy:\-
\Release\of\hypertrophied\muscle\around\the\pyloric\sphincter\that\causes\narrowi
ng\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.
4. Cystic\Fibrosis
Nutritional\Care:\-\‘\Protein,\Carbs\and\minerals,\to\promote\weight\gain
- They\have\difficulty\absorbing\nutrients\due\to\blockage\of\pancreatic\enzymes\b
y\thick\mucus\secretions\in\the\pancreas\and\liver.
- Pancreatic\enzymes\help\breakdown\ingested\foods\so\the\body\can\metaboliz
e\nutrients.
- Administering\pancreatic\enzymes\BEFORE\eating\will\enable\children\to\metab
-\olize\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\pancreati
c\enzymes\to\reach\the\duodenum.
- ‘\of\fiber\is\NOT\needed,\their\stools\are\bulky\because\of\fat\content,\but\they\hav
1\/\39
,e\regular\bowel\movements
- C.F.\patients\excrete\excessive\salt\through\the\skin,\the\child\with\cystic\fibrosi
s\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\O
2\Sat\is\likely\seen
5. Chemotherapy:\-
\Low\WBC\count\places\the\child\at\risk\for\infection\and\isolation\with\mon
itoring\of\fever\is\priority.
2\/\39
,6. “R\BC:\ -\Quiet\play\and\best\rest,\administer\O2
7. “Platelet:\-\Protect\child\from\injury\and\monitor\for\bleeding.
- Quiet\play\should\be\encouraged,\it\will\lessen\the\R/F\injury\and\“\hemorrhage
3\/\39
, 8. Dehydration:\-\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\balanc
e\changes\(I/O)\and\insensible\fluid\loss\(skin\and\respiratory)
9. Koplik\spots:\-\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\i
s\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\mani-
festations.
- They\begin\to\fade\the\second\day\after\the\rash\appears.\Immunity\to\measles\i
s\conferred\by\the\MMR\(Measles-Mumps-
Rubella)\immunization\that\children\receive\@\15\months.
10. Rubeola:\Measles;\Maculopapular\starts\on\the\face\and\spreads\dow\Itnward.\
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.
11. Varicella:\Chicken\Pox;\Vesicles\and\crusts\are\present
- Commences\with\a\maculopapular\ rash\that\progressess\to\vesicles\ on\e\ rythema-
tous\bases\which\eventually\rupture\and\crust\over.
12. Kawasaki\Syndrome\(Scarlet\Fever):\-
\Strawberry\tongue;\sloughed\off\its\normal\coating,\exposing\swollen\promine
nt\papillae.
13. Pertussis\(whooping\Cough):\Paroxysmal\Cough
4\/\39
PROCTORED EXAM, PEDS ATI PROCTORED REVIEW
LATEST 2023-2024 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS)AGRADE
1. Preschool-Aged\Children
Body-Integrity:\-\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
2. Preschool\(3-6\Years):\-
\IMITATION\of\adults:\providing\a\stethoscope\allows\child\an\opportunity\for\T
HERAPEUTIC\play.
- Time\based\on\events,\magical\thinking,\animism,\centration.
- Stress\=\Regresion;\may\still\be\picky\eaters\,\sleep\12\hours\average,\pedestria
n\safety
- Keep\a\consistent\bedtime\routine
3. Pyloromyotomy:\-
\Release\of\hypertrophied\muscle\around\the\pyloric\sphincter\that\causes\narrowi
ng\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.
4. Cystic\Fibrosis
Nutritional\Care:\-\‘\Protein,\Carbs\and\minerals,\to\promote\weight\gain
- They\have\difficulty\absorbing\nutrients\due\to\blockage\of\pancreatic\enzymes\b
y\thick\mucus\secretions\in\the\pancreas\and\liver.
- Pancreatic\enzymes\help\breakdown\ingested\foods\so\the\body\can\metaboliz
e\nutrients.
- Administering\pancreatic\enzymes\BEFORE\eating\will\enable\children\to\metab
-\olize\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\pancreati
c\enzymes\to\reach\the\duodenum.
- ‘\of\fiber\is\NOT\needed,\their\stools\are\bulky\because\of\fat\content,\but\they\hav
1\/\39
,e\regular\bowel\movements
- C.F.\patients\excrete\excessive\salt\through\the\skin,\the\child\with\cystic\fibrosi
s\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\O
2\Sat\is\likely\seen
5. Chemotherapy:\-
\Low\WBC\count\places\the\child\at\risk\for\infection\and\isolation\with\mon
itoring\of\fever\is\priority.
2\/\39
,6. “R\BC:\ -\Quiet\play\and\best\rest,\administer\O2
7. “Platelet:\-\Protect\child\from\injury\and\monitor\for\bleeding.
- Quiet\play\should\be\encouraged,\it\will\lessen\the\R/F\injury\and\“\hemorrhage
3\/\39
, 8. Dehydration:\-\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\balanc
e\changes\(I/O)\and\insensible\fluid\loss\(skin\and\respiratory)
9. Koplik\spots:\-\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\i
s\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\mani-
festations.
- They\begin\to\fade\the\second\day\after\the\rash\appears.\Immunity\to\measles\i
s\conferred\by\the\MMR\(Measles-Mumps-
Rubella)\immunization\that\children\receive\@\15\months.
10. Rubeola:\Measles;\Maculopapular\starts\on\the\face\and\spreads\dow\Itnward.\
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.
11. Varicella:\Chicken\Pox;\Vesicles\and\crusts\are\present
- Commences\with\a\maculopapular\ rash\that\progressess\to\vesicles\ on\e\ rythema-
tous\bases\which\eventually\rupture\and\crust\over.
12. Kawasaki\Syndrome\(Scarlet\Fever):\-
\Strawberry\tongue;\sloughed\off\its\normal\coating,\exposing\swollen\promine
nt\papillae.
13. Pertussis\(whooping\Cough):\Paroxysmal\Cough
4\/\39
