ATI PEDS PROCTORED ACTUAL
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS WITH FULL SOLUTION
◉ Preschool (3-6 Years).
Answer: - 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.
Answer: - 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.
Answer: - Low WBC count places the child at risk for infection and
isolation with monitoring of fever is priority.
,◉ ↓RBC.
Answer: - Quiet play and best rest, administer O2
◉ ↓ Platelet.
Answer: - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
◉ Dehydration.
Answer: - 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.
Answer: The most effective means of traction, applying to a bone
with wire pins or tongs
◉ Compartment Syndrome.
, Answer: 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.
Answer: - 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.
Answer: - 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.
Answer: - 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.
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS WITH FULL SOLUTION
◉ Preschool (3-6 Years).
Answer: - 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.
Answer: - 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.
Answer: - Low WBC count places the child at risk for infection and
isolation with monitoring of fever is priority.
,◉ ↓RBC.
Answer: - Quiet play and best rest, administer O2
◉ ↓ Platelet.
Answer: - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
◉ Dehydration.
Answer: - 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.
Answer: The most effective means of traction, applying to a bone
with wire pins or tongs
◉ Compartment Syndrome.
, Answer: 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.
Answer: - 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.
Answer: - 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.
Answer: - 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.
