Peds proctored ATI remediation exam
questions with 100% verified correct
answers
aspiration --> teach parents to hold the infants for feedings (do not prop bottle), put
away small objects and keep out of reach of baby, use age-appropriate toys only, check
clothing for safety hazards (i.e. loose buttons).
bodily harm --> keep sharp objects out of reach, anchor heavy objects/furniture, do not
leave unattended with animals present.
burns --> avoid warming formula in microwave (check temp before feeding), also check
bath water temp (hot water thermostats should be set at 120˚ or less), check smoke
detectors, turn handles of pots/pans inward towards stove, use sunscreen when
exposed to sun, cover electrical outlets.
drowning --> do not leave unattended near any water, secure fencing around pools,
close bathroom doors.
falls --> crib mattresses in the lowest position/rails all the way up, restraints in infant
seats, do not leave unattended on elevated surfaces, use safety guards at top/bottom of
stai - Answer-Health Promotion of Infants (2 Days to 1 Year): Teaching About Home
Safety (chp. 3)
oral --> hold infant in semi-reclining position (similar to feeding position); only use
droppers that come with the med, or use a nipple.
optic --> supine/sitting position; apply light pressure to the lacrimal punctum for 1 min. to
prevent unpleasant taste.
otic --> prone/supine position; <3 yrs. pull pinna down and back.
nasal --> use a football hold for infants; position with head extended.
aerosol --> use a mask for younger children, allow parents to hold them during
administration, use distraction.
rectal --> insert beyond sphincters, hold buttocks gently for 5-10 min. perform quickly
and use distraction.
injection --> secure infant/child prior to injections (assess need for assistance)
24-29 gauge catheter, use play therapy, apply EMLA 60 min. prior, allow parents to
stay, use therapeutic holding/swaddle infants, non-nutritive sucking to infants
before/during/after. - Answer-Safe Administration of Medication: Restraining Methods
for an Infant (chp. 8)
Hepatitis B (3 doses): birth, 1-2 mon, 6-18 mon.
Rotavirus (RV; two for RV1 or 3 for RV5): 2-4 mon or 2,4,6 mon.
DTaP (five doses): 2, 4, 6, 15-18 mon, and 4-6 yrs.
Tdap/Td (1x q 10yrs.): 11-12 yrs then booster q10 yrs
Hib (4x for ActHIB; 3x for PedvaxHib): 2, 4, 6 mon., 12-15 mon. booster dose.
Pneumococcal conjugate (PCV13; four): 2, 4, 6, 12-15 months
Inac. Poliovirus (IPV; four) 2, 4, 6-18 mon, 4-6 yrs
, Inac. influenza (IIV; yearly)
MMR (two) 12-15 months, 4-6 yrs.
VAR (two) 12-15 months, 4-6 yrs.
HepA (two) 12-23 months, 6-18 months
Meningococcal conjugate (one) 11-12 yrs., 16 yrs. booster
Human papillomavirus (HPV; three): 11-12 yrs, 1-2 mon. after first dose, 24 weeks after
first dose - Answer-Immunizations: Recommended Schedule (chp. 35)
Phenylketonuria - inherited metabolic disorder where newborn is lacking phenylalanine
hydroxylase enzyme. Leads to an accumulation of phenylalanine in
bloodstream/tissues, causing cognitive impairment.
Nursing care - focuses on dietary intake; initiate restrictions as soon as PKU is
diagnosed/7-10 days of birth.
Place on low phenylalanine formula - 20/30 mg phenylalanine/kg body weight/day
(monitor levels). Goal is btwn. 2-8 mg/dL.
Monitor levels in newborns who are breastfeeding (breast milk contains phenylalanine;
exclusive BF might not be possible).
Consult with dietician/provide referrals.
Watch for signs of PKU --> cognitive impairment, hyperactivity/erratic behavior, bizarre
behavior/fright reactions, head banging, arm biting, disorientation, spasticity or
catatonic-like positions, seizures. - Answer-Complications of Infants: Providing Dietary
Teaching About Phenylketonuria (chp. 42)
Acetaminophen --> will present with nausea, vomiting, sweating and pallor; later, pain in
UR quadrant, confusion, stupor, jaundice, and coagulation disturbances - death or
gradual recovery
*Administer N-acetylsysteine orally*
Acetylsalicylic acid (Aspirin) --> n+v, disorientation, sweating, tachpnea; later - bleeding
tendencies, dehydration, seizures.
*Administer activated charcoal, gastric lavage, sodium bicarbonate, O2 ventilation,
vitamin K, hemodialysis for severe cases*
Supplemental Iron --> vomiting, hematemisis, gastric pain, bloody stools, metabolic
acidosis, hyperglycemia, bleeding, fever, seizures, coma.
*Administer emesis or lavage, chelation therapy using deferoxamine mesylate*
Hydrocarbons (gasoline, kerosene, lighter fluid, paint thinner) --> gagging, choking,
coughing, n+v, lethargy, weakness, cyanosis, etc.
*Do not induce vomiting, intubate w/ cuffed trach prior to gastric decontamination, tx of -
Answer-Pediatric Emergencies: Treatment for Medication Overdose (chp. 43)
*Should report anything that falls above or below the norms for vitals
questions with 100% verified correct
answers
aspiration --> teach parents to hold the infants for feedings (do not prop bottle), put
away small objects and keep out of reach of baby, use age-appropriate toys only, check
clothing for safety hazards (i.e. loose buttons).
bodily harm --> keep sharp objects out of reach, anchor heavy objects/furniture, do not
leave unattended with animals present.
burns --> avoid warming formula in microwave (check temp before feeding), also check
bath water temp (hot water thermostats should be set at 120˚ or less), check smoke
detectors, turn handles of pots/pans inward towards stove, use sunscreen when
exposed to sun, cover electrical outlets.
drowning --> do not leave unattended near any water, secure fencing around pools,
close bathroom doors.
falls --> crib mattresses in the lowest position/rails all the way up, restraints in infant
seats, do not leave unattended on elevated surfaces, use safety guards at top/bottom of
stai - Answer-Health Promotion of Infants (2 Days to 1 Year): Teaching About Home
Safety (chp. 3)
oral --> hold infant in semi-reclining position (similar to feeding position); only use
droppers that come with the med, or use a nipple.
optic --> supine/sitting position; apply light pressure to the lacrimal punctum for 1 min. to
prevent unpleasant taste.
otic --> prone/supine position; <3 yrs. pull pinna down and back.
nasal --> use a football hold for infants; position with head extended.
aerosol --> use a mask for younger children, allow parents to hold them during
administration, use distraction.
rectal --> insert beyond sphincters, hold buttocks gently for 5-10 min. perform quickly
and use distraction.
injection --> secure infant/child prior to injections (assess need for assistance)
24-29 gauge catheter, use play therapy, apply EMLA 60 min. prior, allow parents to
stay, use therapeutic holding/swaddle infants, non-nutritive sucking to infants
before/during/after. - Answer-Safe Administration of Medication: Restraining Methods
for an Infant (chp. 8)
Hepatitis B (3 doses): birth, 1-2 mon, 6-18 mon.
Rotavirus (RV; two for RV1 or 3 for RV5): 2-4 mon or 2,4,6 mon.
DTaP (five doses): 2, 4, 6, 15-18 mon, and 4-6 yrs.
Tdap/Td (1x q 10yrs.): 11-12 yrs then booster q10 yrs
Hib (4x for ActHIB; 3x for PedvaxHib): 2, 4, 6 mon., 12-15 mon. booster dose.
Pneumococcal conjugate (PCV13; four): 2, 4, 6, 12-15 months
Inac. Poliovirus (IPV; four) 2, 4, 6-18 mon, 4-6 yrs
, Inac. influenza (IIV; yearly)
MMR (two) 12-15 months, 4-6 yrs.
VAR (two) 12-15 months, 4-6 yrs.
HepA (two) 12-23 months, 6-18 months
Meningococcal conjugate (one) 11-12 yrs., 16 yrs. booster
Human papillomavirus (HPV; three): 11-12 yrs, 1-2 mon. after first dose, 24 weeks after
first dose - Answer-Immunizations: Recommended Schedule (chp. 35)
Phenylketonuria - inherited metabolic disorder where newborn is lacking phenylalanine
hydroxylase enzyme. Leads to an accumulation of phenylalanine in
bloodstream/tissues, causing cognitive impairment.
Nursing care - focuses on dietary intake; initiate restrictions as soon as PKU is
diagnosed/7-10 days of birth.
Place on low phenylalanine formula - 20/30 mg phenylalanine/kg body weight/day
(monitor levels). Goal is btwn. 2-8 mg/dL.
Monitor levels in newborns who are breastfeeding (breast milk contains phenylalanine;
exclusive BF might not be possible).
Consult with dietician/provide referrals.
Watch for signs of PKU --> cognitive impairment, hyperactivity/erratic behavior, bizarre
behavior/fright reactions, head banging, arm biting, disorientation, spasticity or
catatonic-like positions, seizures. - Answer-Complications of Infants: Providing Dietary
Teaching About Phenylketonuria (chp. 42)
Acetaminophen --> will present with nausea, vomiting, sweating and pallor; later, pain in
UR quadrant, confusion, stupor, jaundice, and coagulation disturbances - death or
gradual recovery
*Administer N-acetylsysteine orally*
Acetylsalicylic acid (Aspirin) --> n+v, disorientation, sweating, tachpnea; later - bleeding
tendencies, dehydration, seizures.
*Administer activated charcoal, gastric lavage, sodium bicarbonate, O2 ventilation,
vitamin K, hemodialysis for severe cases*
Supplemental Iron --> vomiting, hematemisis, gastric pain, bloody stools, metabolic
acidosis, hyperglycemia, bleeding, fever, seizures, coma.
*Administer emesis or lavage, chelation therapy using deferoxamine mesylate*
Hydrocarbons (gasoline, kerosene, lighter fluid, paint thinner) --> gagging, choking,
coughing, n+v, lethargy, weakness, cyanosis, etc.
*Do not induce vomiting, intubate w/ cuffed trach prior to gastric decontamination, tx of -
Answer-Pediatric Emergencies: Treatment for Medication Overdose (chp. 43)
*Should report anything that falls above or below the norms for vitals
