2024/9 Peds ATI exam protocol exam questions and answers

2024/9 Peds ATI exam protocol exam questions and answers2024/9 Peds ATI exam protocol exam questions and answers (NGN) A nurse is reviewing a child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home meds list? Scenario: Cystic fibrosis at 3 months, failure to thrive, has chronic obstructive pulmonary disease. Wheezing, rhonchi, paroxysmal cough, dyspnea. Parent reports large frothy, foul-smelling stool. Child has deficient levels of vitamins A, D, E and K Barrel shape chest, clubbed finger bilaterally, RR 40/min wheezing rhonchi, bilateral dyspnea, paroxysmal cough. Temp: 101.1 HR: 100 RR:40 BP: 100/57 Labs: sputum culture positive for pseudomonas aeruginosa Stool analysis: the presence of fat and enzymes. Chest x ray: obstructive emphysema WBC: 20,000mm3 A. Meperidine B. Dornase alfa C. Acetaminophen D. Water soluble vitamins E. Pancreatic lipase - correct answer-B. Dornase alfa D. Water soluble vitamins E. Pancreatic lipase (NGN) A nurse is caring for a 7-year-old child who has urinary incontinence. A 7-year-old client who weight is 18.1 kg (39.9 lb.) was admitted with a UTI. The child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. The child guardian reports client has been incontinent of urine the past 2 nights and the urine has very strong odor. T: 100.4 HR 80 RR: 22 BP: 106/65 T: 101.1 F HR: 90 RR: 23 BP: 105/65 Indicate if the potential intervention is anticipated or contraindicated for the client. A. Educate the child about proper personal hygiene. B. Administer sulfamethoxazole and trimethronin. C. Administer salicylic acid for pain and fever. D. Ensure child receives a maximum of 1,200 mL/day of fluid. E. Advise child guardians about use of sunscreen. - correct answer-- Anticipated: A. Educate the child about proper personal hygiene. B. Administer sulfamethoxazole and trimethronin. E. Advise child guardians about use of sunscreen. - Contraindicated: C. Administer salicylic acid for pain and fever. D. Ensure child receives a maximum of 1,200 mL/day of fluid. (NGN) Child presents to ED guardian reports a child woke up coughing with a low-grade fever. Child alert restless in guardians' arms. RR easy. No cough noted. Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking non-productive cough present. 7:15 T: 100.6 98 o2 0800? T: 101 HR 112 RR: 24 o2 96 Assessment findings consistent with Acute Laryngotrancheobronchitis, or Pneumonia. A. Irritability B. Cough findings at 0800 C. Stridor D. Temperature - correct answer-- Acute Laryngotrancheobronchitis: A. Irritability B. Cough findings at 0800 C. Stridor D. Temperature - Pneumonia: B. Cough findings at 0800 D. Temperature (NGN) Received the child awake, alert, and crying. Parent noticed battery on control toy missing parent states child was drooling more than usual and witnessed gaging periodically. 0930 The child is lying on the parent's chest with eyes open and requesting sippy cups. He continues to have expiratory wheeze in bilateral upper lobes. Preparing child for diagnostic testing. Nurse should ---- followed by ----. A. Keep them NPO. B. Teach parents importance of inspecting Childs gasp area? C. Obtain informed consent. D. Prepare for flexible endoscopy. E. Monitor for return of gag reflex. F. Encourage parents to inspect toys for easily removable parts. - correct answer-A. Keep them NPO. D. Prepare for flexible endoscopy. The nurse is caring for a client who is postop following the placement of a halo vest to manage cervical fracture. Which actions should the nurse take? A. Tighten screws on halo device on-quarter turn every 48 hr. B. Reposition client using turning sheet. C. Encourage flexion and extension of neck. D. Assess pin sites for infection once every other day - correct answer-B. Reposition client using turning sheet. ED preparing to discharge 3-year-old The child's guardian states that the child has been unable to sleep recently and has been irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the