ATI PN Pediatrics exam v2 pROCTORED NEWEST 2024 ACTUAL
EXAM NEWEST VERSIONS EACH WITH 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
Infant/children Vital signs - ✔✔ANSWER✔✔>>Everything is higher EXCEPT blood
pressure
(Infant)
temp. 99
Pulse: 80-180
RR: 30-35 bpm
BP: 65-80/40-50
Does not increase significantly until they are much older
Fontanels - ✔✔ANSWER✔✔>>- Flat and soft
- Posterior fontanel closes within 6-8 weeks of age
- Anterior fontanel closes 12-18 months
Teething: - ✔✔ANSWER✔✔>>Should have 6-8 teeth by 1 year
Ends up with 20 baby teeth and 32 adult
First teeth erupt by 6-8 months
Moro reflex - ✔✔ANSWER✔✔>>Infant reflex where a baby will startle in response to a
loud sound or sudden movement
(Fall backward)
Tonic Neck Reflex - ✔✔ANSWER✔✔>>turning the head to one side, extending the arm
and leg on that side, and flexing the limbs on the opposite side
Birth to 3-8 months
Care for children with heart defects - ✔✔ANSWER✔✔>>- Small meals
- Frequent rest periods
- Cluster cares
- Encourage fowlers position (45 degrees)
- Decrease crying as much as possible
- Enlarged opening on bottle to decrease work for sucking
,Foods high in potassium - ✔✔ANSWER✔✔>>Potatoes, Bran cereal, bananas, dark
leafy veggies, orange juice, melon, and oranges
Digoxin Toxicity - ✔✔ANSWER✔✔>>N/V
Decresed HR
Decreased Appetite
Kawasaki Disease - ✔✔ANSWER✔✔>>Inflammation of the blood vessels (RED)
Phases:
Acute; high fever, irritability, red eyes, bright red chapped lips, red strawberry tongue,
red palms and feet.
Subacute; same PLUS peeling around nails
Treatment: Gamma globulin (IVGG) aspirin
Avoid live immunizations for 11 months following illness
Epistaxis - ✔✔ANSWER✔✔>>Nose bleed
- Sit up right and lean forward
- Pinch nose for 10 minutes
- Ice on nose
- Cotton or tissue in nostril
- Petroleum jelly
- Humidifier
Iron Deficiency Anemia - ✔✔ANSWER✔✔>>Poor diet, a lot of milk
RBC, hematocrit, Hemoglobin, ferratin ALL LOW
High diet in protein, iron, and vitamin C
If given supplement:
- 1 hour before or 2 hours after taking milk or tums
- Take with vitamin C
- Take with straw
- If IM use Z track
Stools should turn tarry green if dose is adequate
Iron rich food:
- Dried beans, peanut butter, dark leafy greens, poultry and red meat
, Sickle cell anemia - ✔✔ANSWER✔✔>>Body produces abnormal hemoglobin;
increased blood viscosity, blood obstruction, tissue hypoxia
Painful
African Americans are at highest risk
O/S Data:
- Pain
- Family Hx
- SOB
- Jaundice
Vasoocclusive - painful tissue hypoxia
Hemophillia - ✔✔ANSWER✔✔>>Hereditary bleeding disorder from deficiency of clotting
factor
Hemophillia A; lack of factor 8
Hemophillia B: Lack of factor 9
- Excessive bleeding, bruising, joint pain, activity intolerance
Lab test: Prolonged PTT only
Rotavirus - ✔✔ANSWER✔✔>>Most common cause of diarrhea in children 5 and under
Pinworm - ✔✔ANSWER✔✔>>Enterobius vermicularis
Tape test: tap over child's anus to catch pinworms
When child has diarrhea - ✔✔ANSWER✔✔>>Should have:
- ORT (oral rehydration therapy)
Do not give:
- Gelatin
- Fruit juice
- Soda
- Broth
- BRAT diet
Cleft lip - ✔✔ANSWER✔✔>>Wide based nipple valve & apply elbow restraints
Cleft palate: decrease sucking, place in prone position
EXAM NEWEST VERSIONS EACH WITH 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
Infant/children Vital signs - ✔✔ANSWER✔✔>>Everything is higher EXCEPT blood
pressure
(Infant)
temp. 99
Pulse: 80-180
RR: 30-35 bpm
BP: 65-80/40-50
Does not increase significantly until they are much older
Fontanels - ✔✔ANSWER✔✔>>- Flat and soft
- Posterior fontanel closes within 6-8 weeks of age
- Anterior fontanel closes 12-18 months
Teething: - ✔✔ANSWER✔✔>>Should have 6-8 teeth by 1 year
Ends up with 20 baby teeth and 32 adult
First teeth erupt by 6-8 months
Moro reflex - ✔✔ANSWER✔✔>>Infant reflex where a baby will startle in response to a
loud sound or sudden movement
(Fall backward)
Tonic Neck Reflex - ✔✔ANSWER✔✔>>turning the head to one side, extending the arm
and leg on that side, and flexing the limbs on the opposite side
Birth to 3-8 months
Care for children with heart defects - ✔✔ANSWER✔✔>>- Small meals
- Frequent rest periods
- Cluster cares
- Encourage fowlers position (45 degrees)
- Decrease crying as much as possible
- Enlarged opening on bottle to decrease work for sucking
,Foods high in potassium - ✔✔ANSWER✔✔>>Potatoes, Bran cereal, bananas, dark
leafy veggies, orange juice, melon, and oranges
Digoxin Toxicity - ✔✔ANSWER✔✔>>N/V
Decresed HR
Decreased Appetite
Kawasaki Disease - ✔✔ANSWER✔✔>>Inflammation of the blood vessels (RED)
Phases:
Acute; high fever, irritability, red eyes, bright red chapped lips, red strawberry tongue,
red palms and feet.
Subacute; same PLUS peeling around nails
Treatment: Gamma globulin (IVGG) aspirin
Avoid live immunizations for 11 months following illness
Epistaxis - ✔✔ANSWER✔✔>>Nose bleed
- Sit up right and lean forward
- Pinch nose for 10 minutes
- Ice on nose
- Cotton or tissue in nostril
- Petroleum jelly
- Humidifier
Iron Deficiency Anemia - ✔✔ANSWER✔✔>>Poor diet, a lot of milk
RBC, hematocrit, Hemoglobin, ferratin ALL LOW
High diet in protein, iron, and vitamin C
If given supplement:
- 1 hour before or 2 hours after taking milk or tums
- Take with vitamin C
- Take with straw
- If IM use Z track
Stools should turn tarry green if dose is adequate
Iron rich food:
- Dried beans, peanut butter, dark leafy greens, poultry and red meat
, Sickle cell anemia - ✔✔ANSWER✔✔>>Body produces abnormal hemoglobin;
increased blood viscosity, blood obstruction, tissue hypoxia
Painful
African Americans are at highest risk
O/S Data:
- Pain
- Family Hx
- SOB
- Jaundice
Vasoocclusive - painful tissue hypoxia
Hemophillia - ✔✔ANSWER✔✔>>Hereditary bleeding disorder from deficiency of clotting
factor
Hemophillia A; lack of factor 8
Hemophillia B: Lack of factor 9
- Excessive bleeding, bruising, joint pain, activity intolerance
Lab test: Prolonged PTT only
Rotavirus - ✔✔ANSWER✔✔>>Most common cause of diarrhea in children 5 and under
Pinworm - ✔✔ANSWER✔✔>>Enterobius vermicularis
Tape test: tap over child's anus to catch pinworms
When child has diarrhea - ✔✔ANSWER✔✔>>Should have:
- ORT (oral rehydration therapy)
Do not give:
- Gelatin
- Fruit juice
- Soda
- Broth
- BRAT diet
Cleft lip - ✔✔ANSWER✔✔>>Wide based nipple valve & apply elbow restraints
Cleft palate: decrease sucking, place in prone position
