PEDS PROCTORED ATI REMEDIATION
EXAM QUESTIONS WITH 100%
VERIFIED CORRECT ANSWERS
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)
EXAM QUESTIONS WITH 100%
VERIFIED CORRECT ANSWERS
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)
