ATI PEDIATRICS CMS LATEST EXAM 2024/2025 QUESTIONS
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
Stage 1 Sleep - ANSWER - Very light sleep
- Only a few minutes long
- Awaken easily
- Feels relaxed and drowsy
Stage 2 Sleep - ANSWER - Deeper sleep
- 10-20 min long
- Increased relaxation
Stage 3 Sleep - ANSWER - Beginning of deep sleep
- 15-30 min long
- Difficult to awaken
Stage 4 Sleep - ANSWER - "Delta Sleep"
- Deepest sleep
- 15-30 min long
- Very difficult to awaken
- Sleep walking, sleep talking, enuresis
REM - ANSWER - vivid dreaming
- 90 min after falling asleep
- Very difficult to awaken
- cognitive restoration
Insomnia - ANSWER inability to sleep
Sleep apnea - ANSWER More than five breathing cessations lasting longer
than 10 seconds per hour during sleep = decreased arterial oxygen
saturation
Nursing consideration for Rest and Sleep - ANSWER - Bed time routine
- Limit clients walking at night
- Help with personal hygiene and back rubs
- Medication: benzodiazepine: sedative-hypnotics, zolpidem, eszopiclone,
zaleplon
,Client education for rest and sleep - ANSWER - exercise regular (2 hours)
before bedtime
- bedtime routine
- comfort environment
- limit alcohol, caffeine, nicotine at least 4 hrs before bed
- engage muscle relaxation
Carbohydrates - ANSWER - provides most of the body's energy and fiber
- 4 kcal
- whole grains, breads, baked potato, brown rice
Fats - ANSWER - energy and vitamins
- 9 kcal
- olive oil, salmon, egg yolks
Protein - ANSWER - growth, maintenance and repair of body tissue
- 4 kcal
- beef, whole milk, poultry
Fat soluble vitamins - ANSWER A, D, E, K
Water soluble Vitamins - ANSWER C, B
Minerals - ANSWER - complete essential biochemical reactions
- calcium, potassium, sodium, iron
Newborns starting to eat solid foods - ANSWER - 4-6 months
- No cow's milk or honey for the first year
Anorexia Nervosa - ANSWER - eating disorder
- low body weight
- self perception of being far
- consistent restriction of food intake
bulimia nervosa - ANSWER - eating disorder
- binge eating followed by purging
Healthy BMI - ANSWER 18.5-25
,Preventing aspiration - ANSWER - Position in high fowlers
- tuck chin when swallowing
- keep client in semi fowlers at least 1 hr after meals
Nutrition of Older adults (over 65) - ANSWER - slower metabolic rate
require fewer calories
- thirst sensation diminish
- need same amount of vitamins and minerals as younger adults
- calcium intake
- need carbohydrates for fiber/bulk
Cane instructions - ANSWER - maintain two points of support
- keep cane on stronger side
- support body weight on both sides
- move weaker leg forward toward cane
- position crutches on unaffected side when sitting or rising from chair
Giving bed bath - ANSWER - wash face first
- lock wheels on bed
- long firm strokes
Foot care for diabetics - ANSWER - do not soak feet
- do not cut nails
- file nails using nail filer
- can apply lotion BUT do not apply lotion IN BETWEEN fingers or toes
Living will - ANSWER directive documents for medical treatment per the
client's wishes
Advance directives - ANSWER legal documents that direct end of life
issues
denial - ANSWER difficult believing a terminal diagnosis or loss
anger - ANSWER lashes out at other people or things
bargaining - ANSWER negotiates for more time or a cure
depression - ANSWER saddened by the inability to change the situation
, acceptance - ANSWER acknowledges what is happening and plans for the
future by moving forward
Palliative Care - ANSWER - relief of pain, spiritual, emotional, and
psychosocial aspects of the clients life
- improves quality of life of clients facing end of life issues
Hospice Care - ANSWER - not expected to live longer than 6 months
- enhancing quality of life and supporting the client toward a peaceful and
dignified death
integrity vs despair (65 years and older) - ANSWER - adjust to lifestyle
changes related to retirement
- adapt to changes in family structure
- adapt to changing in living environment
- deal with multiple loss
- face death
Decreased physical development on 65 years and older - ANSWER -
decreased skin turgor
- thickening of fingernails/toenails
- increased blood pressure
- decrease production of saliva
- decreased bladder capacity
Middle Adult (35-65) - ANSWER - generativity vs. stagnation
- use life as an opportunity for creativity and productivity
- concern for others
- well-being for next generation
- whole grans, fresh fruits, veggies
- increase vitamin D
Physical development for Middle Adult (35-65) - ANSWER - Skin turgor
- visual acuity, especially for near vision
- sense of taste
- height
- gastric secretions
- decreased glomerular filtration rate
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
Stage 1 Sleep - ANSWER - Very light sleep
- Only a few minutes long
- Awaken easily
- Feels relaxed and drowsy
Stage 2 Sleep - ANSWER - Deeper sleep
- 10-20 min long
- Increased relaxation
Stage 3 Sleep - ANSWER - Beginning of deep sleep
- 15-30 min long
- Difficult to awaken
Stage 4 Sleep - ANSWER - "Delta Sleep"
- Deepest sleep
- 15-30 min long
- Very difficult to awaken
- Sleep walking, sleep talking, enuresis
REM - ANSWER - vivid dreaming
- 90 min after falling asleep
- Very difficult to awaken
- cognitive restoration
Insomnia - ANSWER inability to sleep
Sleep apnea - ANSWER More than five breathing cessations lasting longer
than 10 seconds per hour during sleep = decreased arterial oxygen
saturation
Nursing consideration for Rest and Sleep - ANSWER - Bed time routine
- Limit clients walking at night
- Help with personal hygiene and back rubs
- Medication: benzodiazepine: sedative-hypnotics, zolpidem, eszopiclone,
zaleplon
,Client education for rest and sleep - ANSWER - exercise regular (2 hours)
before bedtime
- bedtime routine
- comfort environment
- limit alcohol, caffeine, nicotine at least 4 hrs before bed
- engage muscle relaxation
Carbohydrates - ANSWER - provides most of the body's energy and fiber
- 4 kcal
- whole grains, breads, baked potato, brown rice
Fats - ANSWER - energy and vitamins
- 9 kcal
- olive oil, salmon, egg yolks
Protein - ANSWER - growth, maintenance and repair of body tissue
- 4 kcal
- beef, whole milk, poultry
Fat soluble vitamins - ANSWER A, D, E, K
Water soluble Vitamins - ANSWER C, B
Minerals - ANSWER - complete essential biochemical reactions
- calcium, potassium, sodium, iron
Newborns starting to eat solid foods - ANSWER - 4-6 months
- No cow's milk or honey for the first year
Anorexia Nervosa - ANSWER - eating disorder
- low body weight
- self perception of being far
- consistent restriction of food intake
bulimia nervosa - ANSWER - eating disorder
- binge eating followed by purging
Healthy BMI - ANSWER 18.5-25
,Preventing aspiration - ANSWER - Position in high fowlers
- tuck chin when swallowing
- keep client in semi fowlers at least 1 hr after meals
Nutrition of Older adults (over 65) - ANSWER - slower metabolic rate
require fewer calories
- thirst sensation diminish
- need same amount of vitamins and minerals as younger adults
- calcium intake
- need carbohydrates for fiber/bulk
Cane instructions - ANSWER - maintain two points of support
- keep cane on stronger side
- support body weight on both sides
- move weaker leg forward toward cane
- position crutches on unaffected side when sitting or rising from chair
Giving bed bath - ANSWER - wash face first
- lock wheels on bed
- long firm strokes
Foot care for diabetics - ANSWER - do not soak feet
- do not cut nails
- file nails using nail filer
- can apply lotion BUT do not apply lotion IN BETWEEN fingers or toes
Living will - ANSWER directive documents for medical treatment per the
client's wishes
Advance directives - ANSWER legal documents that direct end of life
issues
denial - ANSWER difficult believing a terminal diagnosis or loss
anger - ANSWER lashes out at other people or things
bargaining - ANSWER negotiates for more time or a cure
depression - ANSWER saddened by the inability to change the situation
, acceptance - ANSWER acknowledges what is happening and plans for the
future by moving forward
Palliative Care - ANSWER - relief of pain, spiritual, emotional, and
psychosocial aspects of the clients life
- improves quality of life of clients facing end of life issues
Hospice Care - ANSWER - not expected to live longer than 6 months
- enhancing quality of life and supporting the client toward a peaceful and
dignified death
integrity vs despair (65 years and older) - ANSWER - adjust to lifestyle
changes related to retirement
- adapt to changes in family structure
- adapt to changing in living environment
- deal with multiple loss
- face death
Decreased physical development on 65 years and older - ANSWER -
decreased skin turgor
- thickening of fingernails/toenails
- increased blood pressure
- decrease production of saliva
- decreased bladder capacity
Middle Adult (35-65) - ANSWER - generativity vs. stagnation
- use life as an opportunity for creativity and productivity
- concern for others
- well-being for next generation
- whole grans, fresh fruits, veggies
- increase vitamin D
Physical development for Middle Adult (35-65) - ANSWER - Skin turgor
- visual acuity, especially for near vision
- sense of taste
- height
- gastric secretions
- decreased glomerular filtration rate
