ATI PEDIATRICS PROCTORED FINAL EXAM 2024/2025
QUESTIONS AND VERIFIED CORECT ANSWERS/ ALREADY
GRADED A++
What happens to the voice during epiglottitis? - ANSWER it becomes
hoarse
sodium normal range - ANSWER 135-145
manifestations of pneumonia in infants - ANSWER nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER brown colored urine
McBurney's point - ANSWER -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER
projectile vomiting
What is used to treat scabies lesions? - ANSWER permethrin 5% cream
manifestation of pertussis - ANSWER dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER inflamed throat
with exudate
manifestation of bacterial conjunctivitis - ANSWER purulent eye drainage
Koplik spots - ANSWER rubeola (measles
,Diabetes insipidus lab values - ANSWER -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER -dietary fluid
restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? -
ANSWER every 12-24 months
lumbar puncture nursing care - ANSWER -apply topical analgesic to the
lumbar site 60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post
procedural spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER no, it has gluten in it
What should be done after administering PO suspension digoxin? -
ANSWER brush the child's teeth
manifestations of digoxin toxicity - ANSWER nausea, vomiting, decreased
appetite
indications of brainstem herniation - ANSWER Cushing's triad: htn,
bradycardia, decreased respirations
interventions for lead toxicity - ANSWER -diet rich in calcium, vitamin C,
and iron
-chelation therapy for lead levels 45 mcg/dL or greater
,expected findings following an appendectomy - ANSWER -absence of
peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
An allergy to neomycin, eggs, or gelatin contraindicates what vaccine? -
ANSWER MMR
wheezes - ANSWER high-pitched, musical, whistling-like sounds heard
primarily on expiration as air passes through and vibrates narrowed
airways
crackles - ANSWER -high-pitched, short, and noncontinuous sounds heard
usually at the end of inspiration
-occur when air expands deflated alveoli or when the passage of air
through small airways is disrupted
post op care following a cardiac catheterization - ANSWER -avoid
strenuous activities but may attend school the next day
-resume regular diet
-keep site clean and dry for at least 3 days and do not take a tub bath for
those 3 days
, -remove the pressure dressing the day after the procedure and apply a new
adhesive bandage strip daily for at least the next 2 days
mononucleosis - ANSWER -caused by Epstein-Barr virus
-no known specific txt
-monospot to diagnose
-acute s/s last approx. 10 days with fatigue lasting up to 4 wks
-complications: splenomegaly - restrict activities for 2-3 months to avoid
rupturing the spleen
intussusception - ANSWER -bloody stools that are currant jelly-like in
appearance
-vomiting
-lethargy
-diarrhea
-weight loss
-leaking blood and mucus into the intestines
VSD - ANSWER loud, harsh murmur
coarctation of the aorta - ANSWER -weak femoral pulses
-elevated BP
infant with a hypercyanotic spell r/t Tetralogy of Fallot - ANSWER -place
infant in knee-to-chest position
-administer morphine IV to decrease infundibular spasms
-administer IV fluids
-apply oxygen at 100% via face mask
precautions for pertussis - ANSWER droplet
positive pressure airflow - ANSWER reduces risk of disease transmission
to the patient
negative pressure airflow - ANSWER patient with airborne infection
(measles, varicella)
diabetes mellitus type 1 teaching the child - ANSWER -avoid puncturing
pads of the fingers
-give self shot of regular insulin 30 min before meals
QUESTIONS AND VERIFIED CORECT ANSWERS/ ALREADY
GRADED A++
What happens to the voice during epiglottitis? - ANSWER it becomes
hoarse
sodium normal range - ANSWER 135-145
manifestations of pneumonia in infants - ANSWER nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER brown colored urine
McBurney's point - ANSWER -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER
projectile vomiting
What is used to treat scabies lesions? - ANSWER permethrin 5% cream
manifestation of pertussis - ANSWER dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER inflamed throat
with exudate
manifestation of bacterial conjunctivitis - ANSWER purulent eye drainage
Koplik spots - ANSWER rubeola (measles
,Diabetes insipidus lab values - ANSWER -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER -dietary fluid
restriction
-low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? -
ANSWER every 12-24 months
lumbar puncture nursing care - ANSWER -apply topical analgesic to the
lumbar site 60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post
procedural spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER no, it has gluten in it
What should be done after administering PO suspension digoxin? -
ANSWER brush the child's teeth
manifestations of digoxin toxicity - ANSWER nausea, vomiting, decreased
appetite
indications of brainstem herniation - ANSWER Cushing's triad: htn,
bradycardia, decreased respirations
interventions for lead toxicity - ANSWER -diet rich in calcium, vitamin C,
and iron
-chelation therapy for lead levels 45 mcg/dL or greater
,expected findings following an appendectomy - ANSWER -absence of
peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
An allergy to neomycin, eggs, or gelatin contraindicates what vaccine? -
ANSWER MMR
wheezes - ANSWER high-pitched, musical, whistling-like sounds heard
primarily on expiration as air passes through and vibrates narrowed
airways
crackles - ANSWER -high-pitched, short, and noncontinuous sounds heard
usually at the end of inspiration
-occur when air expands deflated alveoli or when the passage of air
through small airways is disrupted
post op care following a cardiac catheterization - ANSWER -avoid
strenuous activities but may attend school the next day
-resume regular diet
-keep site clean and dry for at least 3 days and do not take a tub bath for
those 3 days
, -remove the pressure dressing the day after the procedure and apply a new
adhesive bandage strip daily for at least the next 2 days
mononucleosis - ANSWER -caused by Epstein-Barr virus
-no known specific txt
-monospot to diagnose
-acute s/s last approx. 10 days with fatigue lasting up to 4 wks
-complications: splenomegaly - restrict activities for 2-3 months to avoid
rupturing the spleen
intussusception - ANSWER -bloody stools that are currant jelly-like in
appearance
-vomiting
-lethargy
-diarrhea
-weight loss
-leaking blood and mucus into the intestines
VSD - ANSWER loud, harsh murmur
coarctation of the aorta - ANSWER -weak femoral pulses
-elevated BP
infant with a hypercyanotic spell r/t Tetralogy of Fallot - ANSWER -place
infant in knee-to-chest position
-administer morphine IV to decrease infundibular spasms
-administer IV fluids
-apply oxygen at 100% via face mask
precautions for pertussis - ANSWER droplet
positive pressure airflow - ANSWER reduces risk of disease transmission
to the patient
negative pressure airflow - ANSWER patient with airborne infection
(measles, varicella)
diabetes mellitus type 1 teaching the child - ANSWER -avoid puncturing
pads of the fingers
-give self shot of regular insulin 30 min before meals
