Peds ATI exam
(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 ANS: 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. ANS: - 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 ANS: - 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. ANS: 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?
(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 ANS: 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. ANS: - 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 ANS: - 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. ANS: 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?
