ATI Proctor PEDS Exam - 2024
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Questions and Answers

What child should the nurse see first after receiving end of shift report?

  • preschooler with asthma and a peak flow meter reading green zone
  • school-aged child with CF who has frequent non-productive cough
  • adolescent with meningitis with sensitivity to light and noise
  • sickle cell anemia and reports decreased vision in left eye (correct)

    • Buck's traction following a leg fracture, what action should the nurse take?

  • symmetric burns bilateral lower extremities
  • A 10-year old with ahead injury. What would indicate they are developing DM?
  • Assess peripheral pulses once every 4 hours (correct)
  • Potential indication of physical abuse?

    • A 10-year old with a head injury. What would indicate they are developing DM?

  • zinc oxide
  • increased sodium levels (correct)
  • symmetric burns bilateral lower extremities
  • Diaper dermatitis treatment

    • Infant with an epidural hematoma from head injury, what intervention should the nurse include in plan?

    <p>IMPLEMENT SEIZURE PRECAUTIONS</p> Signup and view all the answers

    A child who has hemophilia fell on the playground. What should the nurse do?

    <p>Apply ice pack to the joint</p> Signup and view all the answers

    What should the nurse report as an indication as impending airway obstruction?

    <p>Nasal flaring</p> Signup and view all the answers

    Pain rating scale for a 3 year-old?

    <p>FACES scale</p> Signup and view all the answers

    Diaper dermatitis care/treatment

    <p>Apply a skin barrier, such as ZINC OXIDE. Do not wash it off with each diaper change</p> Signup and view all the answers

    Caring for a child who is in Buck's Traction

    <p>Assess neurovascular status of affected body part every hour for 24 hours and every 4 hrs after that</p> Signup and view all the answers

    Food choices for iron deficiency

    <p>Consuming Vitamin C (orange juice, tomatoes), with plant sources of iron (beans, raisins, peanut butter, whole grains) will maximize absorption</p> Signup and view all the answers

    Treatment for severe hyperkalemia

    <p>Sodium polystyrene sulfonate (Kayexalate) with sorbitol</p> Signup and view all the answers

    Education on oral nystatin

    <p>For liquids, suspensions, and elixirs follow directions for dilution and shaking.</p> Signup and view all the answers

    Digoxin Administration

    <p>Measure the client's apical pulse q 12 hrs</p> Signup and view all the answers

    Teaching about juvenile Idiopathic arthiritis

    <p>Encourage participation in school and contact with peers</p> Signup and view all the answers

    What is mononucleosis?

    <p>viral disease caused by Epstein-Barr virus, attacks B lymphocytes</p> Signup and view all the answers

    Caring for a child with epiglotitis

    <p>Provide humidified oxygen Monitor continuous oximetry</p> Signup and view all the answers

    Planning care for a child who has heart failure

    <p>conserve energy by providing frequent rest periods, clustering care, providing small, frequent meals, bathing PRN, keep crying to a minimum in cyanotic children</p> Signup and view all the answers

    Digoxin toxicity

    <p>weakness</p> Signup and view all the answers

    Digoxin side effects

    <p>N/V</p> Signup and view all the answers

    Acute vs. Chronic Stable vs. Unstable Urgent vs. Nonurgent

    <p>Acute problem takes priority over chronic problem</p> Signup and view all the answers

    Lead exposure: low dose

    <p>distractability</p> Signup and view all the answers

    Lead exposure: other manifestations

    <p>Kidney impairment</p> Signup and view all the answers

    Iron deficiency anemia expected findings

    <p>irritablity</p> Signup and view all the answers

    Client education; anemia

    <p>eliminate lead-based paint in environment</p> Signup and view all the answers

    Risk factors for poisoning

    <p>lead ingestion from lead-based paints, soil contamination</p> Signup and view all the answers

    Hemolytic Uremic Syndrome

    <p>a condition in which hemolytic anemia and thrombocytopenia cause acute renal failure and possibly death</p> Signup and view all the answers

    Labs:

    <p>hyperlipidemia</p> Signup and view all the answers

    Nephrotic syndrome blood chemistry acute glomerulonephritis labs & s/s

    <p>mild to severe hypertension</p> Signup and view all the answers

    Hemolytic uremic syndrome expected findings

    <p>Occurs after prodromal period of diarrhea and vomiting; occasionally occurs after varicella, measles or a UTI; loss of appetite, irritable, lethargy, pallor, bruising, purpura, rectal bleeding</p> Signup and view all the answers

    Nephrotic syndrome expected findings

    <p>Hemolytic uremic syndrome lab tests Fibirin split products in blood and urine (thrombocytopenia)</p> Signup and view all the answers

    Administering an immunization to a 4 year-old child

    <p>use a 24 gauge needle</p> Signup and view all the answers

    The child with a positive mononucleosis test is at risk for developing what? An infant with VSD (ventricular septal defect) should expect to hear what?

    <p>loud harsh murmur</p> Signup and view all the answers

    Signs to report to provider with a toddler with a lower leg cast applied 24 hours ago?

    <p>Restricted ability to move toes</p> Signup and view all the answers

    Sun exposure education for parents

    <p>Choose a waterproof sunscreen with at least 15 SPF</p> Signup and view all the answers

    Signs of increased ICP

    <p>bradycardia</p> Signup and view all the answers

    Priority to report to provider on a 2 week old physical assessment

    <p>Substernal retractions</p> Signup and view all the answers

    Interventions for hyponatermia?

    <p>IMPLEMENT SEIZURE PRECAUTIONS</p> Signup and view all the answers

    What is a possible manifestation of hemolytic transfusion reaction?

    <p>Flank pain</p> Signup and view all the answers

    Nursing action for a newly admitted school-aged child with neutropenia?

    <p>Provide a book about adventure</p> Signup and view all the answers

    What action should the nurse take for Bucks' traction following a leg fracture?

    <p>Assess peripheral pulses once every 4 hours</p> Signup and view all the answers

    Expresses likes and dislikes is a behavioral characteristic of a toddler.

    <p>True</p> Signup and view all the answers

    What would indicate that a 10 year old with a head injury is developing Diabetes Insipidus?

    <p>Increased sodium levels</p> Signup and view all the answers

    What is the treatment for diaper dermatitis?

    <p>Zinc oxide</p> Signup and view all the answers

    What interventions should the nurse include in the plan of care for an infant with an epidural hematoma from a head injury?

    <p>Implement seizure precautions</p> Signup and view all the answers

    What should the nurse do for a child with hemophilia who has fallen on the playground?

    <p>Apply ice pack to the joint</p> Signup and view all the answers

    How should the nurse teach a 5 year old about a surgical procedure technique?

    <p>Use sensory experiences</p> Signup and view all the answers

    What nursing action should the nurse take for a child with a history of myelomeningocele?

    <p>Attach a latex allergy identification band</p> Signup and view all the answers

    What relaxation strategy is appropriate for a young child?

    <p>Rock the child using long, rhythmic movements</p> Signup and view all the answers

    What statement made by a patient with asthma, indicates they are managing their condition appropriately?

    <p>&quot;I will continue to take my medication when my peak flow rate is in the green zone&quot;</p> Signup and view all the answers

    What interventions should the nurse use for a preschooler preparing for a tonsillectomy?

    <p>Encourage the preschooler to bring a favorite toy to the hospital</p> Signup and view all the answers

    What is a nursing priority following a tonsillectomy?

    <p>Monitor for frequent swallowing</p> Signup and view all the answers

    What is a possible cause of UTIs?

    <p>Constipation; Large stool masses may prevent complete emptying of the bladder. Pain rating scale for a 3 year-old?</p> Signup and view all the answers

    What pain rating scale is appropriate for a 3 year-old?

    <p>FACES scale</p> Signup and view all the answers

    What should the nurse do when caring for a child with diaper dermatitis?

    <p>Apply a skin barrier such as zinc oxide. Do not wash it off with each diaper change</p> Signup and view all the answers

    What is the nursing action for a child in Buck's traction?

    <p>Assess neurovascular status of affected body part every hour for 24 hours and every 4 hours after that</p> Signup and view all the answers

    What food choices are helpful for iron deficiency?

    <p>Consuming vitamin C (orange juice, tomatoes) with plant sources of iron (beans, raisins, peanut butter, whole grains) will maximize absorption</p> Signup and view all the answers

    What is the treatment for severe hyperkalemia?

    <p>Sodium polystyrene sulfonate (Kayexalate) with sorbitol</p> Signup and view all the answers

    What instructions should the nurse provide for administering oral nystatin?

    <p>For liquids, suspensions, and elixirs, follow directions for dilution and shaking</p> Signup and view all the answers

    What are nursing actions when administering digoxin?

    <p>*Measure the client's apical pulse, q 12 hrs. *Direct oral elixir towards the side and back of mouth when administering. *Give water following administration to prevent tooth decay</p> Signup and view all the answers

    What are tips for teaching a child about Juvenile Idiopathic Arthritis?

    <p>-encourage self-care by allowing adequate time. -Encourage participation in school and contact with peers</p> Signup and view all the answers

    What should the nurse do when caring for a child with epiglotitis?

    <p>Provide humidified oxygen. Monitor continuous oximetry</p> Signup and view all the answers

    What are some ways to plan care for a child who has heart failure?

    <p>-conserve energy by providing frequent rest periods, clustering care, providing small, frequent meals, bathing PRN, keep crying to a minimum in cyanotic children</p> Signup and view all the answers

    What are some signs of digoxin toxicity?

    <p>Decreased heart rate, decreased appetite, N/V</p> Signup and view all the answers

    What are signs of lead exposure at a low dose?

    <p>Unstable findings over stable findings, Lead exposure: low dose, distractability, impulsiveness</p> Signup and view all the answers

    What are other manifestations of lead exposure?

    <p>Kidney impairment, Anemia, Impaired calcium function, Iron deficiency anemia expected findings, PALLOR fatigue, irritability, muscle weakness</p> Signup and view all the answers

    What client education should the nurse provide for anemia?

    <p>Eliminate lead-based paint in the environment</p> Signup and view all the answers

    What are risk factors for poisoning in children?

    <p>Risk factors for poisoning-lead ingestion from lead-based paints, soil contamination</p> Signup and view all the answers

    What is Hemolytic Uremic Syndrome?

    <p>A condition in which hemolytic anemia and thrombocytopenia cause acute renal failure and possibly death</p> Signup and view all the answers

    What lab tests are elevated with Hemolytic Uremic Syndrome?

    <p>Hyperlipidemia</p> Signup and view all the answers

    What lab tests and signs are associated with acute glomerulonephritis?

    <p>Kidney function: elevated BUN and creatinine, Decreased glomerular filtration rates</p> Signup and view all the answers

    What are some sign of Hemolytic Uremic Syndrome?

    <p>Mild to severe hypertension. Low-grade fever. Occurs after a prodromal period of diarrhea and vomiting; occasionally occurs after varicella, measles, or a UTI; loss of appetite, irritable, lethargy, pallor, bruising, purpura, rectal bleeding.</p> Signup and view all the answers

    What are some sign and lab test findings for a child with Nephrotic Syndrome?

    <p>-Anuric and hypertensive in severe form. Bp within expected range or slightly below, hypertension can be a rare finding in MCNS. Hemolytic uremic syndrome lab tests: Fibrin split products in blood and urine (thrombocytopenia)</p> Signup and view all the answers

    What are some nursing actions when administering an immunization?

    <p>Use a 24 gauge needle</p> Signup and view all the answers

    What should the nurse expect to hear in a child with a ventricular septal defect?

    <p>Loud, harsh murmur</p> Signup and view all the answers

    What should the nurse report to the provider with a toddler who has had a lower leg cast applied 24 hours ago?

    <p>Restricted ability to move toes</p> Signup and view all the answers

    What are some sun exposure education points for parents?

    <p>Choose a waterproof sunscreen with at least 15 SPF</p> Signup and view all the answers

    What are signs of increased intracranial pressure?

    <p>All of the above</p> Signup and view all the answers

    What should the nurse report to the provider in a 2 week old physical assessment?

    <p>Substernal retractions</p> Signup and view all the answers

    What are the interventions for hyponatremia?

    <p>Implement seizure precautions</p> Signup and view all the answers

    What nursing action is appropriate for a newly admitted school-aged child with neutropenia?

    <p>Provide a book about adventure</p> Signup and view all the answers

    What is a normal respiratory rate for a 3 year old?

    <p>20-25/min</p> Signup and view all the answers

    What are the nutritional needs for CF patients?

    <p>High protein, high fat</p> Signup and view all the answers

    What percentage of daily calories should a child with CF consume from fat?

    <p>40%</p> Signup and view all the answers

    What nursing action should the nurse take after medication administration for a fever in a toddler?

    <p>Dress the toddler in minimal clothing</p> Signup and view all the answers

    What is a possible indication of physical abuse in an adolescent?

    <p>Denies discomfort during assessment of injuries</p> Signup and view all the answers

    When is a child no longer contagious with chicken pox?

    <p>When the lesions are crusted, usually 6 days after they appear</p> Signup and view all the answers

    What are indications of bacterial meningitis based on lumbar puncture results?

    <p>Increased protein concentration</p> Signup and view all the answers

    What is a contraindication for potassium chloride?

    <p>Contraindication for potassium chloride</p> Signup and view all the answers

    What discharge teaching should the nurse provide to the parent of a school-age child with persistent moderate asthma?

    <p>Pulmonary function tests will be performed every 12 to 24 months</p> Signup and view all the answers

    What nutritional items are helpful for moderate dehydration and acute diarrhea?

    <p>Oral rehydration solution</p> Signup and view all the answers

    What lab test should the nurse use to review for anemia?

    <p>Hgb</p> Signup and view all the answers

    What is the nursing action for a toddler with partial-thickness burns on the right arm?

    <p>Cleanse the affected area with mild soap and water</p> Signup and view all the answers

    What care should the nurse provide for a tunneled central venous access device?

    <p>Use a semipermeable transparent dressing to cover the site.</p> Signup and view all the answers

    What is an expected finding in an adolescent with scoliosis?

    <p>Unilateral rib hump</p> Signup and view all the answers

    What foods are appropriate for a client with celiac disease?

    <p>White rice</p> Signup and view all the answers

    What are some signs of a respiratory assessment for DKA in a school-aged child?

    <p>Deep respirations 32/min</p> Signup and view all the answers

    What are some teaching points for teething?

    <p>Baby may pull at ears during teething</p> Signup and view all the answers

    What is a treatment option for a school-aged child with appendicitis who has a 7 out of 10 pain rating?

    <p>Morphine 0.05 mg/kg IV</p> Signup and view all the answers

    What is Tetralogy of Fallot?

    <p>(4 defects) 1. R. ventricular outflow stenosis, 2. VSD (hole between ventricles), 3. Right ventricular hypertrophy, 4. Overriding aorta . Results: shunts a lot of blood directly into the aorta so the blood never gets oxygenated through the pulmonary systems</p> Signup and view all the answers

    What are some signs of Tetralogy of Fallot?

    <p>Severe cyanosis develops, cyanosis with crying and exertion then at rest. Uses squatting position after starts walking. DOE. Development is slowed. O: Thrill palpable at left lower sternal border. S1: Normal. S2: A2 is loud, P2 is diminished or absent</p> Signup and view all the answers

    What is the nursing action for hypercyanotic spells?

    <p>Knee-chest position</p> Signup and view all the answers

    How long should droplet precautions be sustained for bacterial meningitis?

    <p>24 hr following initiation of antimicrobial therapy</p> Signup and view all the answers

    What education is appropriate for a 6 month old regarding car seat use?

    <p>&quot;I should secure the car seat using lower anchors and tethers instead of the seat belt&quot;</p> Signup and view all the answers

    Where should a rear-facing car seat be placed?

    <p>In the back seat</p> Signup and view all the answers

    What is the proper angle for a rear-facing car seat?

    <p>45 degree angle</p> Signup and view all the answers

    Where on the child should the harness be secured for a car seat?

    <p>Harness at or slightly below shoulders</p> Signup and view all the answers

    What system should be used to secure a car seat?

    <p>LATCH system, not seat belt</p> Signup and view all the answers

    Study Notes

    ATI Proctor PEDS Exam - 2024

    • Exam is 100% accurate, covering Nursing (West Virginia University at Parkersburg)
    • Contains questions and answers.
    • Focuses on pediatric patients.

    Initial Assessment

    • Sickle cell anemia with decreased vision in left eye: Priority concern.
    • School-aged CF patient with frequent non-productive cough: Important, but less immediate than sickle cell.
    • Preschooler with asthma and green-zone peak flow meter: Least urgent.
    • Adolescent with meningitis and light/noise sensitivity: Important, but less immediate than sickle cell.

    Buck's Traction

    • Assess peripheral pulses: Every 4 hours.
    • Assess for physical abuse: Symmetric bilateral lower extremity burns are a possible indicator.

    Epidural Hematoma

    • Implement seizure precautions.

    Hemophilia

    • Apply ice pack to the affected joint.

    Myelomeningocele

    • Attach a latex allergy identification band.

    Asthma Management

    • Continue medication when peak flow rate in green zone.

    Tonsillectomy Preparation

    • Use sensory experiences (sight, sound, taste, touch) to comfort the preschooler.

    Airway Obstruction

    • Nasal flaring: Indicates potential airway obstruction, requiring immediate intervention.

    Constipation

    • Large stool masses could cause constipation, and may prevent complete emptying of the bladder

    Diaper Dermatitis

    • Zinc oxide is a recommended treatment.

    Juvenile Idiopathic Arthritis

    • Encourage self-care and peer interaction.

    Mononucleosis

    • Viral disease spread through oral secretions.

    Epiglottitis

    • Provide humidified oxygen.
    • Monitor continuous oximetry.

    Digoxin Toxicity

    • Decreased heart rate and decreased appetite are symptoms.

    Lead Exposure (Low Dose)

    • Distractibility
    • Impulsiveness
    • Hyperactivity
    • Hearing impairment

    Lead Exposure (High Dose)

    • Cognitive delays
    • Blindness
    • Paralysis
    • Coma
    • Seizures
    • Death
    • Kidney impairment

    Anemia

    • Pallor
    • Fatigue
    • Irritability
    • Muscle weakness are expected findings.

    Hemolytic Uremic Syndrome (HUS)

    • Elevated BUN and creatinine levels,
    • Hyperlipidemia, and abnormal kidney function are among the signs of the syndrome.

    Nephrotic Syndrome

    • Hyperlipidemia is a notable sign.

    Hypertension

    • Mild to severe hypertension, low-grade fever are among the symptoms

    Hemolytic Uremic Syndrome (HUS)

    • Occurs after prodromal period (diarrhea and vomiting)

    Immunizations

    • 24 gauge needle is recommended for a 4-year-old.

    Ventricular Septal Defect (VSD)

    • Loud harsh murmur is expected finding.

    Increased Intracranial Pressure (ICP)

    • Difficulty concentrating
    • Bradycardia (slow heart rate)
    • Hypertension are among the signs of elevated ICP.

    Hyponatremia

    • Implement seizure precautions

    Hemolytic Transfusion Reaction

    • Flank pain is a potential sign of a reaction.

    Neutropenia

    • Provide a book for educational purposes.

    Asthma

    • Pulmonary function tests are required for monitoring treatment response.

    Dehydration Assessment

    • Oral rehydration solution

    Anemia Assessment

    • Hgb (Hemoglobin) level assessment.

    Burn Care

    • Cleanse affected area with mild soap and water.
    • Use a semi-permeable transparent dressing for coverage.

    Scoliosis

    • Unilateral rib hump may be a sign of scoliosis.

    Celiac Disease

    • White rice is among the suggested foods.

    Respiratory Assessment (DKA)

    • Deep respirations (32/min) could be seen.

    Pain Assessment (Appendicitis)

    • Morphine is a possible medication option.

    Tetralogy of Fallot (TOF)

    • Symptoms: A loud murmur and cyanosis, especially pronounced with crying or exertion.

    Bacterial Meningitis

    • Droplet precautions are required until 24 hours following antimicrobial therapy.

    Car Seat Safety

    • Use lower anchors and tethers instead of the seat belt.
    • Rear-facing car seat is recommended for 6-month-olds.
    • Harness positioned at or slightly lower than the shoulders.

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    ATI Proctor PEDS 2024 Exam Questions and Answers PDF

    Description

    Prepare for the 2024 ATI Proctor Pediatric Exam focusing on essential nursing concepts related to pediatric patients. This quiz includes critical assessments for various childhood conditions, intervention priorities, and nursing protocols. Test your knowledge on areas such as sickle cell anemia, asthma management, and more.

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