ATI Proctor PEDS 2024 Exam Questions and Answers PDF

lOMoARcPSD|24716557 (ATI Proctor PEDS) 2024 Grade A+,EXAM WITH 100% Questions AND Answers Correct Nursing (West Virginia University at Parkersburg) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or unive...

lOMoARcPSD|24716557 (ATI Proctor PEDS) 2024 Grade A+,EXAM WITH 100% Questions AND Answers Correct Nursing (West Virginia University at Parkersburg) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 (ATI Proctor PEDS) 2024 GRADE A+,EXAM WITH 100% QUESTIONS AND ANSWERS CORRECT What child should the nurse see first after receiving end of shift report? a. sickle cell anemia and reports decreased vision in left eye b. school-aged child with CF who has frequent non-productive cough c. preschooler with asthma and a peak flow meter reading green zone d. adolscent with menigititis with sensitivty to light and noise a. sickle cell anemia Behavioral characteristics of a toddler Expresses likes and dislikes Buck's traction following a leg fracture, what action should the nurse take? Assess perphieral pulses once every 4 hours Potential indication of physical abuse? symmetric burns bilateral lower extremities A 10-year old with ahead injury. What would indicate they are developing DM? increased sodium levels Diaper dermatitis treatment zinc oxide Infant with an epidural hematoma from head injury, what intervention should the nurse include in plan? IMPLEMENT SEIZURE PRECAUTIONS A child who has hemophilia fell on the playground. What should the nurse do? Apply ice pack to the joint Nursing actions for nephrotic syndrome patient Provide thorough skin care Teaching a 5-year old about a surgical procedure technique? Use sensory experiences -what they will feel, see, hear, and taste Nursing action for a child with a history of myelomeningocele? Attach a latex allergy identification band Relaxation strategies with a young child Rock the child using long, rhythmic movements Managing asthma and using a peak expiratory flow meter. "I will continue to take my medication when my peak flow rate Is in the green zone" Interventions for a preschooler preparing for a tonsillectomy Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 Encourage the preschooler to bring a favorite toy to the hospital Nurising priority following a tonsillectomy? Monitor for frequent swallowing What should the nurse report as an indication as impending airway obstruction? Nasal flaring Possible cause of UTIs Constipation; Large stool masses may prevent complete emptying of the bladder. Pain rating scale for a 3 year-old? FACES scale Diaper dermatitis care/treatment Apply a skin barrier, such as ZINC OXIDE. Do not wash it off with each diaper change Caring for a child who is in Buck's Traction Assess neurovascular status of affected body part every hour for 24 hours and every 4 hrs after that Food choices for iron deficiency Consuming Vitamin C (orange juice, tomatoes), with plant sources of iron (beans, raisins, peanut butter, whole grains) will maximize absorption Treatment for severe hyperkalemia Sodium polystyrene sulfonate (Kayexalate) with sorbitol works by exchanging an Na+ ion for K+ion Education on oral nystatin For liquids, suspensions, and elixirs follow directions for dilution and shaking. Digoxin Administration Measure the client's apical pulse q 12 hrs **Direct oral elixir toward the side and back of mouth when admistering **Give water following administration to prevent tooth decay Teaching about juvenile Idiopathic arthiritis -encourage self-care by allowing adequate time -Encourage participation in school and contact with peers What is mononucleosis? viral disease caused by Epstein-Barr virus, attacks B lymphocytes -Spread through oral secretions -Healthy people can carry EBV in saliva, transmitting the virus for lifetime -People with mononucleosis can transmit for weeks Caring for a child with epiglotitis Provide humidified oxygen Monitor continuous oximetry Planning care for a child who has heart failure -conserve energy by providing frequent rest periods, clustering care, providing small, frequent meals, bathing PRN, keep crying to a minimum in cyanotic children Digoxin toxicity fatigue weakness Visual changes GI effects Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 Digoxin side effects decreased heart rate decreased appetite N/V Acute vs. Chronic Stable vs. Unstable Urgent vs. Nonurgent Acute problem takes priority over chronic problem Urgent over nonurgent Unstable findings over stable findings Lead exposure: low dose distractability impulsiveness hyperactivity hearing impairment Lead exposure: high-dose cognitive delays blindness paralysis coma seizure death Lead exposure: other manifestations Kidney impairment Anemia impaired calcium function iron deficiency anemia expected findings PALLOR fatigue irritablity muscle weakness Client education; anemia eliminate lead-based paint in environment Risk factors for poisoning -lead ingestion from lead-based paints, soil contamination Hemolytic Uremic Syndrome a condition in which hemolytic anemia and thrombocytopenia cause acute renal failure and possibly death Labs: Elevated BUN and blood creatanine Nephrotic syndrome blood chemistry hyperlipidemia acute glomerulonephritis labs & s/s kidney function: elevated BUN and creatatine decreased glomerular filtration rates Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 s/s: mild to severe hypertension low grade fever Hemolytic uremic syndrome expected findings 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 -anuric and hypertensive in severe form Nephrotic syndrome expected findings bp within expected range or slightly below, hypertension can be a rare findings in MCNS Hemolytic uremic syndrome lab tests Fibirin split products in blood and urine (thrombocytopenia) Administering an immunization to a 4 year-old child use a 24 gauge needle The child with a positive mononucleosis test is at risk for developing what? Splenomegaly An infant with VSD (ventricular septal defect) should expect to hear what? loud harsh murmur Signs to report to provider with a toddler with a lower leg cast applied 24 hours ago? Restricted ability to move toes Sun exposure education for parents Choose a waterproof sunscreen with at least 15 SPF Signs of increased ICP difficulty concentrating bradycardia hypertension Priority to report to provider on a 2 week old physical assessment Substernal retractions Interventions for hyponatermia? IMPLEMENT SEIZURE PRECAUTIONS What is a possible manifestation of hemolytic transfusion reaction? Flank pain Nursing action for a newly admitted school-aged child with neutropenia? Provide a book about adventure RR for 3 year old 20-25/min CF nutritional needs HIGH PROTEIN HIGH FAT fat should consume 40% of daily calories After medication administration for a fever, what should a nurse do for a toddler? Dress the toddler in minimal clothing Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 Possible indication of physical abuse in adolscent Denies discomfort during assessment of injuries when is a child no longer contagious with chicken pox? When the lesions are crusted, usually 6 days after they appear Indication of bacterial meningitis based on lumbar puncture results Increased protein concentration Contraindication for potassium chloride congestive heart failure wide QRS complexes and peaked T waves Discharge teaching to a the parent of a school-age child with persistent moderate asthma? Pulmonary function tests will be performed every 12 to 24 months nutrition items for moderate dehydration and acute diarrhea Oral rehydration solution Lab test to review for anemia? Hgb Nursing action for a toddler with partial-thickness burns on right. arm? Cleanse affected area with mild soap and water Care for a tunneled central venous access device use a semipermeable transparent dressing to cover site expected finding of an adolscent with scoliosis? unilateral rib hump foods for celiac disease white rice Respiratory assessment for DKA (school-aged) Deep respirations 32/min Teething teaching Baby may pull at ears during teething Actions for a 7 out of 10 pain rating for a school-aged child with appendicitis? Morphine 0.05 mg/kg IV Tertalogy of Fallot (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 S: 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 Hypercyanotic spells action knee-chest position Droplet precatuions for bacterial meninigitis stay until? Downloaded by Ana Inc ([email protected])  lOMoARcPSD|24716557 24 hr following initiation of antimicrobial therapy Car seat use teaching for 6 month old "I should secure the car seat using lower anchors and tethers instead of the seat belt" Car seat safety Use rear-facing car seat in back seat 45 degree angle harness at or slightly below shoulders LATCH system not seat belt Downloaded by Ana Inc ([email protected])