Page 1 of 43 ATI PEDIATRICS PROCTORED EXAM/ ATI PEDIATRICS PROCTORED STUDY GUIDE RECENT VERSION ALL QUESTIONS AND CORRECT ANSWERS/ BEST 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 find ing 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 Page 2 of 43 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 Page 3 of 43 lumbar pu ncture 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 Page 4 of 43 -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 no t 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
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