ATI PEDIATRICS STUDY GUIDE ( UPDATED 2024 )
COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
1. oxygen hood: 4-5 L/min. ensure upper body doesn’t rup
2. oxygen tent: older than 2-3 months. use plastic/ vinyl toys. cluster care to avoidletting out
oxygen
3. oxygen toxicity: may result from high concentrations. S/S substernal pain,nasal stuffiness,
n & v, headache, fatigue, sore throat, hypoventilations.
4. suctioning: pre- vitals signs, hyperoxygenate, high o/ fowlers. suction pressure-110
(child) 95( infants). allow 30-60 sec recovery times. advance till resistanceis met. suction
attempt 5-10 secs long, 2-3x. hyperoxygenate after.
5. suctioning complications: decreasing sats or cyanosis
6. artificial airways nursing actions: children under 8yrs must use uncuffed endotracheal
tube. Assess stoma site/vital signs. provide humidifications to thin secretions and decrease
mucous pluggings. oral care q2hr. provide trach care q8hr.reposition q2hr. accidental
decannulation in 1st 72 hrs after sugery is emergency.
7. tonsillitis: hx of otitis media, hearing difficulties, sore throat w/ swallowing. labtests
throat culture for group a strept. preop cbc to assess anemia/infections
8. tonsil nursing actions: elevate head, asses for bleeding (clearing the throat, restlessness,
bright red emesis, tachycardia/ pallor, frqt swallowing). Vitals/airways/difficulty breathing.
Comfort- ice collar/ keep throat moist/ pain meds. Diet- clear liquids/fluids after gag reflex
returns. soft bland foods. No coughing/ throat clearing/nose blowing/ no pointed object. Maybe
blood tinged mucous or clots in vomit.
9. tonsil client education: full recovery w/n ten days to 2 wks. limit strenousactivity and
physical play/ swimming for 2 wks.
10. Risk factors for respiratory illness: seasonal, anatomy-short/narrow airway,short
respiratory tract, smaller surface areas, short eustachian tubes. decreased resistance
, 11. nasopharyngitis- common cold: rhinorrhea, cough, dry throat, fever ,decrasesed appetite,
irriability, nasal inflammation. self limiting virus 7-10 days
12. pharyngitis-strep throat: inflammed throat w/ exudate, pain w/ swallowing, headache,
fever,& abdominal pain, truncal, axillary, perineal rash. caused by gabhs
13. bronchiolitis: rhinorrhea-pharyngitis, intermittent fever, cough, and wheezingcoughing->
wheezing, nasal flaring, retractions, cyanosis, increased RR.
affects bronchi and bronchioles. caused by RSV
14. bacterial epiglottitis: medical emergency! HIB. sitting w. chin out, mouth opened, and
tongue protruding, drooling, absence of spontaneous coughing, dysphonia, dysphagia, insp.
stridor, sore throat, high fever, restlessness. no tongue depressors
15. Asthma: PFT to diagnose/severity. dypsnea, coughing, wheezinge, mucousproduction, use
of assec. muscles, poor o2. tachycardia and PVC.
16. Asthma nursing care: Assess Vitals/labs,Lung sounds maybe diminished. Absence of
wheezing may indicate severe constriction of alveoli. Encourage appropriate vaccinations and
prompt medical attention for infections.
17. Bronchodilators: short acting beta 2 agonists (albuterol, terbutaline (( rapidrelief from
asthma attacks)) Cholinergic antagonists ( atrovent, ipratrpium ((blockPNS provide relief of
acute bronchospasms).
18. bronchodilators nursing considerations: tachycardia/tremors = albuterol( take five min
prior to antiinflammatory. dry mouth =atrovent (suck on hard candies).
19. Antiinflammatory: long term mgmt. Corticosteriods (flovent/prednisone) Leukotriene
modifiers/montelukast, cromolyn sodium/intal, monoclonal antibodies/omalizumb
20. antiinflammatory nursing considerations: decreased immunity functions, hyperglycemia,
report black tarry stools, mouth for cold sore lesions. rinse mouth/ gargle w/ warm salt water
after inhaler. take prednisone w/ food. observe weight gain/ fluid, retention may be common
21. Reyes syndrome: Testing to seperate from other disease. Sx- hypoglycemia, liver