ATI RN Pediatric Nursing Proctored Exam Package
Answer: C (Hyperpyrexia). Rationale: When a child ingests a toxic dose of acetylsalicylic
acid, it can lead to salicylate toxicity, which can cause hyperpyrexia (high fever), among
other symptoms such as vomiting, tinnitus, confusion, and dehydration. Hyperpyrexia is a
serious complication that can lead to neurological damage and is a medical emergency that
requires prompt intervention. The nurse should monitor the child's temperature and
administer antipyretic medications as necessary to reduce the fever.
,Answer: A (Provide a pacifier coated with an oral sucrose solution prior to the injections)
Answer: B (creatinine 1.4)
,Answer: C (Ataxia)
Answer: A (Clear the area of hard objects.)
, Answer: (B) Shakiness
Rationale:
Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar
levels.
Answer: (A, B, D) Dornase alfa, pancreatic insufficiency, Meperidine
A. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the
management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in
the airways.
B. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats
and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of
pulmonary complications.
Answer: C (Hyperpyrexia). Rationale: When a child ingests a toxic dose of acetylsalicylic
acid, it can lead to salicylate toxicity, which can cause hyperpyrexia (high fever), among
other symptoms such as vomiting, tinnitus, confusion, and dehydration. Hyperpyrexia is a
serious complication that can lead to neurological damage and is a medical emergency that
requires prompt intervention. The nurse should monitor the child's temperature and
administer antipyretic medications as necessary to reduce the fever.
,Answer: A (Provide a pacifier coated with an oral sucrose solution prior to the injections)
Answer: B (creatinine 1.4)
,Answer: C (Ataxia)
Answer: A (Clear the area of hard objects.)
, Answer: (B) Shakiness
Rationale:
Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar
levels.
Answer: (A, B, D) Dornase alfa, pancreatic insufficiency, Meperidine
A. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the
management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in
the airways.
B. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats
and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats.
D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of
pulmonary complications.
