ATI PROCTORED PEDS EXAM
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Preschool-Aged Children
Body-Integrity - ANS - Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - ANS - IMITATION of adults: providing a stethoscope allows child an
opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy - ANS - Release of hypertrophied muscle around the pyloric sphincter that
causes narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral
feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care - ANS - ↑ Protein, Carbs and minerals, to promote weight gain
@2026 ALLRIGHTS RESERVED 1
,- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus
secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients
so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due
to thick mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular
bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely
require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory
compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy - ANS - Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
↓RBC - ANS - Quiet play and best rest, administer O2
↓ Platelet - ANS - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - ANS - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of
hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots - ANS - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular
spots with a blue/white center are seen on the Buccal mucosa, which is opposite the molars, in
the prodromal stage of measles.
@2026 ALLRIGHTS RESERVED 2
, - Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is conferred by
the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola - ANS Measles; Maculopapular starts on the face and spreads downward. It
desquamates after about 3-4 days. The rash does not progress to vesicles and crusts like the
papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas
of the body.
Varicella - ANS Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on erythematous bases
which eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) - ANS - Strawberry tongue; sloughed off its normal
coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) - ANS Paroxysmal Cough
A1C - ANS AKA glycosylated hemoglobin assay; is the most sensitive indication of client
compliance with the treatment regimen. The life span of RBC is about 120 days, and glucose
molecules adhere to about 4-6% of hemoglobin. Because of the longevity of the RBC's recent
changes in diet, activity or medication will not affect the results of this test.
Skeletal Traction - ANS The most effective means of traction, applying to a bone with wire
pins or tongs
Compartment Syndrome - ANS Involves the compression of nerves and blood vessels due to
swelling within the enclosed space created by the fascia that separates groups of muscles
@2026 ALLRIGHTS RESERVED 3
QUESTIONS AND ANSWERS 100% PASS
2026/2027
Preschool-Aged Children
Body-Integrity - ANS - Preschool-aged children are very concerned about their body integrity
- They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - ANS - IMITATION of adults: providing a stethoscope allows child an
opportunity for THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy - ANS - Release of hypertrophied muscle around the pyloric sphincter that
causes narrowing of the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral
feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis
Nutritional Care - ANS - ↑ Protein, Carbs and minerals, to promote weight gain
@2026 ALLRIGHTS RESERVED 1
,- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus
secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients
so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due
to thick mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular
bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely
require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory
compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy - ANS - Low WBC count places the child at risk for infection and isolation with
monitoring of fever is priority.
↓RBC - ANS - Quiet play and best rest, administer O2
↓ Platelet - ANS - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - ANS - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of
hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes (I/O) and
insensible fluid loss (skin and respiratory)
Koplik spots - ANS - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular
spots with a blue/white center are seen on the Buccal mucosa, which is opposite the molars, in
the prodromal stage of measles.
@2026 ALLRIGHTS RESERVED 2
, - Koplik spots appear about 2 days before maculopapular rash appears and are accompanied
manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is conferred by
the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15 months.
Rubeola - ANS Measles; Maculopapular starts on the face and spreads downward. It
desquamates after about 3-4 days. The rash does not progress to vesicles and crusts like the
papules of chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower areas
of the body.
Varicella - ANS Chicken Pox; Vesicles and crusts are present
- Commences with a maculopapular rash that progressess to vesicles on erythematous bases
which eventually rupture and crust over.
Kawasaki Syndrome (Scarlet Fever) - ANS - Strawberry tongue; sloughed off its normal
coating, exposing swollen prominent papillae.
Pertussis (whooping Cough) - ANS Paroxysmal Cough
A1C - ANS AKA glycosylated hemoglobin assay; is the most sensitive indication of client
compliance with the treatment regimen. The life span of RBC is about 120 days, and glucose
molecules adhere to about 4-6% of hemoglobin. Because of the longevity of the RBC's recent
changes in diet, activity or medication will not affect the results of this test.
Skeletal Traction - ANS The most effective means of traction, applying to a bone with wire
pins or tongs
Compartment Syndrome - ANS Involves the compression of nerves and blood vessels due to
swelling within the enclosed space created by the fascia that separates groups of muscles
@2026 ALLRIGHTS RESERVED 3
