ATI RN PEDIATRICS PROCTORED
EXAM 2026 ACTUAL TEST PAPER
WITH ACCURATE SOLUTIONS
GRADE A+
◉ Preschool (3-6 Years) Answer: - 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 Answer: - 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.
◉ Chemotherapy Answer: - Low WBC count places the child at risk for
infection and isolation with monitoring of fever is priority.
◉ ↓RBC Answer: - Quiet play and best rest, administer O2
◉ ↓ Platelet Answer: - Protect child from injury and monitor for
bleeding.
,- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
◉ Dehydration Answer: - 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)
◉ Skeletal Traction Answer: The most effective means of traction,
applying to a bone with wire pins or tongs
◉ Compartment Syndrome Answer: Involves the compression of nerves
and blood vessels due to swelling within the enclosed space created by
the fascia that separates groups of muscles
◉ Acute Glomerulonephritis Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
◉ Myelomeningocele Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
, - children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
◉ Intussusception Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
◉ Nephrotic Syndrome
Prednisone Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
◉ Spinal Fusion Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the nurse
the opportunity to assess the clients lengthy posterior spinal dressing for
drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
◉ Milwaukee brace Answer: - Worn for scoliosis , stabilizes the spine
from the neck to the pelvis. It must be removed daily for hygiene care,
but that is all. Once the curves has stabilized and spinal growth is nearly
complete the ortho surgeon will begin to wean the client out of the
brace, but continues to wear it in the evening and at night. The brace will
EXAM 2026 ACTUAL TEST PAPER
WITH ACCURATE SOLUTIONS
GRADE A+
◉ Preschool (3-6 Years) Answer: - 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 Answer: - 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.
◉ Chemotherapy Answer: - Low WBC count places the child at risk for
infection and isolation with monitoring of fever is priority.
◉ ↓RBC Answer: - Quiet play and best rest, administer O2
◉ ↓ Platelet Answer: - Protect child from injury and monitor for
bleeding.
,- Quiet play should be encouraged, it will lessen the R/F injury and ↓
hemorrhage
◉ Dehydration Answer: - 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)
◉ Skeletal Traction Answer: The most effective means of traction,
applying to a bone with wire pins or tongs
◉ Compartment Syndrome Answer: Involves the compression of nerves
and blood vessels due to swelling within the enclosed space created by
the fascia that separates groups of muscles
◉ Acute Glomerulonephritis Answer: - ASO titer will indicate if the
child has had a recent strep infection. In determining a definitive
diagnosis for acute glomerulonephritis.
- Elevated RBCs is expected and the presence of hematuria
- Monitor B.P. Q4hr due to ↑HTN
◉ Myelomeningocele Answer: - Hydrocephalus; is a post-operative risk
because the pathway for the cerebral spinal fluid has been altered.
- Infants --> Measure the head circumference Qshift.
, - children with NTDs usually produce too much cerebral spinal fluid and
once the sac is removed, there is nowhere for this additional CSF to
accumulate except in the ventricles of the brain.
◉ Intussusception Answer: - Diagnosed with a barium enema, which
may also correct the condition; the telescoping of the bowel may be
reduced by the hydrostatic pressure of the barium enema.
◉ Nephrotic Syndrome
Prednisone Answer: - In nephrotic syndrome it acts on the body to
decrease the excretion of protein, and thus helps flush fluids back to
their normal spaces.
- Extra fluid is excreted in the urine and decreases edema that can be
measured in weight loss.
◉ Spinal Fusion Answer: - Log rolling Q2hr promotes good pulmonary,
gastrointestinal and genitourinary functioning. It also allows the nurse
the opportunity to assess the clients lengthy posterior spinal dressing for
drainage or bleeding.
- Pt. doesn't ambulate until fusion stabilizes about 4-5 days post-op,
elevated HOB @ 2-3 days post-op
◉ Milwaukee brace Answer: - Worn for scoliosis , stabilizes the spine
from the neck to the pelvis. It must be removed daily for hygiene care,
but that is all. Once the curves has stabilized and spinal growth is nearly
complete the ortho surgeon will begin to wean the client out of the
brace, but continues to wear it in the evening and at night. The brace will
