ATI PROCTORED PEDS, ATI PEDIATRICS PROCTORED EXAM,
PEDS ATI PROCTORED REVIEW
Preschool-Aged Children - Preschool-aged children are very concerned about their body integrity
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) - 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 - 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 - Low WBC count places the child at risk for infection and isolation with monitoring of
fever is priority.
↓RBC - Quiet play and best rest, administer O2
↓ Platelet - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - 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)
1/12
, Skeletal Traction The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome 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 - 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 - 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 - 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 - In nephrotic syndrome it acts on the body to decrease the excretion of protein, and thus
Prednisone 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 - 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
2/12
PEDS ATI PROCTORED REVIEW
Preschool-Aged Children - Preschool-aged children are very concerned about their body integrity
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) - 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 - 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 - Low WBC count places the child at risk for infection and isolation with monitoring of
fever is priority.
↓RBC - Quiet play and best rest, administer O2
↓ Platelet - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - 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)
1/12
, Skeletal Traction The most effective means of traction, applying to a bone with wire pins or tongs
Compartment Syndrome 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 - 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 - 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 - 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 - In nephrotic syndrome it acts on the body to decrease the excretion of protein, and thus
Prednisone 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 - 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
2/12
