ATI RN PEDIATRIC PROCTORED EXAM STUDY NOTES WITH Q&A (ATI PEDS)

ATI PEDS PROCTORED EXAM STUDY NOTES WITH QUESTIONS AND ANSWERS Questions from test: a nurse is caring for a child who is in the ER after ingesting a bottle of acetaminophen which of the following meds should the nurse plan to give acetylcysteine -antedote for acetaminophen overdose or poisoning a nurse is teaching the parents of a child who has rheumatic fever. which of the following statements by a parent indicates an understanding of the teaching my child may take aspirin for his joint pain -post cardiac cath, report to provider. Cool extermites below cath site. A: Weakend pedal pulses bilat. Findings in celiac - stetorhea -therapuetic effect for opiod pain? titrate till sedation (wrong)? After admin IV gentamacin for menningtits, following actions. Is and O's? Expected findings of appendicitis - The most common symptom of appendicitis is abdominal pain. Typically, symptoms begin as periumbilical or epigastric pain migrating to the right lower quadrant (RLQ) of the abdomen. Pt comes in with submersion injury, priority action. intubation? Iv? Priority Action for Submersion Injury - Signs and symptoms of near drowning include respiratory distress, tachypnea, rales, wheezing and possible hypothermia. Obviously, initial management includes the ABCs — Airway, Breathing and Circulation. Dornase alfa (pulmozyme) decreases viscosity of mucus and improves lung function. improvement monitored by pfts. use once daily. cycstic fib expected findings? absence of pancreatic enzymes, positive sputum culture, thick yellow-grey mucous, meconium ileus at birth, large loose fatty sticky foul smelling stools, distended abdomen, thin arm & legs, sweat tears saliva abnormally salty, viscous cervical mucous, absent/ decreased sperm. lab-sweat chloride test, normal 40 meq/l. stool analysis for azotorrhera (stinky from protein) and statorrhea (undigested fat). blood glucose. xray. -post tonsillectomy actions. straw? side lying? A: Comfort- ice collar/ keep throat moist/ pain meds. tonsil nursing actions: elevate head, asses for bleeding (clearing the throat, restlessness, bright red emesis, tachycardia/ pallor, frqt swallowing). Vitals/airways/ difficulty breathing. Comfortice 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. -MMR at what age first. Answer: 12 months -manifest Otis medias A: tonislitits -management sleep terrors. Don’t wake patient? -Keep consistent bedtime routine -Use night-light in the room -Provide child with favorite toy -Leave drink of water by bed -Reassure preschoolers who are frightened, but avoid allowing them to sleep in parent's bed -diaper rash treatment. Antibacterial soap with each diaper change? Powder twice a day? -enteral feedings, flush tube or check gastric residual -epiglottis, what to do first. Contact/droplet precautions? -indicate protein deficiency? Dry, thinning hair -5 year old up to date with current immunizations get what at 5. Answer: VARICELLA (CORRECT). Others: dtap. Mmr, ipv a nurse is teaching parents of a 10 year old child who has iron deficiency anemia. which of the following statements by a parent indicates an understanding of the teaching. Will give with antacid. Will give with milk when can child with varicella come off droplet precautions. After lesions have scabbed. 24 after antibiotics when can patient come off precautions for menninggits. 24 after antibiotics. Negative blood culture. a nurse is caring for an 8 year old who has sickle cell anemia. which of the following actions should the nurse take A: give the child flavored popsicles -to maintain hydration to avoid sickling a nurse is assessing the pain level of a 3 year old child who is postop following abdominal surgery. which of the following pain scales should the nurse use FACES a nurse is caring for a 2 day old infant who has myelomeningocele. which of the following actions should the nurse take monitor the infant head circumference -increased risk for hydrocephalus a nurse is teaching the parents of a 4 month old infant who has gastroesophageal reflux which of the following statements by the parent indicates an understanding of the teachign i will add 1 tsp of rice cereal per oz to my babys formula -osteomyelitis intervention, diet?, physical activity? -sickle cell teaching parents, signs look for at home -atraumatic care IM injection? Pacifier with sucrose before injection or use 20 gauge -gas inhale, findings. Polyuria? -how to rehydrate patient vomiting for 3 days. Oral rehydration. Sodium 0.9 IV. -90/90 skeletal traction after scoliosis surgery. Use two people to turn patient? Air mattress? -question where one answer is facial twitching -pain scale for a 3 year old? Oucher? Visual pain scale? -acyt acid ingested, findings. -adolescent want to be screen for STI. Answer: have patient sign consent form. Do not need parents conscent for STI’s -preschooler sibling dies. Curious what happens to the body after death A nurse is caring for a child who is postop following a tonsillectomy. which of the following findings is the nurses priority A: frequent swallowing a nurse is assessing a toddler who has measles (rubeola) which of the following findings should the nurse expect Koplik spots. Show on the diagram where kolpik spot found. A. Inside mouth a nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching aA:i can take my brace off for about an hour daily to showera nurse is assessing pain in a 3 year old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the childs pain level? FACES - Word graphic rating scale (4-17) A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend? Scrambled eggs a nurse is assessing a 2 month old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider weight gain of 1.8kg (4lbs) -indicates increase fluid and worsening of the childs heart failure -care post tonsillectomy. A nurse is checking the vital signs of a 2-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? Sleeps 12 hrs a day, 30 word vocab??? A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2˚ C (99.0˚ F) B. Heart rate 106/min C. Respirations 30/min D. Blood pressure 88/54 mm Hg C. CORRECT: Respirations of 30/min is above the expected reference range for a 3-year-old child and should be reported to the provider. a nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. which of the following dietary recommendations should the nurse make increase the childs protein intake a nurse is caring for an infant following surgical repair of a cleft lip and palate. which of the following actions should the nurse take? A: suction the infant gently with a bulb syringe PRN A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.) A. Explain the procedure using the child's favorite toy. B. Ask the parents to leave during the procedure. C. Perform the procedure with the child in his bed. D. Allow the child to make one choice regarding the procedure. E. Apply lidocaine and prilocaine cream to three potential insertion sites. A. CORRECT: Explaining the procedure using the child's favorite toy can assist the child to manage fears and provides atraumatic care. D. CORRECT: Allowing the child to make choices offers a sense of control over the situation and should be used to provide atraumatic care. E. CORRECT: A topical analgesic, such as lidocaine and prilocaine cream, decreases pain and should be used to provide atraumatic care. a clinic nurse is providing teaching to the parent of a 1 month old infant who has gastroesophageal reflux. which of the following statements by the parent indicates an understanding of the teaching i will add rice cereal to my baby's feedings a nurse is planning care for an adolescnet who has sickle cell anemia and is experiencing a vaso-occlusive crisis. which of the following interventions should the nurse include in the plan maintain the child on bedrest a nurse is assessing a 6 month old infant following a cardiac cath. which of the following findings should the nurse report to the provider BP of 86/40 -indicative of hypotension and bleeding in a 6month old