ATI Pediatrics Proctored Exam
hand preference
(ANS- all kids normally show hand preference by 1 year old
plaster casts
(ANS-
-heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts
(ANS-
-light weight
-water resistant
-dry in 15-20 min
types of traction
(ANS
Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction
(ANS-
-assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
,surgical intervention for scoliosis
(ANS-
-realign (2 rods on either side of spine)
-internal fixation
-fusion
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies
lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse
administer? Record your answer using one decimal place.
(ANS- 1.5 tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2
hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr.
(ANS- 180 mL/hr
What happens to the voice during epiglottitis?
(ANS- it becomes hoarse
Leukotreine modifiers
(ANS-
-Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade)
(ANS-
-Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics
(ANS-
-Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4
hours
, Lortab
(ANS-
tylenol with hydrocodone
dornase alpha
(ANS- decreases viscosity of secretions (thins mucous) for CF patients
tobramycin
(ANS- aerosolized antibiotics used for CF
Norwood procedure
(ANS-
-Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
Biot's respirations
(ANS- periods of apnea alternating with 2 or 3 shallow breaths
Cheyne-Stokes respirations
(ANS- periods of apnea alternating with periods of hyperventilation
What gauge needle should be used when administering an immunization to a
toddler?
(ANS- 24 gauge
hand preference
(ANS- all kids normally show hand preference by 1 year old
plaster casts
(ANS-
-heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts
(ANS-
-light weight
-water resistant
-dry in 15-20 min
types of traction
(ANS
Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction
(ANS-
-assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
,surgical intervention for scoliosis
(ANS-
-realign (2 rods on either side of spine)
-internal fixation
-fusion
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies
lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse
administer? Record your answer using one decimal place.
(ANS- 1.5 tablets
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2
hours. The child weighs 36 kg. Calculate the infusion rate in mL/hr.
(ANS- 180 mL/hr
What happens to the voice during epiglottitis?
(ANS- it becomes hoarse
Leukotreine modifiers
(ANS-
-Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade)
(ANS-
-Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics
(ANS-
-Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4
hours
, Lortab
(ANS-
tylenol with hydrocodone
dornase alpha
(ANS- decreases viscosity of secretions (thins mucous) for CF patients
tobramycin
(ANS- aerosolized antibiotics used for CF
Norwood procedure
(ANS-
-Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
Biot's respirations
(ANS- periods of apnea alternating with 2 or 3 shallow breaths
Cheyne-Stokes respirations
(ANS- periods of apnea alternating with periods of hyperventilation
What gauge needle should be used when administering an immunization to a
toddler?
(ANS- 24 gauge
