Pediatrics ATI Remediation 2023
Questions and Correct Answers Ati
Pediatric Exam
Cognitive and Sensory Impairments: Findings to Report to Provider - ANSWERS-1.
Strabismus should be reported to the provider.
2. For hearing impairments in infants, nurses should report lack of startle reflex, failure
to respond to noise, absence of vocalization by 7 months, and lack of response to the
spoken word.
3. For hearing impairments in older children, nurses should report not talking after 15
months, speaking in monotone, need for repeated conversation, and speaking loudly for
the situation.
4. For Downs Syndrome, the nurse should report separated sagittal suture and enlarged
anterior fontanel.
ATI Ch 15
Establishing Priorities: Managing Client Care: Identifying Priority Child to Assess
(Management of Care) - ANSWERS--prioritize systemic before local ("life before limb"
-prioritize acute before chronic
-prioritize actual problems before potential future problems
-listen carefully to clients and don't assume
-recognize and respond to trends vs. transient findings
-recognize indications of medical emergences and complications vs. expected findings
-apply clinical knowledge to procedural standards to determine the priority action
-consider Maslow's hierarch of human needs
-ABCDE (airway, breathing, circulation, disability, exposure)
-look for safety risks
-least restrictive and least invasive interventions should be utilized as much as possible.
Cystic fibrosis description - ANSWERS-Respiratory disorder that results from inheriting
a mutated gene. Characteristics: Mucus glands that secrete increased quantity of thick
tenacious mucus, leading to mechanical obstruction of organs (pancreas, lungs, liver,
small intestine, reproductive system). Increased organic and enzymatic constituents of
saliva. Increased sodium and chloride in sweat. CNS abnormalities.****
Pediatric Emergencies: Planning intervention for lead exposure - ANSWERS-*Can be
from lead ingestion from lead-based paint or soil contamination
*Symptoms: distractibility, impulsiveness, hyperactivity, hearing impairment, mild
intellectual difficulty (Low-dose), cognitive delays, severity, blindness, paralysis, coma,
seizures, death (high does), Kidney impairment, impaired calcium functions and
anemia.
*Chelation therapy using calcium EDTA for high serum levels
,Burns: Teaching About Sunburn Prevention (RN QSEN - Safety , Active Learning
Template - Basic Concept, RM NCC
RN 10.0 chp 32) - ANSWERS--adolescents should apply suncreen with at least 15 SPF
-adolescents should reapply sunscreen every 2-3 hours
-adolescents should avoid tanning beds
-it is important to avoid long periods of direct UV contact
Health Promotion of Adolescents (12 to 20 Years): Informed Consent* - ANSWERS-1.
You can be a minor and not need consent for STD screening if they are above 13.
2. Pregnancy is another reason to not need consent.
3. Emancipated minors are an exception as well.
Chp 7 pg 33
Psychosocial Issues of Infants, Children, and Adolescents: Diagnostic Findings to
Report to the Provider - ANSWERS-Assessment findings for children with ADHD:
inattention, hyperactivity, impulsivity
Assessment findings for children with autism: delays in social interaction, social
communication, imaginative play; spends time alone, heightened or lowered senses
Head Injury: Planning Care for an Infant Who Has an Epidural Hematoma - ANSWERS-
-Monitor vital signs, level of consciousness, pupils ICP, motor activity, sensory
perception, and verbal responses at frequent intervals. Use Glascow Coma Scale.
-Maintain patent airway. Administer oxygen as needed. Keep saturation at or above
95%.
-Assess for clear fluid drainage from ears or nose.
-Implement actions that will decrease ICP
-Provide calm, restful environment.
-Provide adequate fluids
-Monitor fluid and electrolyte values.
Health Promotion of School-Age Children (6 to 12 Years): Teaching About Bicycle
Safety - ANSWERS-1. To decrease the risk of injury, parents should ensure that the
bike is the correct size for the child. When seated on the bike, the child should be able
to stand with the ball of each foot touching the ground and should be able to stand with
each foot on the ground when straddling the bike's center bar.
2. Children should ride their bikes single file rather than side by side.
3. Children should wear light-colored clothing that has a fluorescent material attached.
Fluorescent material on the bike itself too.
4. Bike riders should ride in the direction of the flow of traffic.
Chp 6 pg 29
Health Promotion of Infants (2 Days to 1 Year): Teaching About Home Safety (chp. 3) -
ANSWERS-aspiration --> teach parents to hold the infants for feedings (do not prop
bottle), put away small objects and keep out of reach of baby, use age-appropriate toys
only, check clothing for safety hazards (i.e. loose buttons).
,bodily harm --> keep sharp objects out of reach, anchor heavy objects/furniture, do not
leave unattended with animals present.
burns --> avoid warming formula in microwave (check temp before feeding), also check
bath water temp (hot water thermostats should be set at 120˚ or less), check smoke
detectors, turn handles of pots/pans inward towards stove, use sunscreen when
exposed to sun, cover electrical outlets.
drowning --> do not leave unattended near any water, secure fencing around pools,
close bathroom doors.
falls --> crib mattresses in the lowest position/rails all the way up, restraints in infant
seats, do not leave unattended on elevated surfaces, use safety guards at top/bottom of
stairs.
poisoning --> avoid lead paint, keep toxins/plants out of reach, safety locks on cabinets,
keep poison control phone number close by, meds in childproof containers, working
carbon monoxide alarm.
motor vehicle --> remain in rear-facing car seats until 2 yrs. or at height
recommendation (do not use car seats in the front seat - safest in the backseat of the
car), do not leave in parked cars.
suffocation --> avoid plastic bags/balloons, fit crib mattresses snugly (slats no further
than 6 cm apart), remove mobiles or crib gyms by 4-5 months, place on back to sleep,
keep toys with small parts out of reach, remove drawstrings from jackets/clothing.
Accident/Error/Injury Prevention:
Pediatric Emergencies: Planning Interventions for Lead Exposure (Safety and Infection
Control) - ANSWERS--Manifestations of Lead exposure:
---low dose exposure: distractibility, impulsiveness, hyperactivity, hearing impairment,
and mild intellectual difficultly
---high dose exposure: cognitive delays varying in severity, blindness, paralysis, coma,
seizures, and death
---other: kidney impairment, impaired calcium function, and anemia
-Interventions for lead exposure: chelation therapy using calcium EDTA (calcium
disodium versante
-Interventions for poison prevention: keep toxic agents out of reach of children, lock
cabinets containing potentially harmful substances, do not take medications in front of
children, discard unused medications, when giving meds do not say it is candy, use non
mercury thermometers, eliminate lead-based paint in the environment, encourage hand
hygiene prior to eating, and do not store food in lead-based containers
Risk factors for CF - ANSWERS-Both biological parents carry trait for CF (recessive).
Head Injury: Planning care for an infant with an epidural hematoma - ANSWERS-
*Bleeding between the dura and the skull
*Blood accumulates in epidural space and compresses the brain
*Starts w/ short period of unconsciousness, then normal period for several hours, then
blood accumulation causes lethargy or coma
, Health Promotion of Infants (1 Month to 1 Year): Car Seat Use (RN QSEN - Safety ,
Active Learning Template - Growth
and Development, RM NCC RN 10.0 Chp 3) - ANSWERS---infants should be placed in
a federally approved car seat at a 45 degree angle to prevent slumping or airway
obstruction
-place car seat rear facing and secured using safety belt of LATCH system if possible
-shoulder harness should be placed in the slots or at or below the child's shoulders
-the harness should be snug and the retainer clip placed at the level of the infants
armpits
-infants and toddlers shall remian in carseat until age 2 or height recommendation
Seizures: Priority Interventions - ANSWERS-during a seizure:
turn client to the side
loosen restrictive clothing
do not attempt to open the jaw or insert an airway during seizure activities
be prepared to suction oral secretions
Safe Administration of Medication: Restraining Methods for an Infant (chp. 8) -
ANSWERS-oral --> hold infant in semi-reclining position (similar to feeding position);
only use droppers that come with the med, or use a nipple.
optic --> supine/sitting position; apply light pressure to the lacrimal punctum for 1 min. to
prevent unpleasant taste.
otic --> prone/supine position; <3 yrs. pull pinna down and back.
nasal --> use a football hold for infants; position with head extended.
aerosol --> use a mask for younger children, allow parents to hold them during
administration, use distraction.
rectal --> insert beyond sphincters, hold buttocks gently for 5-10 min. perform quickly
and use distraction.
injection --> secure infant/child prior to injections (assess need for assistance)
24-29 gauge catheter, use play therapy, apply EMLA 60 min. prior, allow parents to
stay, use therapeutic holding/swaddle infants, non-nutritive sucking to infants
before/during/after.
Pediatric Emergencies: Planning Interventions for Lead Exposure - ANSWERS-
Chelation therapy using calcium EDTA (calcium disodium versenate)
Communicable Diseases: Isolation Precautions for a Child Who Has Pertussis -
ANSWERS-1. The nurse should initiate droplet precautions for a child who has
pertussis.
2. Pertussis is transmitted through contact with infected large-droplet nuclei that are
suspended in the air when the child coughs, sneezes or talks.
3. Incubation period is 6 to 20 days, usually 7 to 10 days.
4. Communicability is greatest during catarrhal stage before onset of paroxysmal stage.
Chp 36 pg 235
Questions and Correct Answers Ati
Pediatric Exam
Cognitive and Sensory Impairments: Findings to Report to Provider - ANSWERS-1.
Strabismus should be reported to the provider.
2. For hearing impairments in infants, nurses should report lack of startle reflex, failure
to respond to noise, absence of vocalization by 7 months, and lack of response to the
spoken word.
3. For hearing impairments in older children, nurses should report not talking after 15
months, speaking in monotone, need for repeated conversation, and speaking loudly for
the situation.
4. For Downs Syndrome, the nurse should report separated sagittal suture and enlarged
anterior fontanel.
ATI Ch 15
Establishing Priorities: Managing Client Care: Identifying Priority Child to Assess
(Management of Care) - ANSWERS--prioritize systemic before local ("life before limb"
-prioritize acute before chronic
-prioritize actual problems before potential future problems
-listen carefully to clients and don't assume
-recognize and respond to trends vs. transient findings
-recognize indications of medical emergences and complications vs. expected findings
-apply clinical knowledge to procedural standards to determine the priority action
-consider Maslow's hierarch of human needs
-ABCDE (airway, breathing, circulation, disability, exposure)
-look for safety risks
-least restrictive and least invasive interventions should be utilized as much as possible.
Cystic fibrosis description - ANSWERS-Respiratory disorder that results from inheriting
a mutated gene. Characteristics: Mucus glands that secrete increased quantity of thick
tenacious mucus, leading to mechanical obstruction of organs (pancreas, lungs, liver,
small intestine, reproductive system). Increased organic and enzymatic constituents of
saliva. Increased sodium and chloride in sweat. CNS abnormalities.****
Pediatric Emergencies: Planning intervention for lead exposure - ANSWERS-*Can be
from lead ingestion from lead-based paint or soil contamination
*Symptoms: distractibility, impulsiveness, hyperactivity, hearing impairment, mild
intellectual difficulty (Low-dose), cognitive delays, severity, blindness, paralysis, coma,
seizures, death (high does), Kidney impairment, impaired calcium functions and
anemia.
*Chelation therapy using calcium EDTA for high serum levels
,Burns: Teaching About Sunburn Prevention (RN QSEN - Safety , Active Learning
Template - Basic Concept, RM NCC
RN 10.0 chp 32) - ANSWERS--adolescents should apply suncreen with at least 15 SPF
-adolescents should reapply sunscreen every 2-3 hours
-adolescents should avoid tanning beds
-it is important to avoid long periods of direct UV contact
Health Promotion of Adolescents (12 to 20 Years): Informed Consent* - ANSWERS-1.
You can be a minor and not need consent for STD screening if they are above 13.
2. Pregnancy is another reason to not need consent.
3. Emancipated minors are an exception as well.
Chp 7 pg 33
Psychosocial Issues of Infants, Children, and Adolescents: Diagnostic Findings to
Report to the Provider - ANSWERS-Assessment findings for children with ADHD:
inattention, hyperactivity, impulsivity
Assessment findings for children with autism: delays in social interaction, social
communication, imaginative play; spends time alone, heightened or lowered senses
Head Injury: Planning Care for an Infant Who Has an Epidural Hematoma - ANSWERS-
-Monitor vital signs, level of consciousness, pupils ICP, motor activity, sensory
perception, and verbal responses at frequent intervals. Use Glascow Coma Scale.
-Maintain patent airway. Administer oxygen as needed. Keep saturation at or above
95%.
-Assess for clear fluid drainage from ears or nose.
-Implement actions that will decrease ICP
-Provide calm, restful environment.
-Provide adequate fluids
-Monitor fluid and electrolyte values.
Health Promotion of School-Age Children (6 to 12 Years): Teaching About Bicycle
Safety - ANSWERS-1. To decrease the risk of injury, parents should ensure that the
bike is the correct size for the child. When seated on the bike, the child should be able
to stand with the ball of each foot touching the ground and should be able to stand with
each foot on the ground when straddling the bike's center bar.
2. Children should ride their bikes single file rather than side by side.
3. Children should wear light-colored clothing that has a fluorescent material attached.
Fluorescent material on the bike itself too.
4. Bike riders should ride in the direction of the flow of traffic.
Chp 6 pg 29
Health Promotion of Infants (2 Days to 1 Year): Teaching About Home Safety (chp. 3) -
ANSWERS-aspiration --> teach parents to hold the infants for feedings (do not prop
bottle), put away small objects and keep out of reach of baby, use age-appropriate toys
only, check clothing for safety hazards (i.e. loose buttons).
,bodily harm --> keep sharp objects out of reach, anchor heavy objects/furniture, do not
leave unattended with animals present.
burns --> avoid warming formula in microwave (check temp before feeding), also check
bath water temp (hot water thermostats should be set at 120˚ or less), check smoke
detectors, turn handles of pots/pans inward towards stove, use sunscreen when
exposed to sun, cover electrical outlets.
drowning --> do not leave unattended near any water, secure fencing around pools,
close bathroom doors.
falls --> crib mattresses in the lowest position/rails all the way up, restraints in infant
seats, do not leave unattended on elevated surfaces, use safety guards at top/bottom of
stairs.
poisoning --> avoid lead paint, keep toxins/plants out of reach, safety locks on cabinets,
keep poison control phone number close by, meds in childproof containers, working
carbon monoxide alarm.
motor vehicle --> remain in rear-facing car seats until 2 yrs. or at height
recommendation (do not use car seats in the front seat - safest in the backseat of the
car), do not leave in parked cars.
suffocation --> avoid plastic bags/balloons, fit crib mattresses snugly (slats no further
than 6 cm apart), remove mobiles or crib gyms by 4-5 months, place on back to sleep,
keep toys with small parts out of reach, remove drawstrings from jackets/clothing.
Accident/Error/Injury Prevention:
Pediatric Emergencies: Planning Interventions for Lead Exposure (Safety and Infection
Control) - ANSWERS--Manifestations of Lead exposure:
---low dose exposure: distractibility, impulsiveness, hyperactivity, hearing impairment,
and mild intellectual difficultly
---high dose exposure: cognitive delays varying in severity, blindness, paralysis, coma,
seizures, and death
---other: kidney impairment, impaired calcium function, and anemia
-Interventions for lead exposure: chelation therapy using calcium EDTA (calcium
disodium versante
-Interventions for poison prevention: keep toxic agents out of reach of children, lock
cabinets containing potentially harmful substances, do not take medications in front of
children, discard unused medications, when giving meds do not say it is candy, use non
mercury thermometers, eliminate lead-based paint in the environment, encourage hand
hygiene prior to eating, and do not store food in lead-based containers
Risk factors for CF - ANSWERS-Both biological parents carry trait for CF (recessive).
Head Injury: Planning care for an infant with an epidural hematoma - ANSWERS-
*Bleeding between the dura and the skull
*Blood accumulates in epidural space and compresses the brain
*Starts w/ short period of unconsciousness, then normal period for several hours, then
blood accumulation causes lethargy or coma
, Health Promotion of Infants (1 Month to 1 Year): Car Seat Use (RN QSEN - Safety ,
Active Learning Template - Growth
and Development, RM NCC RN 10.0 Chp 3) - ANSWERS---infants should be placed in
a federally approved car seat at a 45 degree angle to prevent slumping or airway
obstruction
-place car seat rear facing and secured using safety belt of LATCH system if possible
-shoulder harness should be placed in the slots or at or below the child's shoulders
-the harness should be snug and the retainer clip placed at the level of the infants
armpits
-infants and toddlers shall remian in carseat until age 2 or height recommendation
Seizures: Priority Interventions - ANSWERS-during a seizure:
turn client to the side
loosen restrictive clothing
do not attempt to open the jaw or insert an airway during seizure activities
be prepared to suction oral secretions
Safe Administration of Medication: Restraining Methods for an Infant (chp. 8) -
ANSWERS-oral --> hold infant in semi-reclining position (similar to feeding position);
only use droppers that come with the med, or use a nipple.
optic --> supine/sitting position; apply light pressure to the lacrimal punctum for 1 min. to
prevent unpleasant taste.
otic --> prone/supine position; <3 yrs. pull pinna down and back.
nasal --> use a football hold for infants; position with head extended.
aerosol --> use a mask for younger children, allow parents to hold them during
administration, use distraction.
rectal --> insert beyond sphincters, hold buttocks gently for 5-10 min. perform quickly
and use distraction.
injection --> secure infant/child prior to injections (assess need for assistance)
24-29 gauge catheter, use play therapy, apply EMLA 60 min. prior, allow parents to
stay, use therapeutic holding/swaddle infants, non-nutritive sucking to infants
before/during/after.
Pediatric Emergencies: Planning Interventions for Lead Exposure - ANSWERS-
Chelation therapy using calcium EDTA (calcium disodium versenate)
Communicable Diseases: Isolation Precautions for a Child Who Has Pertussis -
ANSWERS-1. The nurse should initiate droplet precautions for a child who has
pertussis.
2. Pertussis is transmitted through contact with infected large-droplet nuclei that are
suspended in the air when the child coughs, sneezes or talks.
3. Incubation period is 6 to 20 days, usually 7 to 10 days.
4. Communicability is greatest during catarrhal stage before onset of paroxysmal stage.
Chp 36 pg 235
