ATI PEDIATRIC CMS EXAM (Latest 2023/ 2024) |
Questions and Verified Answers| 100% Correct
What happens to the voice during epiglottitis? - ANSWER it becomes hoarse
sodium normal range - ANSWER 135-145
manifestations of pneumonia in infants - ANSWER nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER brown colored urine
McBurney's point - ANSWER -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER projectile
vomiting
What is used to treat scabies lesions? - ANSWER permethrin 5% cream
manifestation of pertussis - ANSWER dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER inflamed throat with
exudate
manifestation of bacterial conjunctivitis - ANSWER purulent eye drainage
Koplik spots - ANSWER rubeola (measles
Diabetes insipidus lab values - ANSWER -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER -dietary fluid
restriction
, -low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - ANSWER
every 12-24 months
lumbar puncture nursing care - ANSWER -apply topical analgesic to the lumbar
site 60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANSWER
brush the child's teeth
manifestations of digoxin toxicity - ANSWER nausea, vomiting, decreased appetite
indications of brainstem herniation - ANSWER Cushing's triad: htn, bradycardia,
decreased respirations
interventions for lead toxicity - ANSWER -diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANSWER -absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
Questions and Verified Answers| 100% Correct
What happens to the voice during epiglottitis? - ANSWER it becomes hoarse
sodium normal range - ANSWER 135-145
manifestations of pneumonia in infants - ANSWER nasal flaring
increased WBCs
diarrhea
abdominal distention
What is an expected finding of endocarditis? - ANSWER headache
What is an expected finding in a school-age child with glomerulonephritis? -
ANSWER brown colored urine
McBurney's point - ANSWER -lower right abdomen
-pain in appendicitis
Celiac disease expected findings - ANSWER -steatorrhea
-distended abdomen
-weight loss
What type of vomiting is common with pyloric stenosis? - ANSWER projectile
vomiting
What is used to treat scabies lesions? - ANSWER permethrin 5% cream
manifestation of pertussis - ANSWER dry hacking cough
manifestation of acute streptococcal pharyngitis - ANSWER inflamed throat with
exudate
manifestation of bacterial conjunctivitis - ANSWER purulent eye drainage
Koplik spots - ANSWER rubeola (measles
Diabetes insipidus lab values - ANSWER -dilute urine/low specific gravity
-high sodium
-normal blood glucose
-polyuria (excessive urine output)
minimal change nephrotic syndrome management - ANSWER -dietary fluid
restriction
, -low sodium diet
-corticosteroids
How often should a child with asthma get pulmonary function tests? - ANSWER
every 12-24 months
lumbar puncture nursing care - ANSWER -apply topical analgesic to the lumbar
site 60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural
spinal headache
-encourage to drink extra fluids to replace CSF
CF diet - ANSWER -well-balanced
-high in protein & calories
-unrestricted fat
-ensure adequate fluid intake
Can a child with celiac disease eat malt? - ANSWER no, it has gluten in it
What should be done after administering PO suspension digoxin? - ANSWER
brush the child's teeth
manifestations of digoxin toxicity - ANSWER nausea, vomiting, decreased appetite
indications of brainstem herniation - ANSWER Cushing's triad: htn, bradycardia,
decreased respirations
interventions for lead toxicity - ANSWER -diet rich in calcium, vitamin C, and iron
-chelation therapy for lead levels 45 mcg/dL or greater
expected findings following an appendectomy - ANSWER -absence of peristalsis
-WBC >10,000/mm3
indications of early septic shock - ANSWER fever & chills
plan of care pre-op for a preschooler with a Wilm's tumor - ANSWER -avoid
palpating the abdomen
-auscultate bowel sounds
-do not engage in play with other children - increases risk of injury
-do not explain about pain till post op so as not to increase anxiety
indications of SIADH - ANSWER -low sodium level
-high urine specific gravity
-decreased urine output
-hypoosmolality
-overhydration
-mental confusion
-bounding pulses
-increased BP
-tachycardia
