ATI vSim Swift River Pediatrics Exam with ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
precise detailed answers ||//\\|| ||//\\||
Maria Hernandez ||//\\||
Dx: Sickle Cell Crisis
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Weight: 17.96 kg (39.5 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
6 y/o reports stomach and leg pain, rated at 6/10.
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Knees are swollen, red, and warm. History of UTIs, has been seen frequently for sickle cell
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crises.
VS: T 38.3 C (100.9 F), HR 108, RR 40, BP 128/74, SaO2 89 RA - correct answer✔✔Maslow's
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- High
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ABC - High ||//\\|| ||//\\||
Safety - High ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams ||//\\||
Dx: Pain, tonsillectomy
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,Weight: 25 kg (55 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
5 y/o admitted for scheduled tonsillectomy and adenoidectomy. History of chronic throat
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
infections, and enlarged tonsils and adenoids causing obstructive sleep apnea. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
VS: T 37 C (98.6 F), HR 94, RR 20, BP 102/58, SaO2 99 RA - correct answer✔✔Maslow's -
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High
ABC - Low ||//\\|| ||//\\||
Safety - Low ||//\\|| ||//\\||
Urgent v Nonurgent - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Shetona Jackson ||//\\||
Dx: Type 1 DM ||//\\|| ||//\\|| ||//\\||
Weight: 47.7 kg (105 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
13 y/o transgender male, goes by Shawn. Parent states flu like symptoms for past week, had
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a fever last week but not now. Parent reports lethargy, sleeping all day save for using the
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bathroom or eating/drinking. Despite excess eating has been losing weight, 5 lbs in last ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
week.
VS: T 37.2 C (98.9 F), HR 110, RR, 21, BP 90/68, SaO2 99 RA - correct answer✔✔Maslow's -
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High
, ABC - Low ||//\\|| ||//\\||
Safety - Low ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Jeffery Marshall ||//\\||
Dx: Abuse, neglect ||//\\|| ||//\\||
Weight: 4.9 kg (10.8 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
3 m/o, parent reports crying every time they touch left arm.
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Parent reports they left infant with friend and returned to find infant sleeping in crib with
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spit up on clothing, noted crying with left arm movement at this time, also noticed bruising
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on chest that was not present before.
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Friend denied any happenings. - correct answer✔✔Maslow's - High
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ABC - Low ||//\\|| ||//\\||
Safety - High ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
precise detailed answers ||//\\|| ||//\\||
Maria Hernandez ||//\\||
Dx: Sickle Cell Crisis
||//\\|| ||//\\|| ||//\\||
Weight: 17.96 kg (39.5 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
6 y/o reports stomach and leg pain, rated at 6/10.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Knees are swollen, red, and warm. History of UTIs, has been seen frequently for sickle cell
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
crises.
VS: T 38.3 C (100.9 F), HR 108, RR 40, BP 128/74, SaO2 89 RA - correct answer✔✔Maslow's
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
- High
||//\\||
ABC - High ||//\\|| ||//\\||
Safety - High ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams ||//\\||
Dx: Pain, tonsillectomy
||//\\|| ||//\\||
,Weight: 25 kg (55 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
5 y/o admitted for scheduled tonsillectomy and adenoidectomy. History of chronic throat
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
infections, and enlarged tonsils and adenoids causing obstructive sleep apnea. ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
VS: T 37 C (98.6 F), HR 94, RR 20, BP 102/58, SaO2 99 RA - correct answer✔✔Maslow's -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
High
ABC - Low ||//\\|| ||//\\||
Safety - Low ||//\\|| ||//\\||
Urgent v Nonurgent - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Shetona Jackson ||//\\||
Dx: Type 1 DM ||//\\|| ||//\\|| ||//\\||
Weight: 47.7 kg (105 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
13 y/o transgender male, goes by Shawn. Parent states flu like symptoms for past week, had
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
a fever last week but not now. Parent reports lethargy, sleeping all day save for using the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
bathroom or eating/drinking. Despite excess eating has been losing weight, 5 lbs in last ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
week.
VS: T 37.2 C (98.9 F), HR 110, RR, 21, BP 90/68, SaO2 99 RA - correct answer✔✔Maslow's -
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
High
, ABC - Low ||//\\|| ||//\\||
Safety - Low ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
Jeffery Marshall ||//\\||
Dx: Abuse, neglect ||//\\|| ||//\\||
Weight: 4.9 kg (10.8 lbs) ||//\\|| ||//\\|| ||//\\|| ||//\\||
3 m/o, parent reports crying every time they touch left arm.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Parent reports they left infant with friend and returned to find infant sleeping in crib with
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
spit up on clothing, noted crying with left arm movement at this time, also noticed bruising
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
on chest that was not present before.
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Friend denied any happenings. - correct answer✔✔Maslow's - High
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
ABC - Low ||//\\|| ||//\\||
Safety - High ||//\\|| ||//\\||
Urgent v Nonurgent - High ||//\\|| ||//\\|| ||//\\|| ||//\\||
Stable v Unstable - Low ||//\\|| ||//\\|| ||//\\|| ||//\\||
