ATI PEDIATRIC CMS EXAM PREPARATION
COMPREHENSIVE STUDY GUIDE TWO
LATEST VERSIONS A AND B
⩥ Piaget 1-3yrs. Answer: Preoperational
⩥ Erickson 1-3 yrs. Answer: Autonomy versus shame and doubt
⩥ Erickson 3-6 years. Answer: Initiative vs guilt
⩥ Piaget 2-4 years. Answer: Preconceptial thought
⩥ Piaget 4-7 years. Answer: Intuitive thought
⩥ Piaget 6-12year. Answer: Concrete operations
⩥ Erickson 6-12 years. Answer: Industry vs inferiority
⩥ Piaget 12-20 years. Answer: Formal operations
⩥ Erickson 12-20 years. Answer: Identity vs role confusion
,⩥ CRIES scale. Answer: Based on pain 32 wks of gestation to 20 wks of
life
⩥ FLACC scale. Answer: Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
⩥ FACES scale. Answer: Faces to deem pain level 3 yrs or older
⩥ Visual analog scale. Answer: Child points to number 7 yrs and older
⩥ Meningitis. Answer: Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/
infection. Remain in bed 4-8hrs after. Droplet precautions.decrease
environment stimuli.position w/o pillow. May prefer side lying
position.monitor head size
⩥ Reyes syndrome. Answer: Testing to seperate from other disease. Sx-
hypoglycemia, liver dysfunction, shock, cerebral edema. R/t recent viral
illness and aspirin use. Five stages.liver biopsy possible. Lp used to RO
meningitis.
⩥ Tonic phase. Answer: Stiffening of muscles
, ⩥ Clinic. Answer: Rhythmic jerking
⩥ EEG specs. Answer: Abstain for caffeine.wash hair before and after.
Not be painful. Flashing lights possibly
⩥ Seizure safety. Answer: Safety.. Airway...suction oral secretions..turn
on side post seiz...side lying.. Check vital signs .. Assess for injuries
..allow rest
⩥ Aed. Answer: Valium phenytoin tegretol depakote cerebryx
⩥ Brudzinski. Answer: Flexion of extremities including neck
⩥ Kernigs. Answer: Resistance to extension of the child's leg from
flexed
⩥ Cushing reflex. Answer: Severe hypertension, widening pulse
pressure, bradycardia
⩥ Decorticate. Answer: Arms, wrists, fingers flexed....bent inward to
chest
⩥ Decerebrate. Answer: Arching of head and arms with legs extended,
toes pointing downward
COMPREHENSIVE STUDY GUIDE TWO
LATEST VERSIONS A AND B
⩥ Piaget 1-3yrs. Answer: Preoperational
⩥ Erickson 1-3 yrs. Answer: Autonomy versus shame and doubt
⩥ Erickson 3-6 years. Answer: Initiative vs guilt
⩥ Piaget 2-4 years. Answer: Preconceptial thought
⩥ Piaget 4-7 years. Answer: Intuitive thought
⩥ Piaget 6-12year. Answer: Concrete operations
⩥ Erickson 6-12 years. Answer: Industry vs inferiority
⩥ Piaget 12-20 years. Answer: Formal operations
⩥ Erickson 12-20 years. Answer: Identity vs role confusion
,⩥ CRIES scale. Answer: Based on pain 32 wks of gestation to 20 wks of
life
⩥ FLACC scale. Answer: Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
⩥ FACES scale. Answer: Faces to deem pain level 3 yrs or older
⩥ Visual analog scale. Answer: Child points to number 7 yrs and older
⩥ Meningitis. Answer: Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/
infection. Remain in bed 4-8hrs after. Droplet precautions.decrease
environment stimuli.position w/o pillow. May prefer side lying
position.monitor head size
⩥ Reyes syndrome. Answer: Testing to seperate from other disease. Sx-
hypoglycemia, liver dysfunction, shock, cerebral edema. R/t recent viral
illness and aspirin use. Five stages.liver biopsy possible. Lp used to RO
meningitis.
⩥ Tonic phase. Answer: Stiffening of muscles
, ⩥ Clinic. Answer: Rhythmic jerking
⩥ EEG specs. Answer: Abstain for caffeine.wash hair before and after.
Not be painful. Flashing lights possibly
⩥ Seizure safety. Answer: Safety.. Airway...suction oral secretions..turn
on side post seiz...side lying.. Check vital signs .. Assess for injuries
..allow rest
⩥ Aed. Answer: Valium phenytoin tegretol depakote cerebryx
⩥ Brudzinski. Answer: Flexion of extremities including neck
⩥ Kernigs. Answer: Resistance to extension of the child's leg from
flexed
⩥ Cushing reflex. Answer: Severe hypertension, widening pulse
pressure, bradycardia
⩥ Decorticate. Answer: Arms, wrists, fingers flexed....bent inward to
chest
⩥ Decerebrate. Answer: Arching of head and arms with legs extended,
toes pointing downward
