peds proctored Q&A.docx

  Bacterial meningitis ER patient -Correct Answers: initiate isolation precautions Bacterial meningitis -Correct Answers: lumbar puncture Trach care -Correct Answers: child flex neck when fastening the ties - so the ties around the neck wouldn't be so tight?? Dornase alpha how to administer for cystic fibrosis -Correct Answers: options were mix with albuterol, administer every 4 hours for cough, use spacer (ATI says for client education: instruct the child how to use a nebulizer, instruct the child to administer it once or twice a day) Family community education -Correct Answers: encourage the 15 year old to increase calcium intake Always give oral electrolytes for diarrhea -Correct Answers: BEFORE IV electrolytes Exhibit question states that the patient has RR level of 12 and is receiving morphine and acetaminophen prn for pain. Options were: assess sedation, assess pain -Correct Answers: I put sedation because acetaminophen will take care of pain and they're receiving morphine with a RR of 12 Liquid ferrous sulfate -Correct Answers: dilute with water. YOU WOULD NOT report tarry green stools to the provider because that is an expected finding Bacterial pneumonia -Correct Answers: WBC 18000 (bacterial meningitis WBC count is elevated) SATA for rheumatic heart disease/HF -Correct Answers: ESR, ASO titer, CRP Oral sores options: lemon glycerine swabs, viscous lidocaine, gauze with saline. -Correct Answers: ANSWER IS GAUZE WITH SALINE Yeast infection -Correct Answers: moist compress 3x a day RR -Correct Answers: to report is 54 Correct statement made by mother of 2 month old: -Correct Answers: "my child will receive MMR vaccine at 12 months" For adolescent and inhalation gasoline -Correct Answers: ATAXIA (ATI says gagging, choking, coughing, nausea, vomiting, lethargy, weakness, tachypnea, cyanosis, grunting, and retractions) 90/90 traction -Correct Answers: alternate pressure mattress Tumbling E for a 4 year old vision test because -Correct Answers: they don't know their letters yet Leg cast -Correct Answers: assess for pallor GERD, what would you report to the provider -Correct Answers: regurgitation Mother working and has 3 kids -Correct Answers: respite child care Chest tube question -Correct Answers: make sure there is continuous bubbling Burns -Correct Answers: initially administer IV "crystalloid solutions" (another name for lactated ringers) Epiglottis -Correct Answers: give antibiotics Cushing's syndrome -Correct Answers: hyperglycemia Picture of the heart and it's asking you to point out PDA defect -Correct Answers: Abuse sign -Correct Answers: bruising around both wrists Sickle cell crisis -Correct Answers: give meperidine Normal serum protein -Correct Answers: nephrotic syndrome it would be extremely low due to large amounts of excretion Priority patient -Correct Answers: patient is the who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is stroke Moderate dehydration is -Correct Answers: 7% Mix infants medication -Correct Answers: with flavored syrup rather than juice 12 year old will have -Correct Answers: mood swings Tonsillectomy -Correct Answers: tachycardia needs to be reported because of hemorrhagic shock Asthma -Correct Answers: use a spacer Glomerulonephritis -Correct Answers: facial edema ASA OD -Correct Answers: phenytidione Place child knee to chest -Correct Answers: Tonic clonic -Correct Answers: suction equipment Displaced shunt -Correct Answers: elevated temp Fentanyl epi -Correct Answers: assess BP HF potassium level -Correct Answers: 3.2 Appendicitis -Correct Answers: hematuria Check -Correct Answers: clothing for loose buttons Skin traction -Correct Answers: align body/ maintain alignment Digoxin -Correct Answers: give water after administration VP shunt displacement -Correct Answers: sleepiness Well child visit, what would you report? -Correct Answers: Tantrums 11 month old -Correct Answers: give oral electrolytes HIV -Correct Answers: answer is NOT zidoveine, not double dose, not remission the only other option BUN -Correct Answers: 5-18 Creatinine -Correct Answers: under 0.5 Blood glucose -Correct Answers: 60-100 Tetralogy of Fallot: know what is a sign of heart failure. -Correct Answers: single answer= weight GAIN, if SATA= weight GAIN, tachy, increased RESP, EDEMA -Correct Answers: Child dying. What nursing implementation: options were kick out family parents,restrict number of guests, assign only one person to give info to, maintain nursing assignments. -Correct Answers: Rotavirus. Is it droplet precaution or contact precaution. -Correct Answers: 3 year old with diarrhea. What do you do first? Options were contact precaution -Correct Answers: Impetigo. Bacterial ointment. -Correct Answers: Child dying preschooler = sees it as punishment -Correct Answers: There is a question about asking what would worry you about an infant. = coughing. -Correct Answers: Bacterial meningitis: CONTACT PRECAUTION. Lumbar puncture was an option but this is incorrect because you start with the least invasive step. -Correct Answers: Gas inhalation: ATAXIA -Correct Answers: Hyperglycemia: Thirst -Correct Answers: The question about vaginitis or whatever infection of the vagina for an infant... WARM COMPRESS -Correct Answers: Trach care. I put have child flex neck when fastening the ties. I rationaled that so the ties around the neck wouldn't be so tight -Correct Answers: Look up DORNASE ALPHA and how to administer for CF -Correct Answers: Options: use spacer -Correct Answers: Family community education: encourage 15 year old to increase calcium intake -Correct Answers: Question about kid coming in with acute diarrhea, what do you do first. Options were IV bolus fluids, put on contact isolation, etc. I put contact isolation. Always give oral electrolytes for diarrhea BEFORE IV electrolytes. -Correct Answers: Question that has an "exhibit" states that pt has RR level of 12 and is receiving morphine and acetaminophen prn for pain. Options: -Correct Answers: Assess sedation -Correct Answers: Liquid ferrous sulfate -Correct Answers: I put dilute with water -Correct Answers: And you would NOT report tarry green stools to provider because that is an expected finding -Correct Answers: SATA about HF (usually for rheumatic heart disease). I put: -Correct Answers: ESR -Correct Answers: ASO titer -Correct Answers: CRP -Correct Answers: Oral sores -Correct Answers: Options : -Correct Answers: Lemon glycerine swabs -Correct Answers: Viscous lidocaine -Correct Answers: Gauze with saline ---- answer. -Correct Answers: Leg cast. Answer is pallor -Correct Answers: GERD you would report to provider : regurgitation -Correct Answers: Mother working and has 3 kids : respite child care -Correct Answers: Chest tube question was make sure there is continuous bubbling -Correct Answers: For Burns. You would initially administer IV "crystalloid solutions" which is another name for Lactated ringers -Correct Answers: priority patient is the one who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is STROKE -Correct Answers: Moderate dehydration: weight loss 7% -Correct Answers: Dornase alfa medication question for CF: use spacer -Correct Answers: Sickle Cell Anemia: administer pain med. NOT cold compress (never put cold, only warm) -Correct Answers: Splenomegaly—mono -Correct Answers: Hoarseness= diphtheria -Correct Answers: Koplik spots- measles -Correct Answers: Iron deficiency anemia- pale conjunctiva -Correct Answers: Arm cast- elevate on pillow at night -Correct Answers: HIV testing- Tb testing every year -Correct Answers: Nephrotic - CRT 1.4 -Correct Answers: Nephrotic- protein 4.2 -Correct Answers: VP shunt displacement- sleepiness and one more question -Correct Answers: WHAT WE GOT: -Correct Answers: Cushing syndrome-High glucose -Correct Answers: Facial edema for nephrotic syndrome -Correct Answers: Arm cast-elevate -Correct Answers: Tonsillectomy- tachy -Correct Answers: Mouth ulcers-use spacer -Correct Answers: Chemo mouth-saline soaked gauze -Correct Answers: Cardiac cath-keep extremity straight -Correct Answers: Sickle cell-bed rest -Correct Answers: Burns-iv crystallized -Correct Answers: Pain-sucrose pacifier -Correct Answers: Nephrotic- protein 4.2 -Correct Answers: Sickle cell symptom-I don't remember the answers but was like increased hgb, pale conjunctiva (Michelle said this is right) -Correct Answers: Creatinine level 1.4 -Correct Answers: Tracheostomy- I don't know something about the procedure -Correct Answers: Chest tube-bubble -Correct Answers: Epiglottiitis- iv antibiotics or antibiotics (the answer will have antibiotics in it) -Correct Answers: If its bubbling, it's a contraindication -Correct Answers: Skin traction mattress, skeleton traction...more mattress? (ARMEN WTF IS THIS? LMAO) -Correct Answers: Rheumatic fever, SATA -c protein also tiger (double check)? -Correct Answers: Preschooler death interprets as punishment -Correct Answers: Necrotic syndrome (ARMEN?) -Correct Answers: Cushing (Armen?) -Correct Answers: Impetigo bacterial on sores -Correct Answers: Diet 15 year old calcium -Correct Answers: Hyper glycemic-sweating -Correct Answers: Acetylsalicylic overdose-fumanezil? (VERIFY) -Correct Answers: Pain assessment FACES -Correct Answers: 2 med math don't need to convert to kg- 2.2 and 6.8 are answers -Correct Answers: Picture of ductus arteriosus where is it? -Correct Answers: Asthma ulcers in mouth?? -Correct Answers: Prednisone or spacer?? -Correct Answers: Hypoglycemia-thirst -Correct Answers: Overdose of aspirin- PHENT -Correct Answers: WBC 18000-Pneumonia -Correct Answers: Bacterial meningitis-droplet precaution -Correct Answers: Rotavirus-droplet -Correct Answers: Acute nephrotic whatever I don't know what the questions -Correct Answers: Cast-pallor -Correct Answers: Iron ferrous sulfate mix with water -Correct Answers: Iron deficiency anemia-pale conjunctiva -Correct Answers: Arm cast-elevate on pillow at night -Correct Answers: HIV testing- TB testing every year -Correct Answers: Nephrotic-CRT 1.4 -Correct Answers: Nephrotic-protein 4.2 -Correct Answers: VP shunt displacement- sleepiness and one more question -Correct Answers: Moderate dehydration-weight loss 7% -Correct Answers: Dornase alfa medication for CF-Use spacer -Correct Answers: Sickle cell anemia-administer pain meds -Correct Answers: Oral sores-gauze with saline -Correct Answers: Leg cast- pallor -Correct Answers: GERD you would report to provider-regurgitation -Correct Answers: Mother working and has 3 kids-respite child care -Correct Answers: Chest tube question was make sure there is continuous bubbling...is this right or the other answer? -Correct Answers: For burns-you would initially administer IV "crystalloid solutions" which is another name for lactated ringers -Correct Answers: Priority patient is the one who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is STROKE -Correct Answers: SATA about HF (usually for rheumatic heart disease)-ESR, ASO titer, CRP -Correct Answers: Vaginitis whatever infection of the vagina for an infant- WARM COMPRESS -Correct Answers: Trach care-Have child flex neck when fastening the ties (I rationale that so the ties around the neck wouldn't be so tight)? -Correct Answers: Family community education: encourage 15 year old to increase calcium intake -Correct Answers: Kid coming in with acute diarrhea, what do you do first? Options were IV bolus fluids, put on contact isolation, etc. I put contact isolation. Always give oral electrolytes for diarrhea BEFORE IV electrolytes(??) -Correct Answers: Exhibit question-patient has RR level of 12 and is receiving morphine and acetaminophen prn for pain-Assess sedation, liquid ferrous sulfate, I put dilute with water? -Correct Answers: Rotavirus droplet precaution -Correct Answers: 3 year old with diarrhea. What do you do first? Options were contact precaution -Correct Answers: Impetigo- bacterial ointment -Correct Answers: Child dying preschooler- sees it as punishment -Correct Answers: What would worry you about an infant-coughing -Correct Answers: Bacterial meningitis-contact precaution (verify cuz this said droplet up there)? Lumbar puncture was an option but this is incorrect because you start with the least invasive step -Correct Answers: Gas inhalation- ataxia -Correct Answers: Hyperglycemia-thirst -Correct Answers: Child dying nursing implementation-options were kick out family parents, restrict number of guests, assign only one person to give info to, maintain nursing assignments -Correct Answers: Gasoline poisoning-I don't know put pinpoint pupil but shes not sure? -Correct Answers: Bacterial meningitis ER patient - initiate isolation precautions -Correct Answers: Bacterial meningitis - lumbar puncture -Correct Answers: Trach care - child flex neck when fastening the ties - so the ties around the neck wouldn't be so tight?? -Correct Answers: Dornase alpha how to administer for cystic fibrosis - options were mix with albuterol, administer every 4 hours for cough, use spacer (ATI says for client education: instruct the child how to use a nebulizer, instruct the child to administer it once or twice a day) -Correct Answers: Family community education - encourage the 15 year old to increase calcium intake -Correct Answers: Always give oral electrolytes for diarrhea BEFORE IV electrolytes -Correct Answers: Exhibit question states that the patient has RR level of 12 and is receiving morphine and acetaminophen prn for pain. Options were: assess sedation, assess pain I put sedation because acetaminophen will take care of pain and they're receiving morphine with a RR of 12 -Correct Answers: Liquid ferrous sulfate - dilute with water. YOU WOULD NOT report tarry green stools to the provider because that is an expected finding -Correct Answers: Bacterial pneumonia - WBC 18000 (bacterial meningitis WBC count is elevated) -Correct Answers: SATA for rheumatic heart disease/HF - ESR, ASO titer, CRP -Correct Answers: Oral sores options: lemon glycerine swabs, viscous lidocaine, gauze with saline. ANSWER IS GAUZE WITH SALINE -Correct Answers: Yeast infection - moist compress 3x a day -Correct Answers: RR to report is 54 -Correct Answers: Correct statement made by mother of 2 month old: "my child will receive MMR vaccine at 12 months" -Correct Answers: For adolescent and inhalation gasoline - ATAXIA (ATI says gagging, choking, coughing, nausea, vomiting, lethargy, weakness, tachypnea, cyanosis, grunting, and retractions) -Correct Answers: 90/90 traction???????? - alternate pressure mattress -Correct Answers: Tumbling E for a 4 year old vision test because they don't know their letters yet -Correct Answers: Leg cast - assess for pallor -Correct Answers: GERD, what would you report to the provider - regurgitation -Correct Answers: Mother working and has 3 kids - respite child care -Correct Answers: Chest tube question - make sure there is continuous bubbling -Correct Answers: Burns - initially administer IV "crystalloid solutions" (another name for lactated ringers) -Correct Answers: Epiglottis - give antibiotics -Correct Answers: Cushing's syndrome - hyperglycemia -Correct Answers: Picture of the heart and it's asking you to point out PDA defect -Correct Answers: Abuse sign - bruising around both wrists -Correct Answers: Sickle cell crisis - give meperidine -Correct Answers: Normal serum protein ???? - nephrotic syndrome it would be extremely low due to large amounts of excretion -Correct Answers: Priority patient - patient is the who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is stroke -Correct Answers: Moderate dehydration is 7% -Correct Answers: Mix infants medication with flavored syrup rather than juice -Correct Answers: 12 year old will have mood swings -Correct Answers: Tonsillectomy - tachycardia needs to be reported because of hemorrhagic shock -Correct Answers: Asthma - use a spacer -Correct Answers: Glomerulonephritis - facial edema -Correct Answers: ASA OD - phenytidione -Correct Answers: Place child knee to chest -Correct Answers: Tonic clonic - suction equipment -Correct Answers: Displaced shunt - elevated temp -Correct Answers: Fentanyl epi - assess BP -Correct Answers: HF potassium level = 3.2 -Correct Answers: Appendicitis - hematuria -Correct Answers: Check clothing for loose buttons -Correct Answers: Skin traction - align body/ maintain alignment -Correct Answers: Digoxin - give water after administration -Correct Answers: VP shunt displacement - sleepiness -Correct Answers: Well child visit, what would you report? Tantrums -Correct Answers: 11 month old - give oral electrolytes -Correct Answers: HIV - answer is NOT zidoveine, not double dose, not remission the only other option -Correct Answers: BUN: 5-18 -Correct Answers: Creatinine- under 0.5 -Correct Answers: Blood glucose- 60-100 -Correct Answers: Tetralogy of Fallot: know what is a sign of heart failure. -Correct Answers: single answer= weight GAIN, if SATA= weight GAIN, tachy, increased RESP, EDEMA -Correct Answers: Child dying. What nursing implementation: options were kick out family parents,restrict number of guests, assign only one person to give info to, maintain nursing assignments. -Correct Answers: Rotavirus. Is it droplet precaution or contact precaution. -Correct Answers: 3 year old with diarrhea. What do you do first? Options were contact precaution -Correct Answers: Impetigo. Bacterial ointment. -Correct Answers: Child dying preschooler = sees it as punishment -Correct Answers: There is a question about asking what would worry you about an infant. = coughing. -Correct Answers: Bacterial meningitis: CONTACT PRECAUTION. Lumbar puncture was an option but this is incorrect because you start with the least invasive step. -Correct Answers: Gas inhalation: ATAXIA -Correct Answers: Hyperglycemia: Thirst -Correct Answers: The question about vaginitis or whatever infection of the vagina for an infant... WARM COMPRESS -Correct Answers: Trach care. I put have child flex neck when fastening the ties. I rationaled that so the ties around the neck wouldn't be so tight -Correct Answers: Look up DORNASE ALPHA and how to administer for CF -Correct Answers: Options: use spacer -Correct Answers: Family community education: encourage 15 year old to increase calcium intake -Correct Answers: Question about kid coming in with acute diarrhea, what do you do first. Options were IV bolus fluids, put on contact isolation, etc. I put contact isolation. Always give oral electrolytes for diarrhea BEFORE IV electrolytes. -Correct Answers: Question that has an "exhibit" states that pt has RR level of 12 and is receiving morphine and acetaminophen prn for pain. Options: -Correct Answers: Assess sedation -Correct Answers: Liquid ferrous sulfate -Correct Answers: I put dilute with water -Correct Answers: And you would NOT report tarry green stools to provider because that is an expected finding -Correct Answers: SATA about HF (usually for rheumatic heart disease). I put: -Correct Answers: ESR -Correct Answers: ASO titer -Correct Answers: CRP -Correct Answers: Oral sores -Correct Answers: Options : -Correct Answers: Lemon glycerine swabs -Correct Answers: Viscous lidocaine -Correct Answers: Gauze with saline ---- answer. -Correct Answers: Leg cast. Answer is pallor -Correct Answers: GERD you would report to provider : regurgitation -Correct Answers: Mother working and has 3 kids : respite child care -Correct Answers: Chest tube question was make sure there is continuous bubbling -Correct Answers: For Burns. You would initially administer IV "crystalloid solutions" which is another name for Lactated ringers -Correct Answers: priority patient is the one who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is STROKE -Correct Answers: Moderate dehydration: weight loss 7% -Correct Answers: Dornase alfa medication question for CF: use spacer -Correct Answers: Sickle Cell Anemia: administer pain med. NOT cold compress (never put cold, only warm) -Correct Answers: Splenomegaly—mono -Correct Answers: Hoarseness= diphtheria -Correct Answers: Koplik spots- measles -Correct Answers: Iron deficiency anemia- pale conjunctiva -Correct Answers: Arm cast- elevate on pillow at night -Correct Answers: HIV testing- Tb testing every year -Correct Answers: Nephrotic - CRT 1.4 -Correct Answers: Nephrotic- protein 4.2 -Correct Answers: VP shunt displacement- sleepiness and one more question -Correct Answers: WHAT WE GOT: -Correct Answers: Cushing syndrome-High glucose -Correct Answers: Facial edema for nephrotic syndrome -Correct Answers: Arm cast-elevate -Correct Answers: Tonsillectomy- tachy -Correct Answers: Mouth ulcers-use spacer -Correct Answers: Chemo mouth-saline soaked gauze -Correct Answers: Cardiac cath-keep extremity straight -Correct Answers: Sickle cell-bed rest -Correct Answers: Burns-iv crystallized -Correct Answers: Pain-sucrose pacifier -Correct Answers: Nephrotic- protein 4.2 -Correct Answers: Sickle cell symptom-I don't remember the answers but was like increased hgb, pale conjunctiva (Michelle said this is right) -Correct Answers: Creatinine level 1.4 -Correct Answers: Tracheostomy- I don't know something about the procedure -Correct Answers: Chest tube-bubble -Correct Answers: Epiglottiitis- iv antibiotics or antibiotics (the answer will have antibiotics in it) -Correct Answers: If its bubbling, it's a contraindication -Correct Answers: Skin traction mattress, skeleton traction...more mattress? (ARMEN WTF IS THIS? LMAO) -Correct Answers: Rheumatic fever, SATA -c protein also tiger (double check)? -Correct Answers: Preschooler death interprets as punishment -Correct Answers: Necrotic syndrome (ARMEN?) -Correct Answers: Cushing (Armen?) -Correct Answers: Impetigo bacterial on sores -Correct Answers: Diet 15 year old calcium -Correct Answers: Hyper glycemic-sweating -Correct Answers: Acetylsalicylic overdose-fumanezil? (VERIFY) -Correct Answers: Pain assessment FACES -Correct Answers: 2 med math don't need to convert to kg- 2.2 and 6.8 are answers -Correct Answers: Picture of ductus arteriosus where is it? -Correct Answers: Asthma ulcers in mouth?? -Correct Answers: Prednisone or spacer?? -Correct Answers: Hypoglycemia-thirst -Correct Answers: Overdose of aspirin- PHENT -Correct Answers: WBC 18000-Pneumonia -Correct Answers: Bacterial meningitis-droplet precaution -Correct Answers: Rotavirus-droplet -Correct Answers: Acute nephrotic whatever I don't know what the questions -Correct Answers: Cast-pallor -Correct Answers: Iron ferrous sulfate mix with water -Correct Answers: Iron deficiency anemia-pale conjunctiva -Correct Answers: Arm cast-elevate on pillow at night -Correct Answers: HIV testing- TB testing every year -Correct Answers: Nephrotic-CRT 1.4 -Correct Answers: Nephrotic-protein 4.2 -Correct Answers: VP shunt displacement- sleepiness and one more question -Correct Answers: Moderate dehydration-weight loss 7% -Correct Answers: Dornase alfa medication for CF-Use spacer -Correct Answers: Sickle cell anemia-administer pain meds -Correct Answers: Oral sores-gauze with saline -Correct Answers: Leg cast- pallor -Correct Answers: GERD you would report to provider-regurgitation -Correct Answers: Mother working and has 3 kids-respite child care -Correct Answers: Chest tube question was make sure there is continuous bubbling...is this right or the other answer? -Correct Answers: For burns-you would initially administer IV "crystalloid solutions" which is another name for lactated ringers -Correct Answers: Priority patient is the one who has sickle cell anemia and is exhibiting slurred speech because sickle cell complication is STROKE -Correct Answers: SATA about HF (usually for rheumatic heart disease)-ESR, ASO titer, CRP -Correct Answers: Vaginitis whatever infection of the vagina for an infant- WARM COMPRESS -Correct Answers: Trach care-Have child flex neck when fastening the ties (I rationale that so the ties around the neck wouldn't be so tight)? -Correct Answers: Family community education: encourage 15 year old to increase calcium intake -Correct Answers: Kid coming in with acute diarrhea, what do you do first? Options were IV bolus fluids, put on contact isolation, etc. I put contact isolation. Always give oral electrolytes for diarrhea BEFORE IV electrolytes(??) -Correct Answers: Exhibit question-patient has RR level of 12 and is receiving morphine and acetaminophen prn for pain-Assess sedation, liquid ferrous sulfate, I put dilute with water? -Correct Answers: Rotavirus droplet precaution -Correct Answers: 3 year old with diarrhea. What do you do first? Options were contact precaution -Correct Answers: Impetigo- bacterial ointment -Correct Answers: Child dying preschooler- sees it as punishment -Correct Answers: What would worry you about an infant-coughing -Correct Answers: Bacterial meningitis-contact precaution (verify cuz this said droplet up there)? Lumbar puncture was an option but this is incorrect because you start with the least invasive step -Correct Answers: Gas inhalation- ataxia -Correct Answers: Hyperglycemia-thirst -Correct Answers: Child dying nursing implementation-options were kick out family parents, restrict number of guests, assign only one person to give info to, maintain nursing assignments -Correct Answers: Gasoline poisoning-I don't know put pinpoint pupil but shes not sure? - Correct Answers: