ATI Pediatrics Proctored Exam
1.hand preference: all kids normally show hand preference by 1 year old
2.plaster casts: -heavy
-not water resistant
-dry in 10-72 hrs
3.fiberglass casts: -light weight
-water resistant
-dry in 15-20 min
4.types of traction: Skin traction:
-Buck
-Bryant
-Russell Skeletal traction
Halo traction
-cervical traction
5.care for traction: -assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
6.surgical intervention for scoliosis: -realign (2 rods on either side of spine)
-internal fixation
-fusion
7.The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer? Record your answer using one decimal place.: 1.5 tablets .The physician orders the patient a 10-mL/kg normal saline bolus to
infuse over 2 hours. The child weighs 36 kg. Calculate the infusion rate in
mL/hr.: - 180 mL/hr
9.What happens to the voice during epiglottitis?: it becomes hoarse
10.Leukotreine modifiers: -Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal, aggression -Generally well tolerated.
-Monitor for improvement in symptoms
11.Cromolyn (Intal) and nedocomil (Tilade): -Anti-inflammatory agents
that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
12.Long acting beta-adrenergics: -Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak
in 3-4 hours
13.Lortab: tylenol with hydrocodone
14.dornase alpha: decreases viscosity of secretions (thins mucous) for
CF pa- tients
15.tobramycin: aerosolized antibiotics used for CF
16.Norwood procedure: -Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
17.Biot's respirations: periods of apnea alternating with 2 or 3 shallow breaths
18.Cheyne-Stokes respirations: periods of apnea alternating with periods of hyperventilation
19.What gauge needle should be used when administering an immunization to a toddler?: 24 gauge
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