ATI Care of Children RN 2019 Proctored Exam – Level 3 /
Peds 2019 All 70 Questions with the Answers
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(Dyskinetic) nonspastic Cerebral Palsy - ansCerebral palsy that involves continuous involuntary
movements associated with hyperbilirubinemia and damage to basal nuclei ganglion; manifestations
include drooling and uncontrollable movements of the face and extremeties
(pyramidal) Spastic Cerebral Palsy - ansA type of cerebral palsy in which the person has very tight
muscles occurring in one or more muscle groups, resulting in stiff, uncoordinated movements (ankle
clonus, exaggerated strech reflex, contractures)
Acute Streptococcal Pharyngitis - ansinflamed throat with exudate, strep throat
Albuterol - ansBronchodilator, improves childs breathing
Allergic blood transfusion reactions - ansMild- Itching, hives, flushing- Administer benadryl
Anaphylactic- wheezing, dyspnea, chest tightness, cyanosis, hypotension
-maintain airway, admin. 02, IV fluids, antihistamines, corticosteroids, and vasopressors
anaphylactic reaction - anssevere reaction occurring immediately after exposure to a drug; characterized
by respiratory distress and vascular collapse
appendicitis - ansinflammation of the vermiform appendix, treat with morphine
Ataxic Cerebral Palsy - ansa type of cerebral palsy that is characterized by poor balance and equilibrium
in addition to uncoordinated voluntary movement. But can still walk with a slow gait
Bacterial conjunctivitis - anspinkeye; very contagious, purulent eye drainage
bucks traction nursing interventions - ansmaintain supine position, assess peripheral pulses every 4
hours, head flat
burns treatment - ansno prophylactic antibiotic therapy, cleanse area with mild soap and water, apply
antimicrobial ointment, for major burn management maintain decompression of stomach via NG tube
celiac disease - ansNO barley, wheat, oat, rye. substitute with soy, rice & corn
child milestones - ans4 y/o: cuts outline shape using scrissors
5 y/o: draws stick figure with seven body parts
6 y/o: spread butter with utensils & identifies right from left hand
childs vital signs - ansBP: S:86-118, D:44-74
HR: 80-120
RR:20-25/min
coarction of the aorta (CoA) - ansnarrowing of the aorta, should expect to have high blood pressure and
weak femoral pulses
cystic fibrosis nutrition - ansadminister pancreatic enzyme within 30 minutes of eating, may need to
increase dosage by provider until steatorrhea resolves, encourage fluids, increase fat content to 35-40%
of toal caloric intake
Dehydration manifestations - ansskin breakdown, hypotension, hyperpyrexia, tachypnea
,ATI Care of Children RN 2019 Proctored Exam – Level 3 /
Peds 2019 All 70 Questions with the Answers
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diabetes insipidus - ansantidiuretic hormone is not secreted adequately, or the kidney is resistant to its
effect. normal blood glucose, extremely thirsty & dehydrated. Expect higher sodium due to excessive loss
of free water.
Diaper dermatitis treatment - ansKeeping the area dry and applying Zinc Oxide and petrolatum.
Digoxin - anscardiac glycoside, brush teeth after to avoid teeth decay from sweetened liquid, vomiting is a
sign of toxicity
Diphenhydramine - ansBenadryl, decreases allergic reaction
epinephrine - anstreats anaphylaxis
Epinephrine medication - ansgiven to help breathing during a anaphylactic reaction
Febrile blood transfusion reaction - ansChills, fever, headache, flushing, tachycardia, anxiety.
Hemolytic transfusion reaction - ansBack pain is an adverse reaction, hypotension, tachycardia
high serum lead level in children - ans> 45 mcg/dL provide chelating agents, but in some cases > 10
mcg/dL, provide high calcium diet to help decrease lead absorption, yearly screenings
how to test for a sickle turbidity test - ansperform a finger stick, if test is positive hemoglobin
electrophoresis is required to distinguish b/w children who have the genetic trait and children who have
the disease
Hypopituitarism - ansstate of deficient pituitary gland activity, stunts growth, use recombinant growth
hormone medication
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should you withhold? or an
allergy to eggs or gelatin - ansmeasles, mumps, rubella (MMR)
indication of early septic shock - ansincreased heart rate, normal BP, fever and chills, normal urinary
output
intussusception - anstelescoping of a segment of the intestine within itself, lethragy and vomiting are
expected due to episodes of severe pain and obstruction
Kawasaki disease - ans(inflammation of blood vessles, hence the strawberry tongue) causes coronary
artery aneurysms. sudden and recent deprivation of food (protein)
Kussmaul respirations - ansDeep, rapid breathing; usually the result of an accumulation of certain acids
when insulin is not available in the body. In keto acidosis.
Marsamus - anssevere lack of food over a long period of time, resulting from inadewuate energy & protein
McBurney's point - ansA point on the right side of the abdomen, about two-thirds of the distance between
the umbilicus and the anterior bony prominence of the hip
Meningitis manifestations - ansheadaches, nuchal rigidity, positive kernig's sign
needle size for 4 y/o childs immunizations - ans22 - 25 gauge needle to minimize pain
,ATI Care of Children RN 2019 Proctored Exam – Level 3 /
Peds 2019 All 70 Questions with the Answers
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normal HCT for a child - ans32 - 44%
normal Hgb for child - ans9.5-14 g/dL
normal platelet for child - ans150,000-400,000
normal prealbumin for child - ans15-33 mg/dL
normal urine output for an adolescent - ans33 to 62.5 mL/hr
normal wbc for child - ans5,000 - 10,000 mm3
nuchal rigidity - ansstiffness in cervical neck area
nursing interventions for a child in a tonic clonic seizure. - ansturn to side, no food or drink, nothing by
mouth (meds)
nursing interventions for a child scheudled for a wound debridement? - ansapply topical ointment
following hydrotherapy, apply gauze after therapy, administer an analgesic beforehand, and AVOID
prophylactic antibiotic therapy
nursing interventions for a child with an epidural hematoma? - ansneuro checks q15mins, avoid
suctioning nares, implement seizure activity, position infant midline slightly elevated
nursing interventions for tunnneled central venous access device - anssemipermeable transparent
dressing, use a noncoding angles or striaght needle when accessing, flush wiht heparin solution dialy
when not in use, avoid use of scissors
opisthotonos position - ansbackward bending, assumed with nervous system complications
Osteomyelitis Nursing Interventions - ansavoided bearing weight, antibiotics for several weeks
pavlik harness - ansused for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use products becuase can
cause skin irritation, and do not adjust straps
peripheral edema - ansSwelling in the limbs, particularly the feet and ankles, due to an accumulation of
interstitial fluid. palpate the dorsum of the child's feet for 5 seconds
peristalis - ansinvoluntary waves of muscle involves contractions of the smooth muscles that push the
food toward the stomach
peritonitis - ansinflammation of the peritoneum (membrane lining the abdominal cavity and surrounding
the organs within it)
abdominal distension, chills, irritability, restlessness
pertussis - answhooping cough; highly contagious bacterial infection of the pharynx, larynx, and trachea
caused by Bordetella pertussis
Potassium Chloride - ansdo not give in peaked T WAVE
, ATI Care of Children RN 2019 Proctored Exam – Level 3 /
Peds 2019 All 70 Questions with the Answers
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Prednisone - anstreats severe inflammation
Anti-inflammatory
Rubeola (measles) - ansHighly contagious infection caused by a member of the paramyxovirus family,
koplik spots on buccal mucosa
scoliosis - ansshould expect to see a unilateral rib hump with hip flexion
signs of digoxin toxicity - ansvomiting
sodium polystyrene sulfonate (Kayexalate) - ansAntidote for hyperkalemia
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) - anscaused by the overproduction of the
antidiuretic hormone ADH, may have mental confusion and neurological manifestations when severe,
over hydration
Tetralogy of Fallot - anscongenital malformation involving four distinct heart defects, place infant in knee
chest position to bring blood back to heart and 100% 02 via face mask.
tinea pedis - ansfungal infection of the foot; athlete's foot, wear sandals as much as possible to allow air
to circulate
varicella - anschickenpox, airborne, keep room cool, avoid aspirin
ventricular septal defect - ansnurse should expect to hear a loud harsh murmur due to the left to right
shunting of blood
what can a child experience with a low HCT? - anstachycardia, lightheadedness, fatigue, dyspnea, pallor
what is an indication of bacterial meningitis? - ansincreased protein concentration, increased WBC,
decreased glucose level, increased cerebrospinal fluid pressure
what should you expect with a child following a perforated appendix repair? - ansabsence of peristalsis
what to do following a lumbar puncture? - ansapply topical analgesic 1 hr before, place client in prone or
flat position for up to 12 hours after, encourage to drink extra fluids
when should a baby begin to make babble noises - ans7 months
where should 02 be placed for child - ansgreat toe, check for pulse frequently and cover with sock
who can sign consent? - ansover 18 y/o, parent of a minor, or if under 18 and married can sign
themselves
(Dyskinetic) nonspastic Cerebral Palsy - ansCerebral palsy that involves continuous involuntary
movements associated with hyperbilirubinemia and damage to basal nuclei ganglion; manifestations
include drooling and uncontrollable movements of the face and extremeties
(pyramidal) Spastic Cerebral Palsy - ansA type of cerebral palsy in which the person has very tight
muscles occurring in one or more muscle groups, resulting in stiff, uncoordinated movements (ankle
clonus, exaggerated strech reflex, contractures)
