Peds ATI proctored
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1. (NGN) A nurse is reviewing a child's medical record. B. Dornase alfa
Which of the following medications should the nurse D. Water soluble
expect the provider to prescribe or reconcile from the vitamins
child's home meds list? E. Pancreatic li-
Scenario: Cystic fibrosis at 3 months, failure to thrive, pase
has chronic obstructive pulmonary disease. Wheez-
ing, rhonchi, paroxysmal cough, dyspnea. Parent re-
ports large frothy, foul-smelling stool. Child has defi-
cient levels of vitamins A, D, E and K
Barrel shape chest, clubbed finger bilaterally, RR
40/min wheezing rhonchi, bilateral dyspnea, paroxys-
mal cough.
Temp: 101.1 HR: 100 RR:40 BP: 100/57
Labs: sputum culture positive for pseudomonas
aeruginosa
Stool analysis: the presence of fat and enzymes.
Chest x ray: obstructive emphysema
WBC: 20,000mm3
A. Meperidine
B. Dornase alfa
C. Acetaminophen
D. Water soluble vitamins
E. Pancreatic lipase
2. (NGN) A nurse is caring for a 7-year-old child who has
- Anticipated:
urinary incontinence. A 7-year-old client who weight A. Educate the
is 18.1 kg (39.9 lb.) was admitted with a UTI. The child
child about proper
reports pain and burning upon urination and feeling personal hygiene.
like they need to go to the bathroom all the time. The
B. Adminis-
child guardian reports client has been incontinent ofter sulfamethox-
urine the past 2 nights and the urine has very strongazole and
odor. trimethronin.
T: 100.4 HR 80 RR: 22 BP: 106/65 E. Advise child
T: 101.1 F HR: 90 RR: 23 BP: 105/65 guardians about
Indicate if the potential intervention is anticipated or
use of sunscreen.
contraindicated for the client. - Contraindicated:
C. Administer sali-
A. Educate the child about proper personal hygiene. cylic acid for pain
, Peds ATI proctored
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B. Administer sulfamethoxazole and trimethronin. and fever.
C. Administer salicylic acid for pain and fever. D. Ensure child re-
D. Ensure child receives a maximum of 1,200 mL/day ceives a maximum
of fluid. of 1,200 mL/day of
E. Advise child guardians about use of sunscreen. fluid.
3. (NGN) Child presents to ED guardian reports a child - Acute
woke up coughing with a low-grade fever. Child alert Laryngotrancheo-
restless in guardians' arms. RR easy. No cough noted. bronchitis:
Child became agitated. Hoarse cry noted with audi- A. Irritability
ble inspiratory stridor. Barking non-productive cough B. Cough findings
present. at 0800
7:15 C. Stridor
T: 100.6 D. Temperature
98 o2 - Pneumonia:
0800? B. Cough findings
T: 101 HR 112 RR: 24 o2 96 at 0800
Assessment findings consistent with Acute Laryngo- D. Temperature
trancheobronchitis, or Pneumonia.
A. Irritability
B. Cough findings at 0800
C. Stridor
D. Temperature
4. (NGN) Received the child awake, alert, and crying. A. Keep them
Parent noticed battery on control toy missing parent NPO.
states child was drooling more than usual and wit- D. Prepare for flex-
nessed gaging periodically. ible endoscopy.
0930
The child is lying on the parent's chest with eyes
open and requesting sippy cups. He continues to have
expiratory wheeze in bilateral upper lobes. Preparing
child for diagnostic testing.
Nurse should ---- followed by ----.
A. Keep them NPO.
B. Teach parents importance of inspecting Childs
gasp area?
, Peds ATI proctored
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C. Obtain informed consent.
D. Prepare for flexible endoscopy.
E. Monitor for return of gag reflex.
F. Encourage parents to inspect toys for easily remov-
able parts.
5. The nurse is caring for a client who is postop follow- B. Reposition
ing the placement of a halo vest to manage cervical client using turning
fracture. Which actions should the nurse take? sheet.
A. Tighten screws on halo device on-quarter turn
every 48 hr.
B. Reposition client using turning sheet.
C. Encourage flexion and extension of neck.
D. Assess pin sites for infection once every other day
6. ED preparing to discharge 3-year-old a. You should ap-
The child's guardian states that the child has been un- ply emollients in
able to sleep recently and has been irritable. Guardian your child's skin af-
expresses concern about the child's atopic dermati- ter bathing.
tis worsening and the child scratching excessively, b. You should cut
which results in the areas bleeding. Guardian states and file your
child has hx of allergic rhinitis. child's fingernails
Pimecrolimus 1% cream applied to skin lesions daily. frequently.
Assessment alert/ responsive. c. Your child will
RR even unlabored 24/min. No adventitious sounds. experience occa-
Small clusters of reddish, scaly patches with licheni- sional flare-ups of
fications and depigmentation on the child's bilateral this condition.
limbs and lower extremities. e. You can ap-
a. You should apply emollients in your child's skin ply gloves to your
after bathing. child's hands.
b. You should cut and file your child's fingernails fre- g. You should use
quently. a mild detergent
c. Your child will experience occasional flare-ups of for your child's
this condition. laundry.
d. Your child condition is contagious when lesions are
present.
e. You can apply gloves to your child's hands.
F. You can a
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