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NGN ATI RN PEDIATRICS 2023 RETAKE / NEXT GEN ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+||BRAND NEW!!$14.99
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NGN ATI RN PEDIATRICS 2023 RETAKE / NEXT GEN ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+||BRAND NEW!!
NGN ATI RN PEDIATRICS NEWEST 2023 RETAKE / NEXT GEN ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+||BRAND NEW!!
NGN ATI RN PEDIATRICS 2023 RETAKE / NEXT GEN
ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW!!
1. You were called by the physician to obtain a capillary blood sample. Which of the
following is true regarding this sample type?
A. The sample must be drawn from the first drop of surface blood
B. The puncture normally is performed on the ball of the foot
C. The sample pH and PCO2 correlate well with standard ABG results
D. To obtain the sample, you need to milk the puncture site
To get this one correct, you need to have a basic understanding of capillary blood
sampling and how the sample correlates with a typical ABG sample.
A heel-stick is the most common site for capillary blood sampling in infants —
specifically the heel’s lateral aspect.
After you puncture the heel, you should wipe away first drop of blood and observe for
free flow before collection. You should not squeeze or milk the puncture site.
Here’s another important thing to remember:
Capillary samples are useful only for assessing the infant’s acid-base status — not the
oxygenation status. The pH and PCO2 correlate well with arterial blood, however, the
PaO2 does not.
So by using what we know about capillary blood samples, as well as the process of
elimination, you know that the correct answer has to be C.
The correct answer is: C. The sample pH and PCO2 correlate well with standard ABG
results
2. While assisting with the delivery of a newborn infant, the doctor asks you to obtain an
Apgar score. Which of the following is considered a normal score?
A. 1-4
B. 4-7
C. 7-10
, D. 10-13
To get this one correct, you need to have a basic understanding of the Apgar score
ranges.
An Apgar score is a quick way to evaluate an infant’s condition immediately after birth,
and should be performed 1 minute and 5 minutes after birth. It stands for:
• A ppearance
• P ulse
• G rimace
• A ctivity
• R espirations
You take the infant’s score using these parameters and act accordingly. An Apgar score
of 7-10 is considered to be a normal score.
Also, you should remember that an infant with an Apgar score of less than 4 should be
resuscitated.
The correct answer is: C. 7-10
3. You are called for the assessment of a child in the emergency department. It has been
noted that the child has stridor. Which of the following conditions would you expect?
A. Croup
B. Asthma
C. Pneumonia
D. Cystic fibrosis
To get this one correct, you needed to have a basic understanding of stridor.
Stridor is a loud, high-pitched sound that is heard primarily over the larynx or trachea
during inhalation in patients with an upper airway obstruction.
The common causes of stridor in children include croup, epiglottitis, and foreign body
aspiration.
However, if you see stridor in an adult patient, it mainly occurs with post-extubation
edema. None of the other answers choices will cause stridor in a child, so we know that
the correct answer has to be A.
, The correct answer is: A. Croup
4. You are called to the NICU for the assessment of a premature infant. The infant is
receiving positive pressure ventilation and exhibits the following: acute respiratory
distress, hypotension, and asymmetrical chest motion. Which of the following
procedures would you initially recommend?
A. An arterial blood gas
B. A chest radiograph
C. A capillary heal stick
D. Chest transillumination
To get this one correct, you have to be able to interpret the signs that were given to you
in the question and determine how to treat the infant.
In this case, you should know that these signs likely indicate that a pneumothorax may
be present.
Transillumination is a procedure where you shine a light through the infant’s chest in
order to inspect for a pneumothorax. It is performed in high-risk infants that are showing
signs of respiratory distress.
You should recommend this test to see if the infant has a pneumothorax. When there is
a “halo” sign through the neonate’s chest wall, this confirms that a pneumothorax is
present. In this case, immediate chest tube insertion would be indicated.
On the other hand, if transillumination is negative but the infant still exhibits these
signs, you should recommend an immediate chest X-ray.
So while each of the tests that are listed in the answer choices may be indicated, the
best answer for this question is D.
The correct answer is: D. Chest transillumination
5. Upon assessment, you note that an infant patient with bradycardia is having spells of
apnea. Which of the following would you recommend?
A. Surfactant
B. Nasal CPAP
C. An aerosolized bronchodilator
D. Mechanical ventilation
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