2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions)

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 1 preview image

PEDS ATI PROCTORED STUDYNOTES 2024/2025GUARANTEED PASSQuestions fromtest:KNOW LAB VALUES: BUN, creatine, respiratory rates, HR, serum glucose, phenaline, phenylketone2year old develpment, what woud you report to the provider? 30 words?-celiac disease menu, oj and eggs? or meats? Gramham crackersand peanut butter?-patient has 10% burn on body, finding report to provider. Urine output 35ml/hrCycstic fibrousis, creatine or BUN monitor? Increase or decrease. Bun 6. BUN 12. Creatine 1.4. creatine0.3. (note:creatine and bun determine kidney function)a nurse is caring for a child who is in the ER after ingesting a bottle of acetaminophen which of thefollowing meds should the nurse plan to giveacetylcysteine-antedote for acetaminophen overdose or poisoninga nurse is teaching the parents ofa child who has rheumatic fever. which of the following statements bya parent indicates an understanding of the teachingmy child may take aspirin for his joint pain

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 3 preview image

-post cardiac cath, report to provider. Cool extermites below cath site.A: Weakend pedal pulses bilat.Findings in celiac-stetorhea-therapuetic effect for opiod pain? titrate till sedation (wrong)?After admin IV gentamacin for menningtits, following actions. Is and O's?Expected findings of appendicitis-The most common symptomof appendicitis is abdominal pain.Typically, symptoms begin as periumbilical or epigastric pain migrating to the right lower quadrant (RLQ)of the abdomen.Pt comes in with submersion injury, priority action. intubation? Iv?Priority Action for Submersion Injury-Signs and symptoms of near drowning include respiratorydistress, tachypnea, rales, wheezing and possible hypothermia. Obviously, initial management includesthe ABCs—Airway, Breathing and Circulation.Dornase alfa (pulmozyme)decreases viscosity of mucus and improves lung function. improvement monitored by pfts. use oncedaily.cycstic fib expected findings?absence of pancreatic enzymes, positive sputum culture, thick yellow-grey mucous, meconium ileus atbirth, large loose fatty sticky foul smelling stools, distended abdomen, thin arm & legs, sweat tearssaliva abnormally salty, viscous cervical mucous, absent/ decreased sperm. lab-sweat chloride test,normal <40 meq/l. stool analysis for azotorrhera (stinky from protein) and statorrhea (undigested fat).blood glucose. xray.-post tonsillectomy actions.straw? side lying?

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 4 preview image

A:Comfort-ice collar/ keep throat moist/ pain meds.tonsil nursing actions:elevate head, asses for bleeding (clearing the throat, restlessness, bright red emesis, tachycardia/ pallor,frqt swallowing). Vitals/airways/ difficulty breathing. Comfort-ice collar/ keep throat moist/ pain meds.Diet-clear liquids/fluids after gag reflex returns. soft bland foods.No coughing/ throat clearing/ noseblowing/ no pointed object. Maybe blood tinged mucous or clots in vomit.-MMR at what age first. Answer: 12 months-manifest Otis mediasA: tonislitits-management sleep terrors.Don’t wake patient?-Keep consistent bedtime routine-Use night-light in the room-Provide child with favorite toy-Leave drink of water by bed-Reassure preschoolers who are frightened, but avoid allowing them to sleep in parent's bed-diaper rash treatment. Antibacterial soap with each diaper change? Powder twice a day?-enteral feedings, flush tube or check gastric residual-epiglottis, what to do first.Contact/droplet precautions?-indicate protein deficiency? Dry, thinning hair-5 year old up to date with current immunizations get what at 5. Answer: VARICELLA (CORRECT).Others: dtap. Mmr, ipva nurse is teaching parents of a 10 year old child who has iron deficiency anemia. which of the followingstatements by a parent indicates an understanding of the teaching. Will give with antacid. Will givewith milkwhen can child with varicella comeoff droplet precautions. After lesions have scabbed. 24 afterantibioticswhen can patient come off precautions for menninggits. 24 after antibiotics. Negative blood culture.a nurse is caring for an 8 year old who has sickle cell anemia. which of thefollowing actions should thenurse take

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 5 preview image

A: give the child flavored popsicles-to maintain hydration to avoid sicklinga nurse is assessing the pain level of a 3 year old child who is postop following abdominal surgery. whichof the following pain scales should the nurse useFACESa nurse is caring for a 2 day old infant who has myelomeningocele. which of the following actions shouldthe nurse takemonitor the infant head circumference-increased risk for hydrocephalusa nurse is teaching the parents of a 4month old infant who has gastroesophageal reflux which of thefollowing statements by the parent indicates an understanding of the teachigni will add 1 tsp of rice cereal per oz to my babys formula-osteomyelitis intervention, diet?, physical activity?-sickle cell teaching parents, signs look for at home-atraumatic care IM injection? Pacifier with sucrose before injection or use 20 gauge-gas inhale, findings. Polyuria?-how to rehydrate patient vomiting for 3 days. Oral rehydration. Sodium 0.9 IV.-90/90 skeletal traction after scoliosis surgery.Use two people to turn patient? Air mattress?-question where one answer is facial twitching-pain scale for a 3 year old? Oucher? Visual pain scale?-acyt acid ingested, findings.-adloscent want to be screen for STI. Answer: have patient sign conscent form. Do not need parentsconscent for STI’s-preschooler sibling dies.Curious what happens to the body after deathA nurse is caring for a child who is postop following a tonsillectomy. which of thefollowing findings isthe nurses priorityA: frequent swallowinga nurse is assessing a toddler who has measles (rubeola) which of the following findings should thenurse expect Koplik spots. Show on the diagram where kolpik spot found.A.Inside mouth

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 6 preview image

anurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Bostonbrace. which of the following responses by the adolescent indicates an understanding of the teachingaA:i can take my brace off for about an hour daily to showera nurse is assessing pain in a 3 year old child following a tonsillectomy. which of the following ratingscales should the nurse use to determine the childs pain level?FACES-Word graphic rating scale (4-17)a nurse is providing nutritional teaching to an adolescent client who has celiac disease. which of thefollowing breakfast foods should the nurse recommend?scrambled eggsa nurse is assessing a 2 month old infant who has a ventricular septal defect. which of the followingfindings should thenurse report to the providerweight gain of 1.8kg (4lbs)-indicates increase fluid and worsening of the childs heart failure-care post tonsillectomy.A nurse is checking the vitalsigns of a 2-year-old child duringa well-child visit. Which of thefollowing findings should thenurse report to the provider?Sleeps 12 hrs a day, 30 word vocab???A nurse is checking the vitalsigns of a 3-year-old child duringa well-child visit. Which of thefollowing findings should thenurse report to the provider?A.Temperature 37.2˚ C (99.0˚ F)B. Heart rate 106/minC. Respirations 30/minD. Blood pressure 88/54 mm Hg

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 7 preview image

C. CORRECT: Respirations of 30/min is above the expected referencerange for a 3-year-old child and should be reported to the provider.a nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. which of thefollowing dietary recommendations should the nurse makeincrease the childs protein intakea nurse is caring for an infant following surgical repair of a cleft lip and palate. which of the followingactions should the nurse take?A: suction the infant gently with a bulb syringe PRNA nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which ofthe following actions should the nurse take? (Select all that apply.)A. Explain the procedure using the child's favorite toy.B. Ask the parents to leave during the procedure.C. Perform the procedure with the child in his bed.D. Allow the child to make one choice regarding the procedure.E. Apply lidocaine and prilocaine cream to three potential insertion sites.A. CORRECT: Explaining the procedure using the child's favorite toy can assist the child to manage fearsand provides atraumatic care.D. CORRECT: Allowing the child to makechoices offers a sense of control over the situation and shouldbe used to provide atraumatic care.E. CORRECT: A topical analgesic, such as lidocaine and prilocaine cream, decreases pain and should beused to provide atraumatic care.a clinic nurse is providing teaching to the parent of a 1 month old infant who has gastroesophagealreflux. which of the following statements by the parent indicates an understanding of the teachingi will add rice cereal to my baby's feedingsa nurse is planning care for an adolescnet who has sickle cell anemia and is experiencing a vaso-occlusive crisis. which of the following interventions should the nurse include in the plan

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maintain the child on bedresta nurse is assessing a 6 month old infant following a cardiac cath.which of the following findings shouldthe nurse report to the providerBP of 86/40-indicative of hypotension and bleeding in a 6month olda nurse at a clinic is preparing to administer immunizations to a 5 yr old child. which of the followingimmunizations should the nurse plan to giveDTaPbetween 4-6 years olda nurse is teaching parents of a 10 year old child who has iron deficiency anemia. which of the followingstatements by a parent indicates an understanding of the teachingi will administer the iron tablet with orange juice-increases the irons absorptionA nurse is caring for a10-year-old child who has acuteglomerulonephritis. Which of thefollowing findings should thenurse report to the provider?A. Serum BUN 8 mg/dLB. Serum creatinine1.3 mg/dLC. Blood pressure 100/74 mm HgD. Urine output 550 mL in 24 hrB. CORRECT: Serum creatinine 1.3 mg/dL is outof the expected reference range for a 10-year-oldchild, and should be reported to the provider.A nurse is caring for an infant who hasa hydrocele. Which of the following actions should the nursetake?A. Prepare the child for surgery.B. Explain to the parents that the issue will self-resolve.C. Retract the foreskin and cleanse several times daily.D. Refer the family for genetic counseling.B. CORRECT: Hydrocele is fluid in the scrotum andresolves spontaneously in the majority of cases.

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 9 preview image

Not here but related:a nurse is reviewing the lab results of a child who has experienced diarrhea for the past 24 hrs which ofthe following valuesfor urine specific gravity should the nurse expect?1.035a nurse is caring for a child who has suspected nephrotic syndrome. which of the following lab valuesshould the nurse expectserum cholesterol 700-is above the expected range because of increase in plasma lipidsa nurse is caring for a child who has a possible intussusception. the parents of the child ask the nursehow the diagnosis is made. which of the following responses should the nurse make?an abdominal ultrasound will confirm the pocket inthe intestine-confirmed by xray, ct or ultrasounda nurse is providing teaching to the parents of a school age child who has type 1 diabetes aboutmanagement of hypoglycemia. which of the following responses by the parents indicates anunderstanding of the teachingi will make sure my child drinks 240mL of milk asap.-10-15 g of simple carbs will elevate the blood glucose levela home health nurse is developing a plan of care for the parents of a toddler who has hemophillia. whichof the followinginstructions should the nurse include in the plan?inspect the toddlers toys for sharp edgesa nurse is caring for a child who has cystic fibrosis and a pulmonary infection. which of the followingfindings is the nurses priorityinability to clear secretionsA nurse is planning care for a child following a surgical procedure. Which of the following interventionsshould the nurse include in the plan of care?A. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10.B. Administer intranasal analgesics PRN.C. Administer IM analgesics for pain.D. Administer IV analgesics on a schedule.D. CORRECT: IV analgesics should be administered on a schedule to achieve optimal pain management.A nurse is caring for a 4-month-oldinfant who has meningitis. Which

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of the following findings isassociated with this diagnosis?A. Depressed anterior fontanelB. ConstipationC. Presence of the rooting reflexD. High-pitched cryD. CORRECT: The nurse should identify a high-pitched cry as a finding associated with meningitisbetween ages 3 months to 2 years.Tonsillitis-hx of otitis media, hearing difficulties, sore throat w/ swallowing. lab tests throat culture forgroup a strept. preop cbc to assess anemia/infectionsA HCP is caring for a pt who is about to receive gentamicin to treat a systemic infection. The healthcareprofessional should question the use of the drug for a pt who is also taking which of the following drugs?Furosemide (lasix)DiphenhydramineAcetaminphenLevothyroxine (synthroid)Furosemide (lasix)Gentamicin and furosemide are ototoxic drugs.

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PEDS ATI PROCTORED STUDE NOTESHow to PreventSIDS: Safety Tips•Always put your baby to sleep on his back.(supine)•Use a pacifier at sleep time.•Ury swaddling your child.•Haveher sleep in a crib in your room.•Make sure the crib mattress is firm and tight-fittingWBC4-11Serum creatine (kidneys)0.6-1NormalBUN 7-20,elevated BUN means dehydration

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Mg1.5-2.5Rbc4-5Cal9-11Hemoglobin12-18Hemat36-53Bilrubin.2-1.2Bilirubin in new born,below 5.2BP 1-3 years : low 85/45High 117/76Says 3-5 words by 1 yearCheckup 72 hours after discharge from birth-solids after 4-6 months-nocturnal sleep at 4 months-sleep 15 hrs day at 4 monthsSleeps through night 1 year-rear facing car seat till 2 years1-3 years:Chest and head circumferne equal by 2 years3 years, gender identity3 years: rides a tricycle, stands on one foot4 years: jumpes rope, throws ball overhead

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5 years: walks backward heel to toes,throws andcatches easilyAgeGross Motor SkillsFine Motor Skills1 monthDemonstrates head lagHas astrong grasp reflex2 monthsLifts head off mattress when proneHolds hands in open positionGrasp reflex fading3 monthsRaises head & shouldersoffmattress when proneOnly slight head lagNo longer has a grasp reflexKeeps hands loosely open4 monthsRolls from back to sideGrasp objects with both hands5 monthsRolls from front to backUses palmar grasp dominantly6 monthsRollsfrom back to frontHolds bottle7 monthsBears full weight on feet. Sits,leaning forward on both handsMoves objects from hand to hand8 monthsSits unsupportedBegins using pincer grasp9 monthsPulls to a standing position.Creepson hands&knees instead ofcrawlingHas a crudepincergraspDominant hand preference evident10 monthsStands holding furniture.Changesform a prone to sitting positionGrasp rattle by its handle11 monthsStands.Cruises/walks whileholding ontosomething. Walkswith one hand heldPlacesobjects into a containerNeat pincer grasp12 monthsWalks assisted.Sits down form astanding position withoutassistanceTries to build a two-block tower withoutsuccessCan turn pages in a book15monthsWalks without helpUses a cup wellBuilds a tower of two blocks18 monthsRuns clumsily; falls often. Throwsball overhead,Jumpsin place withboth feet, Pulls & pushes toysManages a spoon without rotationTurns pages in a book, two or three at atimeBuilds towers of three or four blocks2 yearsWalks up and down stairsbyplacing both feet on each stepBuilds a tower of 6 or 7 blocksTurns pages of a book one at a time2.5 yearsJumps across the floor and off achair or step withboth feetStands on one foot momentarilyTakes a few steps on tiptoeDraws circlesHas good hand-finger coordination3 yearsRides a tricycleJumps off bottom stepStands on one foot for few seconds4 yearsSkipsand hops on one footThrowsball overheadCatchesball reliably

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5 yearsJumps ropeWalks backward with heel to toeThrows and catches a ball witheaseINFANT ACTIVITIES & TOYS•Rattles•Soft stuffed toys•Teething toys•Nesting toys•Playing pat-a-cake•Playingwith balls•Reading books•Mirrors•Brightly colored toys•Playing with blocksTODDLER ACTIVITIES & TOYS•Filling & emptying containers•Playing with blocks•Looking at books•Push-pull toys•Tossing balls•Finger paints•Large-piece puzzles•Thickcrayons4) When does the firstteeth erupt?Between 6-10 monthsuse pincer grasp–9 monthsuse pincer grasp–9 monthsINFANT:Comprehends “no” by10monthsTODDLER:300 words by age 21 year-usingone-word sentences2 years-using multiwordsentencesby combiningtwo to three words3 years-combining several words to createsimple sentencesusing grammatical rulesPRESCHOOL:KNOWS 2,100 words by age 53-4 years-speak in3 to4 wordsentences4-5 years-speak in 4 to5 wordsentences

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While assessing an infant, the nurse will examine the baby’s back: what is the nurse looking for?Mongolian marks-How is a child’s respiratory system anatomically different from an adult’s?What discharge education would the nurse provide to the family about caring for their child who justhad a tonsillectomy?

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1)No citrus juices, soda, milk, no using straws2)Give ice chipsShorter and narrower airway2. Higher trachea3. Bronchial branching at different anglesSymptoms of croup:1)“barking cough”2)Stridor3)HoarsenessEpiglottitis croup:1)MOST LIFE THREATENING–medical emergency2)Rapid onset, hours, may progress to blocked airway3)NO BARKING COUGH4)CHILD PERFERS UPRIGHT POSITION5)Ages 2-8-resp infections can lead to ear infections-What is cystic fibrosis? How does a child get this disease?An inherited life-threatening disorder that damages the lungs and digestive systemWhat treatment is done to close the ductus arteriosus?•Administer indomethacin or IV/oral ibuprofen if premature infants &no CHF

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2024-2025 ATI Peds Proctored Study Practice Exam with Answers (90 Solved Questions) - Page 17 preview image

What are the signs and symptoms ofcongestive heart failurein achild?•Tachycardia•Gallop rhythm (S3)•Diminished pulsesEdema in hands, feet,•Crackles, rales or rhonchi•What are the most common causes for congestive heart failure in anolder child/adolescent?•In older children/adolescents, caused by acquired heart disease such as:CREM1) cardiomyopathy,2) endocarditis,3) myocarditis,4) rheumatic feverOXYGEN TREATMENT IF NO CONGENITAL DEFECTSMONITOR HEIGHT AND WEIGHT, GROWTH DELAY INDICATES HEART DEFECTWhat is a ventricular septal defect?Ventricular–increased pulmonary•Abnormal connection between right & leftVENTRICLES(Tet) spells—hypercyanotic, caused by crying, feeding, defecatingWhat interventions would a nurse do if a child had a tet spell?•Place infant in knee-chest position

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