Download Pediatric Proctored ATI LATEST 2025 EXAM WITH 150+ QUESTIONS AND VERIFIED ANSWERS and more Exams Pediatrics in PDF only on Docsity!
Pediatric Proctored ATI LATEST 2025 EXAM
WITH 150+ QUESTIONS AND VERIFIED
ANSWERS
Infant/children Vital signs - correct answer>>Everything is higher EXCEPT blood pressure (Infant) temp. 99 Pulse: 80- 180 RR: 30-35 bpm BP: 65-80/40- 50 Does not increase significantly until they are much older Fontanels - correct answer>>- Flat and soft
- Posterior fontanel closes within 6-8 weeks of age
- Anterior fontanel closes 12-18 months Teething: - correct answer>>Should have 6-8 teeth by 1 year Ends up with 20 baby teeth and 32 adult First teeth erupt by 6-8 months
Moro reflex - correct answer>>Infant reflex where a baby will startle in response to a loud sound or sudden movement (Fall backward) Tonic Neck Reflex - correct answer>>turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the opposite side Birth to 3-8 months Babinski Reflex - correct answer>>Reflex in which a newborn fans out the toes when the sole of the foot is touched First year Baby's birth weight - correct answer>>Double: 6 months Triple: 12 months Infant height - correct answer>>1 inch (2.5 cm) for first 6 months of life 12 months: Birth length increased by 50% Head lag - correct answer>>By 3 months old - baby should only have SLIGHT____________ 4 months - correct answer>>Reaches out to people;
Neat pincer grasp 12 months - correct answer>>attempt 2 block tower - without success Piaget Birth - 24 months - correct answer>>Senorimotor stage Idea of object perminence; 9 months
- know the object exists even though they cannot see it Speaking by 1 year: - correct answer>> 3 - 5 words Separation Anxiety - correct answer>> 4 - 8 months Stranger fear - correct answer>> 6 - 8 months Activities for infants up to 1 year - correct answer>>- Patty cake
- Blocks
- Rattles
- Bright colored toys 2 month visit - correct answer>>2nd hep B IPV RV PCV
DTAP
Hib 3 month visit - correct answer>>IPV RV PCV DTAP Hib 6 months visit - correct answer>>IPV RV PCV DTAP Hib and hep B Flu shots start: - correct answer>>6 months and 1 year Foods for the first 6 months - correct answer>>ONLY breast milk No juice or water for 1st year Introducing new foods - correct answer>>1 at a time over 4-7 days (checking for allergies)
Age appropriate activities for toddlers - correct answer>>- Filling and emptying containers
- Playing with blocks
- Looking at books
- Push-pull toys
- Tossing balls
- Finger paints
- Large-piece puzzles
- Thick crayons 12 - 15 months visit - correct answer>>IPV PCV MMR Varicella Hib 12 - 23 month visit - correct answer>>Hep A 15 - 18 month visit - correct answer>>DTAP Flu vaccine Nutrition - correct answer>>Birth-1: breast milk 1 - 2: full fat milk (whole) 2: Low-fat milk
Limit juice 4-6 oz/day Choking hazards: nuts, grapes, raw carrots, peanut butter, tough meat, popcorn Height in preschool children - correct answer>>2.5 - 3.5 in/year Gross-motor skills preschool - correct answer>>3 years:
- Ride tricycle Jump off bottom step 4 years:
- Skip/hop on 1 foot
- Throw ball over head 5 years:
- Jump rope Piaget Intuitive thought - correct answer>>Age 4 Preschoolers; magical thinking
- think something they did can cause something to happen based on what they did
- Think inanimate objects are alive (doll, stuffed animal) has feelings and does things
Permanent Teeth - correct answer>>School age children (6 years) Piaget Concrete operation - correct answer>>Able to see perspective of others vs. egocentric Erikson's School Age - correct answer>>industry vs inferiority (6-11)
- Meaningful contribution to society
- Competitive/cooperative play Appropriate activities for school age children - correct answer>>- Hop scotch
- Jump Rope
- Board games
- Bicycles
- Organized sports 11 - 12 years visit - correct answer>>DTAP HPV (series of 3) School age children Sleep - correct answer>>9 hours Female maturation - correct answer>>First: breast development Then:
- pubic hair growth
- axillia hair
- Menstration Male Maturation - correct answer>>First: testes enlarge Then:
- pubic hair
- facial hair
- voice changing Piaget Adolescence - correct answer>>Formal operation Erikson: Adolescence - correct answer>>identity vs role confusion 16 - 18 year visit - correct answer>>Menningicoccal vaccine Medication Administration; Infant/child - correct answer>>- Oral route is preferred
- Smallest measuring device
- Do not mix with bottle because if they do not finish bottle they will not get all the medication
- Insert medication into side of mouth, hold cheeks together, stroke mouth Instilling Ear Drops - correct answer>>Less than 3 years: Pull pinna down and straight back
2.5 hours before deep puncture After placement - place ecclusive dressing Clean skin before procedure Toddler; playing - correct answer>>"parallel play" Will play along side another child but not with them Preschoolers; associative play - correct answer>>Playing with other children - not organized School age; cooperative play - correct answer>>Play in groups; more organized Types of grief - correct answer>>- Normal
- Anticipatory
- Complicated (longer than 1 year
- Disenfranchised Toddler; Death and dying - correct answer>>Toddlers do not have a concept of death and dying
- May mimic parent's emotions and can regress
- Think death is temporary
- Magic Thinking School age; Death and dying - correct answer>>Pretty much adult understanding May exhibit fear through uncooperative behavior Menningitis - correct answer>>Viral: More supportive care Bacterial: Life sustaining; more risk Vaccines: HPV and Hib s/s: photophobia, n/v, irritability, headache infants: seizure risk, high pitch cry, bulging fontanels (late sign) 2 years + is Indicative: Positive Brudzinski sign (flex head, extremities also flex) & positive Kernigs sign Bacterial Menningitis; test results - correct answer>>Cloudy Elevated WBC Elevated protein
- Seizure precautions
- Monitor for ICP Signs of ICP - correct answer>>Infants:
- Bulging fontanels
- Increased head circumference
- High pitched cry
- Bradycardia
- Resp changes Children:
- Irritability
- Headache
- n/v
- Seizures
- Bradycardia
- Resp changes Reye's syndrome - correct answer>>- Liver dysfunction
- Cerebral edema Associated with giving aspirin for fever Follows viral illness
AST and ALT (elevated), ammonia elevated, liver biopsy, CSF tap Seizure diagnosis - correct answer>>EEG Do not have caffeine before EEG - wash hair Seizure precautions - correct answer>>Pad side of bed Suction and oxygen ready plus all other precautions Post Seizure - correct answer>>- Vital signs
- Neuro check
- Side lying
- Do not offer food/liquid until know swallow reflex is back Might administer:
- carbamezipine
- Valproic acid
- phenytoin
- diazepam ICP signs - correct answer>>First sign; irritability
To place a tube and release pressure/fluid Tubes:
- fall out on their own
- Alert dr when they fall out
- do not get ears wet with tubes in place Metered dose inhaler - correct answer>>- Shake 5-6 times
- Spacer helps
- Take deep breath, exhale
- Press inhaler and take slow deep breath
- Hold breath for 5-10 seconds
- Exhale chest physiotherapy (CPT) - correct answer>>Group of therapies used to mobilize pulmonary secretions Precussion and vibration Schedule 1 hour before or 2 hours after meals Administer bronchodilator before procedure Hypoxemia - correct answer>>- Tachycardia
- Restlessness
- Nasal flaring
- Use of accessory muscles Tonsillectomy; nursing interventions - correct answer>>- Keep in side lying position post-op
- Assess for bleeding (frequent swallowing/clearing of throat)
- Administer clear fluid after gag reflex returned
- Avoid citrus and milk products
- Discourage coughing, throat clearing, and blowing nose
- Avoid red fluids
- Limit strenuous activity
- Recovery 2 weeks Bacterial Epiglottitis - correct answer>>- Drooling, horseness, high fever, difficulty swallowing/speaking DO NOT EVER put anything in their troat - causes airway to close up Have intubation kit ready Peak flow meter - correct answer>>- Zero out machine
- Put lips around tube
- blow OUT hard and fast
- Three times
- take HIGHEST value of the 3
