PEDS ATI STUDY NOTES
The mom had company what did she tell her child?
dont eat the cookies the guest gets them first
Cystic fibrosis, creatinine or BUN monitor?
low levels of creatinine (normal 0.5-1.0) low BUN (normal 5-18)
a nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. which of the following interventions should the nurse include in the plan
maintain the child on bedrest
A nurse is caring for a child who is postop following a tonsillectomy. which of the following findings is the nurses priority
frequent swallowing
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take first?
give flavored pop cycles
emancipated adolescent want to be screen for STI.
have patient sign conscent form
a nurse is teaching the parents of a 4 month old infant who has gastroesophageal reflux which of the following statements by the parent indicates an understanding of the teaching
i will add 1 tsp of rice cereal per oz to my babys formula
a clinic nurse is providing teaching to the parent of a 1 month old infant who has gastroesophageal reflux. which of the following statements by the parent indicates an understanding of the teaching
i will add rice cereal to my baby's feedings
a nurse is caring for a child who has cystic fibrosis and a pulmonary infection. which of the following findings is the nurses priority
inability to clear secretions
a nurse is reviewing the lab results of a child who has experienced diarrhea for the past 24 hrs which of the following values for urine specific gravity should the nurse expect?
1.035
MMR shot at what age first
12 months
a nurse is assessing a 6 month old infant following a cardiac cath. which of the following findings should the nurse report to the provider
BP of 86/40
indicate protein deficiency?
Dry, thinning hair
osteomyelitis intervention
IV Antibiotic
how to rehydrate patient vomiting for 3 days.
Oral rehydration. Sodium 0.9 IV.
sickle cell teaching parents, signs look for at home
SOB, Headache, dizziness, pain, swollen joints, hands and feet, jaundice, seizures,
epiglottis, what to do first
monitor airway to make sure you can breath
A 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 D E
post tonsillectomy actions
Comfort- Ice collar, keep throat moist, pain meds
Closed fractures what is a warning sign?
Compartment syndrome
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft sponge toothbrush when brushing her teeth
After admin IV gentamacin for menningtits, and what should you monitor
Is and O's
celiac disease menu would have what?
Meats, eggs, OJ,
A nurse is admitting a child who has a cute lymphocyte leukemia. Which of the following laboratory values should the nurse expect?
RBC 2.5 million/uL
preschooler sibling dies.
Sees this as they caused it, or that this is a punishment
A nurse is caring for a child who has a vesicular rash. The parents of the child ask the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions?
Varicella
Warning sign after a Cardiac Cath
Weak pedial pulses
post cardiac cath, report to provider
Weakend pedal pulses bilateral
cystic fibrosis
Wheezing, rhonchi, Dry cough, Ballel shaped chest, clubbing on finger and toes, large frothy stools, thin arms and legs of infant, sweat and tears have sodium and chloride in them
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values?
The infant might be dehydrated
a nurse is providing nutritional teaching to an adolescent client who has celiac disease. which of the following breakfast foods should the nurse recommend?
scrambled eggs
a nurse is caring for a child who has suspected nephrotic syndrome. which of the following lab values should the nurse expect
serum cholesterol 700
2 year old develpment, what woud you report to the provider?
should know more then 30 words
Findings in celiac disease
stetorhea
a nurse is caring for an infant following surgical repair of a cleft lip and palate. which of the following actions should the nurse take?
suction the infant gently with a bulb syringe PRN
therapeutic effect for opiod pain?
titrate till sedation
manifestation of Otis medias
tonislitits
a nurse is assessing a 2 month old infant who has a ventricular septal defect. which of the following findings should the nurse report to the provider
weight gain of 1.8kg (4lbs)-indicates increase fluid and worsening of the childs heart failure
Word graphic rating scale
14-17
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hours to a school-age child who weighs 50 lb. Available is diphenhydramine oral solution 12.5mg/5ml. How many ml should the nurse administer per dose?
15ml
when can patient come off precautions for menninggits.
24 after antibiotics. Negative blood culture.
A nurse is planning care for a child following a surgical procedure. Which of the following interventions should 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.
Administer IV analgesics on a schedule
when can child with varicella come off droplet precautions.
After lesions have scabbed
a nurse at a clinic is preparing to administer immunizations to a 5 yr old child. which of the following immunizations should the nurse plan to give
DTaP between 4-6 years old
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
a nurse is assessing the pain level of a 3 year old child who is postop following abdominal surgery. which of the following pain scales should the nurse use
FACES
A HCP is caring for a pt who is about to receive gentamicin to treat a systemic infection. The healthcare professional should question the use of the drug for a pt who is also taking which of the following drugs? Furosemide (lasix) Diphenhydramine Acetaminphen Levothyroxine (synthroid)
Furosemide Lasix
a nurse is teaching parents of a 10 year old child who has iron deficiency anemia. which of the following statements by a parent indicates an understanding of the teaching
Give with orange juice
A nurse is caring for a 4-month‑old infant who has meningitis. Which of the following findings is associated with this diagnosis? A. Depressed anterior fontanel B. Constipation C. Presence of the rooting reflex D. High-pitched cry
High pitched cry
A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? 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.
Hydrocele is fluid in the scrotum andresolves spontaneously in the majority of cases.
a nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. which of the following responses by the adolescent indicates an understanding of the teaching
I can take my brace off for about an hour daily to shower
A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the following actions should the nurse take?
Monitor the infant's head circumference
Atraumatic care IM injection?
Pacifier with sucrose before injection, no in bed, offer choices,
(Tet) spells—hypercyanotic, caused by crying, feeding, defecating What interventions would a nurse do if a child had a tet spell?
Place infant in knee-chest position
gas inhale, findings.
Polyuria
A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take?
Prepare the child for a barium enema
A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find?
RBC 6.8 million/uL
patient has 10% burn on body, finding report to provider.
Urine output 35ml/hr
90/90 skeletal traction after scoliosis surgery.
Use two people to turn patient
A nurse is checking the vital signs of a 3‑year‑old child during a well‑child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2˚ C (99.0˚ F) B. Heart rate 106/min C. Respirations 30/min D. Blood pressure 88/54 mm Hg
Respirations 30/min
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
Serum cholesterol 700mg/d
A nurse is caring for a 10‑year‑old child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. Serum BUN 8 mg/dL B. Serum creatinine 1.3 mg/dL C. Blood pressure 100/74 mm Hg D. Urine output 550 mL in 24 hr
Serum creatinine 1.3 mg/dL is out
Encopresis
Sit on a toilet for 15 minutes after meals
5 year old up to date with current immunizations get what at 5
VARICELLA Others: dtap. Mmr, ipv
Expected findings of appendicitis
abdominal pain, periumbilical or epigastric pain migrating to the right lower quadrant (RLQ) of the abdomen.
a nurse is caring for a child who is in the ER after ingesting a bottle of acetaminophen which of the following meds should the nurse plan to give
acetylcysteine
a nurse is caring for a child who has a possible intussusception. the parents of the child ask the nurse how the diagnosis is made. which of the following responses should the nurse make?
an abdominal ultrasound will confirm the pocket in the intestine-confirmed by xray, ct or ultrasound
Dornase alfa (pulmozyme)
decreases viscosity of mucus and improves lung function. use once daily.
enteral feedings
flush tube or check gastric residual
a nurse is providing teaching to the parents of a school age child who has type 1 diabetes about management of hypoglycemia. which of the following responses by the parents indicates an understanding of the teaching
i will make sure my child drinks 240mL of milk asap
A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. which of the following dietary recommendations should the nurse make
increase the childs protein intake
Pt comes in with submersion injury, priority action.
incubation
a nurse is assessing a toddler who has measles (rubeola) where of the following findings should the nurse expect Koplik spots.
inside the mouth
a home health nurse is developing a plan of care for the parents of a toddler who has hemophillia. which of the following instructions should the nurse include in the plan?
inspect the toddlers toys for sharp edges
Meckle Diverticulum options for colostomy resolves with what?
laproscopic surgery
What do you do if they have a vest
lift with a draw sheet
home safety teaching
low bed crib rails up
a nurse is teaching the parents of a child who has rheumatic fever. which of the following statements by a parent indicates an understanding of the teaching
my child may take aspirin, Naproxin or NSAIDS for his joint pain
diaper rash treatment
nystatin
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?
only knows 30 words
What are the clinical manifestations of Kawasaki disease?
• Red eyes w/out drainage • Bright red chapped lips • Strawberry tongue w/white coating or red bumps
