ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
Mrs. Santos, a 75-year old patient with type II diabetes is in emergency department with signs of hyperglycemic, hyperosmolar nonketotic (HHNK) coma. What assessment finding should the nurse expect?
Correct Answer: C
Rationale: In a patient with hyperglycemic, hyperosmolar nonketotic coma (HHNK), the high blood glucose levels lead to osmotic diuresis, causing excessive urination and subsequent dehydration. Dehydration can manifest as symptoms such as dry mucous membranes, poor skin turgor, decreased urine output, increased heart rate, and low blood pressure.
Therefore, the nurse should expect to find signs of severe dehydration in a patient with HHNK coma. The other options listed are not typical assessment findings associated with HHNK coma.
Question 2 of 5
A male client age 78, complaints of dizziness, especially when he stands up after sleeping or sitting. The client also informs the nurse that he periodically experiences nosebleeds and blurred vision. Which of the ff conditions should the nurse assess for the client?
Correct Answer: A
Rationale: The client's symptoms of dizziness upon standing up, along with nosebleeds and blurred vision, are suggestive of postural hypotension. Postural hypotension, also known as orthostatic hypotension, is a drop in blood pressure that occurs when a person stands up from a sitting or lying position. This drop in blood pressure can lead to symptoms such as dizziness, lightheadedness, blurred vision, and in some cases, nosebleeds. It is more common in older adults, like the 78-year-old male client in this scenario.
Therefore, the nurse should assess for postural hypotension in this client to manage his symptoms and prevent complications.
Question 3 of 5
The Denver II assesses the development of children from birth to 6 years of age, it includes the following domains EXCEPT
Correct Answer: B
Rationale: The Denver II does not specifically assess intelligence.
Question 4 of 5
What is a psychological effect of being obese during adolescence?
Correct Answer: B
Rationale: The psychological effect of being obese during adolescence often includes a poor body image. Adolescence is a critical period for body image development, and being obese can lead to negative perceptions about one's appearance and self-worth. Individuals who are obese may experience low self-esteem, perpetuated by societal stereotypes and stigmas surrounding body weight. This poor body image can contribute to mental health issues such as depression and anxiety, as well as impact social relationships and overall well-being during this crucial stage of development.
Question 5 of 5
The nurse is caring for a school-age child with a tinea capitis (ringworm) infection. What should the nurse expect the therapeutic management of this child to include?
Correct Answer: A
Rationale: The nurse should expect the therapeutic management of a school-age child with tinea capitis to include administering oral griseofulvin. Griseofulvin is an antifungal medication commonly used to treat fungal infections like tinea capitis.
Topical or oral antibiotics are not effective in treating fungal infections. Applying topical sulfonamides is also not a recommended treatment for tinea capitis. Burow solution compresses are used to provide relief for inflammatory skin conditions and are not specific treatments for fungal infections like tinea capitis.