ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT
Correct Answer: B
Rationale: Hypernatremia is not typically associated with tumor lysis syndrome, whereas hyperuricemia, hyperkalemia, and hyperphosphatemia are common.
Question 2 of 5
Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT
Correct Answer: C
Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.
Question 3 of 5
A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?
Correct Answer: D
Rationale: Diabetic ketoacidosis (DK
A) is a potentially life-threatening complication of diabetes characterized by hyperglycemia, ketosis, and metabolic acidosis. The initial treatment for DKA requires correcting dehydration and electrolyte imbalances. Normal saline infusion is the preferred choice for initial fluid resuscitation in patients with DKA to address dehydration and restore intravascular volume. It helps improve organ perfusion and correct electrolyte imbalances such as hyponatremia and dehydration commonly seen in DKA patients. Administering normal saline helps replace lost fluids and improve circulation, which is crucial in the management of DKA. Potassium infusion may be needed later to replete potassium levels once the patient's kidney function has been assessed. NPH insulin infusion is not the initial treatment for DKA, although insulin therapy is an essential component of DKA management. 5% dextrose infusion is contraindicated in the initial treatment
Question 4 of 5
Which information could be given to the parents of a 12-month-old child regarding appropriate play activities?
Correct Answer: A
Rationale: At 12 months of age, children are generally starting to become more mobile and interested in exploring their surroundings. Large push-pull toys are a great option for encouraging physical activity and helping with gross motor skills development. These toys can help the child practice walking, crawling, and hand-eye coordination. Push-pull toys also provide kinetic stimulation which is important for the child's overall physical development at this age. Other play activities mentioned in the options, such as finger paints or cradle gym, may be suitable for older children as they require more fine motor skills and coordination. Stick horse, on the other hand, is more appropriate for older children who have better developed gross motor coordination.
Question 5 of 5
Which is an important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS)?
Correct Answer: C
Rationale: An important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS) is to wait to brush teeth until lesions are sufficiently healed. This is because brushing teeth while the lesions are present can be painful and potentially disruptive to the healing process. It is important to ensure that the child is comfortable and that the healing of the lesions is not impeded by brushing too early. This consideration helps promote optimal healing and comfort for the child with this condition.