ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
A 16-year-old male with cystic fibrosis is hospitalized for 2 weeks for IV antibiotics. Which action will most enhance his psychosocial development?
Correct Answer: B
Rationale: Peer interactions are crucial during adolescence; having friends visit helps him feel connected and 'normal.'
Question 2 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 3 of 5
During the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which statement?
Correct Answer: A
Rationale: Eric's change in behavior from crying inconsolably and refusing staff attention to now appearing settled and unconcerned about his parents leaving indicates that he has successfully adjusted to the hospital environment. This adaptation is a positive sign that Eric has become more comfortable with his surroundings and has developed a sense of security within the hospital setting. As a result, the nurse can interpret this change as Eric successfully acclimating to his new environment.
Question 4 of 5
Which best describes acute glomerulonephritis?
Correct Answer: B
Rationale: Acute glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly Group A beta-hemolytic streptococcal infection such as strep throat or impetigo. The infection triggers an abnormal immune response leading to inflammation of the glomeruli in the kidneys. This inflammation impairs the kidneys' ability to filter waste and excess fluids from the blood, resulting in symptoms such as hematuria (blood in urine), proteinuria (protein in urine), hypertension, and edema. Other causes such as renal vascular disorders, structural anomalies of the genitourinary tract, or urinary tract infections are not typically linked to acute glomerulonephritis.
Question 5 of 5
A preterm newborn requires oxygen and mechanical ventilation. Which complications should the nurse assess for?
Correct Answer: A
Rationale: Preterm newborns who require oxygen and mechanical ventilation are at risk for developing bronchopulmonary dysplasia (BPD) and pneumothorax. BPD is a chronic lung disease that can occur in premature infants who have been on mechanical ventilation and supplemental oxygen. Pneumothorax is another common complication in preterm newborns due to the fragility of their lungs. Therefore, the nurse should closely monitor for signs and symptoms of these complications in a preterm newborn requiring oxygen and mechanical ventilation.