ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
A 45-year-old patient has a long- standing history of allergies to pollen. Which of the following actions indicates that the patient does not understand how to control this disease?
Correct Answer: C
Rationale: Driving in the car with the windows open is not a recommended action for someone with allergies to pollen. Keeping the windows closed while driving can help minimize exposure to pollen particles in the air. By driving with the windows open, the individual is increasing their exposure to pollen and not effectively controlling their allergy symptoms. Staying indoors on dry, windy days (Choice A), refusing to walk outside in the spring (Choice B), and working in the garden on sunny days (Choice D) are all actions that demonstrate understanding of how to control allergies to pollen by avoiding potential triggers.
Question 2 of 5
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:
Correct Answer: B
Rationale: Standard precautions are guidelines put in place to prevent the transmission of infectious agents. When caring for a client with AIDS, it is important for the nurse to wear gloves when providing mouth care to prevent the transmission of any potential infectious agents through contact with the client's saliva or blood. Maintaining strict isolation, keeping the client in a private room, or wearing a gown when delivering the client's possible food tray are not necessary as part of standard precautions for a client with AIDS.
Question 3 of 5
The nurse is preparing to administer a unit of blood to a client's who's anemic. After its removal from the refrigerator, the blood should be administered within:
Correct Answer: B
Rationale: After blood is removed from the refrigerator, it should be administered within 4 hours. Blood should be stored in a controlled temperature environment to prevent bacterial growth and to maintain its effectiveness. In order to minimize the risk of bacterial contamination, it is important for the nurse to adhere to the recommended time frame for administering blood products. Administering the blood within 4 hours helps ensure its safety and effectiveness for the client.
Question 4 of 5
A client with acquired immunodeficiency syndrome (AIDS) is admitted with Pneumocystis carinii pneumonia. During a bath, the client begins to cry and says that most friends and relatives have stopped visiting and calling. What should the nurse do?
Correct Answer: C
Rationale: It is important for the nurse to listen and show interest as the client expresses their feelings in this situation. The client's emotional distress is a valid response to feeling abandoned by friends and family during a difficult time. By providing a supportive and empathetic presence, the nurse can help the client feel valued and understood, promoting emotional well-being and potentially increasing the client's sense of comfort and trust in the healthcare setting. This approach validates the client's feelings and fosters therapeutic communication, which is crucial in providing holistic care to individuals with complex health needs such as AIDS and Pneumocystis carinii pneumonia. It is essential to acknowledge and address the client's emotional needs in addition to their physical care.
Question 5 of 5
A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?
Correct Answer: C
Rationale: Lymphangiography is a procedure in which a contrast dye is injected into the lymphatic vessels to help identify abnormalities. One harmless, temporary change that a client may experience after lymphangiography is the passing of bluish urine. This happens as a result of the contrast dye being excreted in the urine, causing it to temporarily change color. It is important for the nurse to inform the client about this possibility to prevent unnecessary worry or concern after the procedure. No concerns are associated with purplish stools, redness of the upper part of the feet, or coldness of the soles after a lymphangiography.