ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
A baby, exhibiting no obvious signs of congestive heart failure, has been diagnosed with a small ventricular septal defect. Which of the following information should the nurse explain to the baby's parents?
Correct Answer: B
Rationale: The nurse should explain to the baby's parents that the ventricular septal defect will likely close without therapy. Small ventricular septal defects have a high likelihood of closing on their own as the child grows. Surgical intervention is usually not necessary for small defects, especially when the baby does not exhibit signs of congestive heart failure. It is important for the parents to be aware of the natural course of the defect and to follow up with the healthcare provider for monitoring and management.
Question 2 of 5
A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: Eating breakfast daily is important for maintaining a healthy weight as it kick starts the metabolism and prevents overeating later in the day.
Question 3 of 5
Chemotherapy has a major role in many childhood CNS tumors. In which of the following tumors is chemotherapy not effective?
Correct Answer: A
Rationale: Pilocytic astrocytomas are generally low-grade and less responsive to chemotherapy compared to other listed tumors.
Question 4 of 5
What is an early clinical manifestation of bilirubin encephalopathy in the newborn?
Correct Answer: C
Rationale: An early clinical manifestation of bilirubin encephalopathy in a newborn is lethargy or irritability. Bilirubin encephalopathy, also known as kernicterus, is a serious condition that occurs when high levels of unconjugated bilirubin build up in the brain tissues. Initially, the baby may become lethargic or irritable due to the toxic effects of bilirubin on the central nervous system. As the condition progresses, symptoms may include poor feeding, high-pitched crying, muscle tone abnormalities, and eventually may lead to more severe consequences such as seizures and irreversible neurological damage. Prompt recognition and treatment of bilirubin encephalopathy are crucial to prevent long-term complications.
Question 5 of 5
When assessing a client with a disorder of the hematopoietic or the lymphatic, why is it important for the nurse to obtain a dietary history?
Correct Answer: A
Rationale: When assessing a client with a disorder of the hematopoietic or lymphatic system, obtaining a dietary history is important because compromised nutrition can interfere with the production of blood cells and hemoglobin. Hematopoiesis, the process of blood cell formation, requires adequate nutrition to support the production of red and white blood cells, as well as platelets. Nutrient deficiencies, such as iron, vitamin B12, and folate, can lead to anemia, which affects the oxygen-carrying capacity of red blood cells. Therefore, understanding the client's dietary intake can help the nurse identify any potential deficiencies or excessive intake that may be impacting hematopoiesis.