ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
A brain abscess is a collection of pus within the substance of the brain and is caused by:
Correct Answer: D
Rationale: A brain abscess can be caused by direct invasion of the brain by microorganisms, spread of infection by other organs (such as the heart or lungs), or spread of infection from nearby sites (such as sinuses or the middle ear). In some cases, multiple mechanisms can contribute to the development of a brain abscess. Therefore, the correct answer is that a brain abscess can be caused by all of the above mechanisms.
Question 2 of 5
A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?
Correct Answer: C
Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.
Question 3 of 5
For a client with low blood volume, what are the implications of decreasing blood pressure and a rapid heart rate?
Correct Answer: D
Rationale: In a client with low blood volume, a decrease in blood pressure and a rapid heart rate can indicate hypovolemia, which is a condition characterized by a decreased volume of circulating blood. This can lead to inadequate perfusion of vital organs, including the kidneys (choice C), as well as other tissues throughout the body. If left unaddressed, severe hypovolemia can progress to shock, a critical condition where there is inadequate blood flow to meet the body's metabolic demands. This can result in organ dysfunction and potentially life-threatening complications. Therefore, the implications of decreasing blood pressure and a rapid heart rate in a client with low blood volume are indicative of hypovolemia and the potential development of shock.
Question 4 of 5
Gender identity disorder (GID) is characterized by intense and persistent cross-gender identification and discomfort with one’s own sex. In early school-age children, the manifestation that is LEAST likely considered as GID is
Correct Answer: D
Rationale: Playing with toys designed for the opposite sex does not necessarily indicate GID, as it is a common exploratory behavior in childhood.
Question 5 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.