ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
A client is being returned to the room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?
Correct Answer: C
Rationale: Following a subtotal thyroidectomy, there is a risk of airway compromise and difficulty breathing due to the close proximity of the surgical site to the trachea. In case of swelling or other complications leading to airway obstruction, having a tracheostomy set readily available at the client's bedside is crucial for quick and efficient management of any respiratory distress. This equipment allows the healthcare team to establish a secure airway if needed, ensuring the client's safety and minimizing the risk of respiratory compromise post-operatively. The other equipment choices are important but having a tracheostomy set is the most critical for this particular situation to address potential airway issues promptly.
Question 2 of 5
During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?
Correct Answer: C
Rationale: Significant head lag in an 8-month-old infant can be a concerning sign indicating potential developmental delays or muscle weakness. The most appropriate action for the nurse in this situation is to refer the child for further evaluation by a healthcare provider, such as a pediatrician or developmental specialist, to assess and address the underlying cause of the head lag. It is important to rule out any potential developmental issues early on to provide the necessary interventions and support for the infant's optimal growth and development.
Question 3 of 5
A 45-year old female diabetic is displaying signs of irritability and irrational behavior during an office visit. The nurse observes visible tremors in the client's hands. based on the client's history and the nurse's understanding of diabetes mellitus, the nurse interprets these findings to be signs of:
Correct Answer: D
Rationale: The signs of irritability, irrational behavior, and visible tremors in the hands observed in the 45-year old female diabetic suggest hypoglycemia. Hypoglycemia occurs when blood sugar levels drop below normal levels, causing the body and brain to receive inadequate fuel. This leads to symptoms like irritability, irrational behavior, and tremors, which are signs of the brain not receiving enough glucose for proper functioning. In diabetic patients, particularly those on medications like insulin or certain oral hypoglycemic agents, hypoglycemia can occur if they take too much medication, skip meals, or engage in excessive physical activity without adjusting their treatment regimen. Immediate treatment for hypoglycemia usually involves consuming a rapid source of sugar, such as glucose tablets, juice, or candy, to quickly raise blood sugar levels back to normal range.
Question 4 of 5
A client is being returned to the room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?
Correct Answer: C
Rationale: Following a subtotal thyroidectomy, there is a risk of airway compromise and difficulty breathing due to the close proximity of the surgical site to the trachea. In case of swelling or other complications leading to airway obstruction, having a tracheostomy set readily available at the client's bedside is crucial for quick and efficient management of any respiratory distress. This equipment allows the healthcare team to establish a secure airway if needed, ensuring the client's safety and minimizing the risk of respiratory compromise post-operatively. The other equipment choices are important but having a tracheostomy set is the most critical for this particular situation to address potential airway issues promptly.
Question 5 of 5
An infant with bladder exstrophy has had a continent urinary reservoir placed. Which discharge instruction should be included?
Correct Answer: B
Rationale: Children with urologic malformations are prone to latex allergies; parents should be advised to avoid latex exposure.