ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
A client is receiving chemotherapy to treat breath cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
Correct Answer: A
Rationale: Chemotherapy can cause fluid and electrolyte imbalances in the body, leading to potential kidney damage and altered urinary output. A low urine output of 400 ml in 8 hours could indicate dehydration or impaired renal function, both of which can be induced by chemotherapy. Monitoring urine output is crucial in assessing the patient's fluid balance and kidney function during chemotherapy. It is essential to identify and address such imbalances promptly to prevent complications.
Question 2 of 5
The nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority?
Correct Answer: B
Rationale: In caring for a client with bronchogenic carcinoma, the highest priority nursing diagnosis would be Ineffective airway clearance related to obstruction by a tumor or secretions. This is crucial because any blockage in the airway can lead to serious respiratory complications, such as respiratory distress or respiratory failure. Ensuring effective airway clearance is essential to maintain adequate oxygenation and ventilation for the client. Addressing this priority nursing diagnosis promptly can help prevent potential life-threatening situations and promote optimal respiratory function for the client.
Question 3 of 5
A form of cancer therapy wherein a beam of high-energy electromagnetic radiation desires the cancer ceils?
Correct Answer: B
Rationale: Radiation therapy is a form of cancer treatment that uses a beam of high-energy electromagnetic radiation to target and destroy cancer cells. The high-energy radiation damages the DNA in cancer cells, causing them to die or be unable to multiply. By precisely targeting the tumor with these radiation beams, radiation therapy helps to minimize damage to surrounding healthy tissues. This form of therapy is an essential component in the treatment of many types of cancer, either alone or in combination with surgery, chemotherapy, or other treatments.
Question 4 of 5
After surgery the nurse notes that the patient's urine is dark amber and concentrated. Which of the following does the nurse understand may be the reason for this?
Correct Answer: A
Rationale: The sympathetic nervous system saves fluid in response to the stress of surgery, leading to the urine becoming dark amber and concentrated. During stressful events such as surgery, the body activates the sympathetic nervous system as part of the fight-or-flight response. One of the functions of the sympathetic nervous system in this situation is to conserve fluids in the body by reducing urine output. This results in more concentrated urine, often appearing dark amber in color. Conversely, the parasympathetic nervous system is not typically involved in conserving fluid during stress responses.
Question 5 of 5
Which of the following signs indicates to the nurse that digoxin (Lanoxin) has been effective for a patient?
Correct Answer: C
Rationale: Digoxin is a medication commonly used to treat heart failure and certain types of irregular heart rhythms. One of the therapeutic effects of digoxin is an improvement in cardiac output, leading to better tissue perfusion. As the heart's pumping ability improves, blood flow to the kidneys also increases, resulting in an increase in urine output. Therefore, an increase in urine output is a positive indication that digoxin is effective for the patient. Monitoring urine output can be a valuable way for nurses to assess the response to digoxin therapy and the overall cardiac function of the patient.