ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:
Correct Answer: B
Rationale: In a client with esophageal cancer who is experiencing difficulty swallowing, maintaining a patent airway is the highest priority. The client is at risk for aspiration due to the compromised ability to swallow, which could lead to respiratory distress, choking, or aspiration pneumonia. Adequate oxygenation is essential for the client's survival and must be addressed as the priority issue. While coping with body image, preventing injury, and ensuring nutrition are important aspects of care, they are secondary to ensuring the client's airway remains open and clear to prevent respiratory complications.
Question 2 of 5
A client with lung cancer develops Homer's when the tumor invades the ribs and affects the sympathetic nerve ganglia. When assessing for signs and symptoms of this syndrome, the nurse should note:
Correct Answer: A
Rationale: Homer's syndrome, also known as Horner's syndrome, is a rare condition that occurs when the sympathetic nerve supply to the eye and face is disrupted. In the case of lung cancer invading the ribs and affecting the sympathetic nerve ganglia, it can lead to Homer's syndrome. The classic triad of symptoms in Homer's syndrome includes miosis (constriction of the pupil), partial eyelid ptosis (drooping of the upper eyelid), and anhidrosis (lack of sweating) on the affected side of the face. These symptoms result from the disruption of sympathetic nerve pathways affecting the pupillary dilator muscle, the Müller muscle responsible for eyelid elevation, and sweat glands on one side of the face. Therefore, when assessing for signs and symptoms of Homer's syndrome in this client, the nurse should focus on looking for these specific manifestations.
Question 3 of 5
At health fair, an oncology nurse answers questions about risk factors for various types of cancer. One person with a family history of colon cancer asks the nurse to identify risk factors for this type of cancer. The nurse should identify:
Correct Answer: B
Rationale: Obesity is a known risk factor for colon cancer. Studies have shown that individuals who are obese have an increased risk of developing colon cancer compared to those who are of normal weight. The excess fat tissue, particularly around the abdomen, can lead to chronic inflammation and hormonal changes in the body, which can contribute to the development of cancer cells. It is essential for individuals with a family history of colon cancer to be mindful of maintaining a healthy weight as part of their overall cancer prevention strategies. Smoking, heavy alcohol consumption, and saccharin consumption are not identified as primary risk factors for colon cancer.
Question 4 of 5
To combat the most common adverse effects of chemotherapy, the nurse would administer an:
Correct Answer: A
Rationale: The most common adverse effects of chemotherapy include nausea and vomiting, which can significantly impact the patient's quality of life. An antiemetic is a medication specifically designed to prevent or alleviate nausea and vomiting. By administering an antiemetic, the nurse can help manage these distressing side effects and improve the patient's overall comfort during chemotherapy treatments. Antibiotics are not typically used to combat the side effects of chemotherapy, and antimetabolites and anticoagulants do not address nausea and vomiting associated with chemotherapy.
Question 5 of 5
A client with cancer that has metastazised to the liver is started on chemotherapy- His physician has specified divided doses of the antimetabolite. The client asks why he could take the drug in divided doses. The appropriate response is:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.