ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
A nurse is conducting discharge teaching for parents of a newborn. The nurse instructs the parents on which method of care for the umbilical cord? (Select all that apply.)
Correct Answer: B
Rationale: Cleansing the cord with water daily - It is important to keep the umbilical cord clean to prevent infection. Cleaning it with water helps remove any debris or bacteria that may have accumulated.
Question 2 of 5
In teaching a female client who is HIV positive about pregnancy, the nurse would know more teaching is necessary when the client says:
Correct Answer: A
Rationale: Option A indicates a misunderstanding about HIV transmission during pregnancy. In reality, with proper medical care and management during pregnancy and delivery, the risk of transmitting HIV from mother to baby can be significantly reduced but not completely eliminated. The virus can be passed from mother to baby during pregnancy, childbirth, or breastfeeding, but it is not directly from the placenta. This misconception highlights the need for further education and clarification on the modes of HIV transmission from mother to child during pregnancy and delivery. Options B, C, and D all demonstrate understanding and appropriate planning related to HIV and pregnancy.
Question 3 of 5
A child is being admitted to the intensive care unit (ICU) and the parents are with the child. Which creates stressors for children and parents in ICUs? (Select all that apply.)
Correct Answer: A
Rationale: Equipment noise: The noises from medical equipment in the ICU can be loud and continuous, creating a stressful environment for both children and parents. This constant noise can be overwhelming and contribute to feelings of anxiety.
Question 4 of 5
Which refers to a newborn whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?
Correct Answer: D
Rationale: A newborn who is small for gestational age (SGA) refers to a baby whose rate of intrauterine growth was slowed, leading to a birth weight falling below the 10th percentile on intrauterine growth charts. SGA infants are at an increased risk for various health complications due to their smaller size at birth, such as difficulties in regulating body temperature, low blood sugar, and respiratory distress. Postterm refers to a pregnancy that has extended beyond 42 weeks, while postmature refers specifically to a fetus that has been in the womb beyond the expected due date. Low birth weight may refer to a baby born below a certain weight threshold regardless of gestational age.
Question 5 of 5
The nurse is teaching nursing students about shock that occurs in children. What is one of the most frequent causes of hypovolemic shock in children?
Correct Answer: B
Rationale: One of the most frequent causes of hypovolemic shock in children is blood loss. Children are at risk for blood loss due to trauma, surgical procedures, gastrointestinal bleeding, or other conditions that result in significant blood volume reduction. Blood loss leads to a decrease in circulating blood volume, which in turn reduces tissue perfusion and oxygen delivery to vital organs. This results in hypovolemic shock, where the heart is unable to pump sufficient blood to meet the body's needs, leading to organ dysfunction and potentially life-threatening complications. Therefore, recognizing and addressing blood loss promptly is essential in managing hypovolemic shock in children.