ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
A nurse is preparing an IM injection of prednisolone acetate, 30 mg. It is supplied as 50 mg/mL. How many mL should the nurse prepare?
Correct Answer: A
Rationale: To calculate the volume of medication needed, we can use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, the nurse needs to prepare 30 mg of prednisolone acetate, which is supplied in a concentration of 50 mg/mL.
Question 2 of 5
While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?
Correct Answer: B
Rationale: Acrocyanosis is a normal finding in newborns, characterized by bluish discoloration of the hands and feet due to immature circulation. It usually resolves on its own within 24 hours after birth and does not require any intervention. It is essential for the nurse to recognize this normal physiological process to avoid unnecessary interventions. Activating the code blue system, taking the newborn's temperature immediately, or notifying the physician of the need for a cardiac consult is not indicated in this scenario because acrocyanosis is a benign condition in neonates.
Question 3 of 5
The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching?
Correct Answer: C
Rationale: The correct statement indicating that the parents have understood the teaching is: "The red blood cell count should begin to improve with these injections." Recombinant human erythropoietin (rHuEPO) is a hormone used to stimulate red blood cell production in patients with chronic renal failure. By increasing red blood cell production, rHuEPO can help combat anemia, a common complication of chronic renal failure. Therefore, the improvement of the red blood cell count is an expected outcome of administering rHuEPO injections in patients with chronic renal failure. The other statements are not accurate regarding the effects of rHuEPO injections.
Question 4 of 5
A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:
Correct Answer: B
Rationale: Duchenne muscular dystrophy typically presents in early childhood with difficulty rising from a seated position (Gower's sign), calf muscle hypertrophy, and Trendelenburg gait.
Question 5 of 5
The nurse is caring for a school-age child with a tinea capitis (ringworm) infection. What should the nurse expect the therapeutic management of this child to include?
Correct Answer: A
Rationale: The nurse should expect the therapeutic management of a school-age child with tinea capitis to include administering oral griseofulvin. Griseofulvin is an antifungal medication commonly used to treat fungal infections like tinea capitis. Topical or oral antibiotics are not effective in treating fungal infections. Applying topical sulfonamides is also not a recommended treatment for tinea capitis. Burow solution compresses are used to provide relief for inflammatory skin conditions and are not specific treatments for fungal infections like tinea capitis.