ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
A nurse needs to assess a client who is undergoing urinary diversion. Which of the ff assessment is essential for the client?
Correct Answer: C
Rationale: The essential assessment for a client undergoing urinary diversion is the client's knowledge about the effects of the surgery on his nervous control. Urinary diversion is a surgical procedure that involves redirecting urine flow from the bladder to a new exit point in the body due to bladder cancer, birth defects, or other medical conditions. Understanding the effects of the surgery on nervous control is crucial as it can impact the client's ability to control urination and bowel movements post-surgery. Educating the client about these effects will help in managing expectations and in planning for any necessary adjustments to their lifestyle and daily routine. It is important for the nurse to assess the client's level of understanding and provide appropriate education and support regarding nervous control changes that may result from the procedure.
Question 2 of 5
The dietary practice that will help a client reduce the dietary intake of sodium is
Correct Answer: C
Rationale: The dietary practice that will help a client reduce the dietary intake of sodium is avoiding the use of carbonated beverages. Carbonated beverages, such as sodas, contain high amounts of sodium that can contribute to increased sodium intake. By avoiding carbonated beverages, the client can effectively reduce their overall sodium consumption. Increasing the use of dairy products, using artificial sweeteners in coffee, and using catsup for cooking and flavoring food do not specifically address the reduction of sodium intake in the same way that avoiding carbonated beverages does.
Question 3 of 5
Postural Hypotension is A drop in systolic pressure less than 10 mmHg when patient changes position from lying to sitting.
Correct Answer: A
Rationale: Postural hypotension, also known as orthostatic hypotension, refers to a drop in blood pressure when a person stands up from a sitting or lying position. The usual criteria for diagnosing postural hypotension is a drop in systolic blood pressure of 20 mmHg or more or a drop in diastolic blood pressure of 10 mmHg or more within 3 minutes of standing up.
Question 4 of 5
Why should the nurse closely monitor older adults when they are receiving IV therapy? Choose all that apply
Correct Answer: E
Rationale: Older adults should be closely monitored when receiving IV therapy because their defense mechanisms are less efficient (A) as they age, making them more susceptible to infections and complications from invasive procedures like IV therapy. Additionally, older adults are prone to reduced renal efficiency (C), which can affect their ability to excrete excess fluids and electrolytes properly. Monitoring for signs of fluid overload and renal impairment is crucial in this population to prevent adverse outcomes related to IV therapy.
Question 5 of 5
Which of the following communication methods is not an option for a patient following laryngectomy surgery?
Correct Answer: B
Rationale: Following laryngectomy surgery, the larynx (voice box) is removed, making it impossible for the patient to produce sound for speech. The options listed are alternative communication methods for patients post-surgery, except for using a picture board. Placing a finger over the stoma can help redirect air for speech, using a special valve can help divert air for speech as well, and learning esophageal speech involves speaking by swallowing air into the esophagus and then releasing it to create sound. Picture boards are not a common method of communication for patients following laryngectomy surgery.