ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
Question 2 of 5
A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
Correct Answer: A
Rationale: Milia are small, whitish, pinpoint spots that commonly occur in newborns due to retained sebaceous secretions in the skin. They are commonly seen on the nose and can also appear on the cheeks and chin. Milia are not indicative of any illness and tend to disappear on their own without any treatment. They are a benign and temporary skin condition in newborns.
Question 3 of 5
Which of the ff are the most significant symptoms of Hodgkin's disease category B? Choose all that apply
Correct Answer: C
Rationale: The most significant symptoms of Hodgkin's disease with category B classification are fever, weight loss, and night sweats. Night sweats are particularly characteristic of Hodgkin's disease and are considered one of the B symptoms along with fever and weight loss. Anemia and thrombocytopenia are not typically classified as specific symptoms of Hodgkin's disease category B.
Question 4 of 5
A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this?
Correct Answer: C
Rationale: Nephrotic syndrome is characterized by the presence of edema due to loss of protein in the urine. One of the nursing goals in managing a child with minimal change nephrotic syndrome receiving high doses of prednisone is to monitor for the development or worsening of edema. Detecting evidence of edema is important as it can help in assessing the effectiveness of treatment, such as monitoring the response to prednisone therapy and adjusting the treatment plan accordingly. Monitoring for edema can also help in preventing complications associated with fluid overload, such as hypertension and respiratory distress. Therefore, detecting evidence of edema is an appropriate nursing goal in this scenario.
Question 5 of 5
An appropriate nursing action to include in the care of an infant with congenital heart disease who has been admitted with heart failure is:
Correct Answer: C
Rationale: Infants with congenital heart disease who have been admitted with heart failure may have difficulty feeding due to increased work of breathing and poor energy reserves. Offering small, frequent feedings can help prevent fatigue and provide adequate nutrition to support the infant's growth and recovery. It also helps to prevent overloading the heart with a large volume of fluids at once. This approach allows the infant to receive enough calories while reducing the risk of aspiration and conserving energy for feeding and breathing. Positioning the infant flat on the back may worsen respiratory distress, encouraging nutritional fluids alone may not address the feeding challenges faced by the infant, and measuring the head circumference is important for growth monitoring but may not be the priority when managing heart failure in this case.