ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following?
Correct Answer: B
Rationale: Celiac disease is an autoimmune disorder triggered by gluten, a protein found in wheat, barley, and rye. The small intestine's lining is damaged when someone with celiac disease eats gluten, which impairs the absorption of nutrients. Therefore, it is crucial for individuals with celiac disease to avoid wheat and other gluten-containing grains to manage their condition effectively. Sourcers of gluten, like wheat products, need to be eliminated from the diet to prevent symptoms and complications for those with celiac disease. Therefore, teaching the parents of a child diagnosed with celiac disease to avoid wheat would be an essential part of managing the condition.
Question 2 of 5
What is the pathophysiologic mechanism of cystic fibrosis leading to obstructive lung disease?
Correct Answer: C
Rationale: Cystic fibrosis (CF) is caused by mutations in the CFTR gene, leading to altered transport of sodium and chloride ions in and out of epithelial cells. This results in the production of secretions that are low in sodium chloride, leading to thickened mucus. The abnormally thick, abundant secretions from mucous glands in the respiratory tract can obstruct the airways, leading to chronic, diffuse obstructive pulmonary disease in almost all patients with CF. This process impairs mucociliary clearance, predisposing individuals to recurrent lung infections, inflammation, and ultimately bronchiectasis. This mechanism is a key factor in the pathophysiology of cystic fibrosis-associated obstructive lung disease.
Question 3 of 5
A nurse is assessing a 5 year old with a history of heart failure. Which finding indicates that the child has adequate cardiac output?
Correct Answer: A
Rationale: Adequate cardiac output is a measure of how well the heart is able to pump blood effectively to meet the body's metabolic demands. An adequate cardiac output ensures sufficient oxygen and nutrients are delivered to the tissues and organs. One of the most reliable indicators of adequate cardiac output is urine output. A urine output of at least 1 mL/kg/hour, which translates to around 30 mL/hour in a 5-year-old child, indicates adequate perfusion and renal function. In heart failure, decreased cardiac output may lead to decreased renal perfusion, resulting in a decreased urine output, so a stable or increased urine output suggests adequate cardiac output.
Question 4 of 5
One nursing diagnosis for JRA is impaired physical mobility. Select all nursing interventions that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
When planning the education for the parents of a child with type 1 diabetes mellitus, which of the following should the nurse include?
Correct Answer: B
Rationale: When planning education for the parents of a child with type 1 diabetes mellitus, the nurse should include rotating insulin injection sites. This is important to prevent lipohypertrophy, which is the buildup of fat under the skin, and to ensure consistent absorption of insulin. Rotating injection sites helps to maintain healthy tissue and promotes better insulin effectiveness in managing blood sugar levels. It is a key component of proper diabetes care and helps to reduce the risk of complications associated with continuous injection in the same area.