ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?
Correct Answer: B
Rationale: This statement is incorrect because drinking milk alone without other foods is not necessary for someone with lactose maldigestion intolerance. Mixing milk with other foods or consuming dairy products alongside other foods can sometimes help to reduce symptoms. Therefore, the adolescent does not need further teaching if they make this statement. The other statements are all appropriate for managing lactose maldigestion intolerance.
Question 2 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 3 of 5
An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.
Correct Answer: A
Rationale: In pediatric patients receiving digoxin, the nurse should notify the practitioner and withhold the medication if the apical pulse is less than 60 beats/min in an 8-year-old child. Digoxin can cause bradycardia as a side effect, and a low heart rate (bradycardia) can indicate toxicity. Monitoring the apical pulse rate before administering digoxin is essential to ensure the child's safety and prevent complications related to digoxin toxicity.
Question 4 of 5
Which action by the school nurse is important in the prevention of rheumatic fever?
Correct Answer: C
Rationale: Referring children with sore throats for throat cultures is important in the prevention of rheumatic fever. Rheumatic fever is a complication of untreated streptococcal throat infections, specifically caused by group A Streptococcus bacteria. By identifying and treating streptococcal infections promptly with antibiotics, the risk of developing rheumatic fever is significantly reduced. The school nurse plays a crucial role in recognizing the symptoms of strep throat and ensuring that affected children are appropriately referred for testing and treatment. This can help prevent the serious consequences of rheumatic fever, which can affect the heart, joints, skin, and brain if left untreated. Encouraging routine cholesterol screenings (choice A) and blood pressure screenings (choice B) are important for overall health monitoring but are not directly related to the prevention of rheumatic fever. Recommending salicylates over acetaminophen (choice D) is not advisable in children due to the risk of Reye's syndrome
Question 5 of 5
The nurse has been asked to prepare an intervention plan for a client, age 70, admitted for treatment of renal calculi. He complains of frequent pain due to increased pressure in the renal pelvis and is frightened of the excruciating pain. Which of the ff measures can the nurse include in the client's nursing care plan? Choose all that apply
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.