ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 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.
Question 2 of 5
A client is being returned to the room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?
Correct Answer: C
Rationale: Following a subtotal thyroidectomy, there is a risk of airway compromise and difficulty breathing due to the close proximity of the surgical site to the trachea. In case of swelling or other complications leading to airway obstruction, having a tracheostomy set readily available at the client's bedside is crucial for quick and efficient management of any respiratory distress. This equipment allows the healthcare team to establish a secure airway if needed, ensuring the client's safety and minimizing the risk of respiratory compromise post-operatively. The other equipment choices are important but having a tracheostomy set is the most critical for this particular situation to address potential airway issues promptly.
Question 3 of 5
To meet the emotional needs of a 10-year-old patient who is dying, the most appropriate nursing action is to:
Correct Answer: A
Rationale: Answering questions honestly and frankly helps build trust and provides clarity for the child during this difficult time.
Question 4 of 5
A 61-year old female patient with diabetes is in the emergency department after stepping on a sharp onject while walking barefoot on the beach. The patient did not notice that the object pierced the skin unitl later that evening. What problem does she probably have?
Correct Answer: A
Rationale: The patient's presentation of stepping on a sharp object and not noticing the injury until later is suggestive of peripheral neuropathy, a common complication of long-standing diabetes. Peripheral neuropathy can decrease sensation in the feet, making the patient more susceptible to injuries. In diabetes, high blood sugar levels can damage the nerves throughout the body, particularly those in the extremities. This can result in decreased sensation and poor wound healing, putting the patient at risk for injuries like stepping on a sharp object without feeling it. Therefore, the likely problem the patient has is neuropathy affecting her peripheral nerves.
Question 5 of 5
Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT
Correct Answer: B
Rationale: Dark-skinned individuals have a lower risk of melanoma.