ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
An infant with bladder exstrophy has had a continent urinary reservoir placed. Which discharge instruction should be included?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Avoid contact with latex-containing surfaces (e.g., playgrounds with rubber) to prevent allergic reactions. This instruction is crucial as individuals with bladder exstrophy who have undergone surgery often have an increased risk of latex allergy due to repeated exposure during medical procedures. Option A) Allowing the child to sleep on the abdomen is not necessary for managing bladder exstrophy and continent urinary reservoir placement. Option C) Encouraging a varied diet to prevent allergies is not directly related to the management of bladder exstrophy or latex allergy. Option D) Providing brightly colored objects to stimulate development is irrelevant to the specific medical condition and postoperative care required in this case. Educationally, it is important to emphasize the specific risks and precautions related to the child's medical condition to ensure their well-being and prevent potential complications. Understanding these instructions can help caregivers provide appropriate care and create a safe environment for the child's recovery and overall health.
Question 2 of 5
Burns are commonly seen in child abuse. Approximately 10% of children hospitalized with burns are victims of abuse. Of the following, inflicted burn can be MOST commonly the result of
Correct Answer: D
Rationale: In this scenario, the correct answer is D) scalding injuries. Scalding injuries are the most common type of inflicted burns in cases of child abuse. This is due to the fact that scald burns can be easily disguised as accidental injuries, making them a common choice for perpetrators. Scald burns often occur when a child is intentionally exposed to hot liquids or steam, resulting in significant harm. Option A) contact with hot iron is less common in cases of child abuse as it typically results in distinct patterns that are easier to identify as non-accidental. Option B) contact with radiators is less common in child abuse cases because it usually causes specific burn patterns that are less likely to be mistakenly seen as accidental. Option C) cigarette application, while a form of abuse, is less commonly associated with burns severe enough to require hospitalization. It is more often linked to localized burns rather than the extensive burns seen in hospitalized cases. Educationally, understanding the common patterns and characteristics of inflicted burns in cases of child abuse is crucial for healthcare providers, especially those working with pediatric patients. By recognizing the signs of abuse, healthcare professionals can take appropriate action to protect the child and ensure their safety. This knowledge can also help in differentiating between accidental and non-accidental injuries, leading to better outcomes for children at risk.
Question 3 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 4 of 5
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?
Correct Answer: C
Rationale: Total protein is a laboratory test that is commonly ordered to assess the nutritional status of an individual. In the case of a child with poor nutritional status and weight loss, assessing the total protein levels can help in diagnosing a negative nitrogen balance. Total protein levels may decrease in individuals with inadequate protein intake, malnutrition, or negative nitrogen balance. Monitoring total protein levels can provide valuable information about the child's nutritional status and help guide further interventions to improve their overall health and well-being.
Question 5 of 5
The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take?
Correct Answer: D
Rationale: In this situation, the nurse's priority is to provide a safe environment for the patient during the seizure. Inserting a padded tongue blade (Option A) is not recommended as it can cause more harm than good, such as dental injury. Restraint of the patient (Option B) during a seizure is also not recommended as it can lead to injury. Calling the operator to page for seizure assistance (Option C) may delay immediate intervention. The best course of action is for the nurse to clear the area of any objects that may injure the patient during the seizure and position the client safely. This will help prevent injury and ensure the patient's safety until the seizure subsides.