ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
At what age should the nurse expect the anterior fontanel to close?
Correct Answer: D
Rationale: The nurse should expect the anterior fontanel to close between the ages of 12 to 18 months. The fontanel is the soft spot on a baby's head that allows for the growth of the skull during infancy. It is the last fontanel to close, with closure typically occurring by around 18 months of age. Monitoring the closure of the fontanel is important as it can provide valuable information about the baby's hydration status and overall development.
Question 2 of 5
What should a nursing intervention to promote parent-newborn attachment include?
Correct Answer: B
Rationale: A nursing intervention to promote parent-newborn attachment should include explaining individual differences among newborns to the parents. This is important because understanding a newborn's unique characteristics, behaviors, and needs can help parents feel more confident and responsive in caring for their baby. By educating parents about individual differences, nurses can empower them to create a strong bond with their newborn and provide appropriate care based on the baby's specific cues and signals. This can lead to a positive and nurturing parent-newborn relationship, which is crucial for the baby's development and well-being.
Question 3 of 5
Arthur, a 66-year old client for pneumonia has a temperature ranging from 39° to 40° C with periods of diaphoresis. Which of the following interventions by Nurse Carlos would be a priority?
Correct Answer: A
Rationale: Administering oxygen therapy would be the priority intervention in this case because Arthur is experiencing pneumonia with a high fever (39° to 40° C). High fever can lead to increased oxygen demand in the body, and providing supplemental oxygen can help ensure that Arthur is receiving adequate oxygenation to support his respiratory function. Oxygen therapy can also help improve oxygen saturation levels, which may be compromised due to the pneumonia. Therefore, addressing the potential respiratory distress caused by the pneumonia and fever should be the top priority to optimize Arthur's oxygenation levels and respiratory function.
Question 4 of 5
Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:
Correct Answer: C
Rationale: The best position to keep Sunshine in after a lumbar puncture is in the supine position for several hours. This position helps prevent a post-lumbar puncture headache, which is a common complication of the procedure. Keeping Sunshine supine helps reduce the chances of leaking CSF and minimizes the risk of developing a headache due to decreased CSF pressure. Additionally, it is vital to encourage increased fluid intake post-procedure to help replenish the lost CSF and prevent dehydration.
Question 5 of 5
A healthy 4-year-old child has a left flank mass. Computerized tomography (CT) scan of the abdomen shows a localized renal mass. Radical nephrectomy is performed; the histology shows clear cell sarcoma of the kidney. The MOST appropriate next step in the management is
Correct Answer: C
Rationale: Clear cell sarcoma of the kidney has a propensity to metastasize to bones, making a bone scan essential.