ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Compartment syndrome is a potential complication of elbow fractures that decreases circulation to local neuromuscular structures. The nurse monitors circulation on a casted elbow because irreversible damage can develop if compartment syndrome lasts for more than:
Correct Answer: D
Rationale: Compartment syndrome is a serious condition that results from increased pressure within a closed anatomical space (compartment), leading to decreased circulation to local neuromuscular structures. In the case of a casted elbow, if compartment syndrome is left untreated and persists for more than 24 hours, irreversible damage can occur. This is due to the compromised blood flow causing tissue ischemia, which can lead to permanent nerve and muscle damage. Therefore, it is crucial for healthcare providers to monitor for signs and symptoms of compartment syndrome and intervene promptly to prevent long-term complications.
Question 2 of 5
Monthly examination (BSE) can help in early detection of breast CA. When do you perform BSE?
Correct Answer: A
Rationale: Performing monthly breast self-examination (BSE) after menstruation is recommended because during this time, the breasts are less likely to be swollen or tender, which can help to ensure a more accurate examination. Engaging in BSE on a regular basis can help individuals become familiar with their breast tissue and better recognize any changes that may occur. By performing BSE monthly after menstruation, individuals can actively monitor their breast health and potentially detect any abnormalities or signs of breast cancer at an early stage.
Question 3 of 5
A preterm newborn has been receiving orogastric feedings of breast milk. The nurse initiates nipple feedings, but the newborn tires easily and has weak sucking and swallowing reflexes. What is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The most appropriate nursing intervention in this situation is to resume orogastric feedings of breast milk. The newborn is showing signs of fatigue and weak sucking and swallowing reflexes during nipple feedings, indicating that they may not be ready to tolerate full oral feedings yet. By resuming orogastric feedings of breast milk, the newborn can continue to receive nutrition while building strength and coordination for oral feedings. It is important to progress gradually and monitor the newborn's tolerance for oral feedings before attempting nipple feedings again.
Question 4 of 5
An infant with bladder exstrophy has had a continent urinary reservoir placed. Which discharge instruction should be included?
Correct Answer: B
Rationale: Children with urologic malformations are prone to latex allergies; parents should be advised to avoid latex exposure.
Question 5 of 5
Neuroblastoma can be associated with paraneoplastic syndromes. All the following features are paraneoplastic EXCEPT
Correct Answer: B
Rationale: Increased body coordination is not a typical feature of neuroblastoma-associated paraneoplastic syndromes.