ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
During the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which statement?
Correct Answer: A
Rationale: Eric's change in behavior from crying inconsolably and refusing staff attention to now appearing settled and unconcerned about his parents leaving indicates that he has successfully adjusted to the hospital environment. This adaptation is a positive sign that Eric has become more comfortable with his surroundings and has developed a sense of security within the hospital setting. As a result, the nurse can interpret this change as Eric successfully acclimating to his new environment.
Question 2 of 5
A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is
Correct Answer: C
Rationale: Pilocytic astrocytomas are generally low-grade tumors, and observation is often sufficient after complete resection.
Question 3 of 5
The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
Correct Answer: D
Rationale: Sleep-onset association disorder involves reliance on specific conditions to fall asleep.
Question 4 of 5
A client with acquired immunodeficiency syndrome (AIDS) is admitted with Pneumocystis carinii pneumonia. During a bath, the client begins to cry and says that most friends and relatives have stopped visiting and calling. What should the nurse do?
Correct Answer: C
Rationale: It is important for the nurse to listen and show interest as the client expresses their feelings in this situation. The client's emotional distress is a valid response to feeling abandoned by friends and family during a difficult time. By providing a supportive and empathetic presence, the nurse can help the client feel valued and understood, promoting emotional well-being and potentially increasing the client's sense of comfort and trust in the healthcare setting. This approach validates the client's feelings and fosters therapeutic communication, which is crucial in providing holistic care to individuals with complex health needs such as AIDS and Pneumocystis carinii pneumonia. It is essential to acknowledge and address the client's emotional needs in addition to their physical care.
Question 5 of 5
What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
Correct Answer: D
Rationale: One of the most important nursing responsibilities when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS) is to provide ongoing support and care to the grieving parents. Making a follow-up home visit as soon as possible after the child's death allows the nurse to offer emotional support, assess the parents' well-being, provide information on coping strategies, and refer them to appropriate resources such as counseling services or support groups. This visit also enables the nurse to address any questions or concerns the parents may have, validate their feelings of grief, and help them navigate the difficult grieving process. By being present and available to the family during this challenging time, the nurse can help them feel supported and cared for as they cope with the tragic loss of their infant.