ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
Fentanyl is used as analgesia during operative and postoperative procedures. Which of the following conditions is NOT associated with fentanyl use?
Correct Answer: D
Rationale: Fentanyl typically causes hypotension, nausea, and vomiting, but it does not cause acidosis.
Question 2 of 5
Osteosarcoma is the most common primary malignant bone tumor in children and adolescents; it has multiple subtypes and requires different modalities of treatment including surgery and chemotherapy. Of the following, the subtype of osteosarcoma which is treated by surgery alone is
Correct Answer: D
Rationale: Periosteal osteosarcoma is often treated with surgery alone if margins are clear.
Question 3 of 5
Which refers to a newborn whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?
Correct Answer: D
Rationale: A newborn who is small for gestational age (SGA) refers to a baby whose rate of intrauterine growth was slowed, leading to a birth weight falling below the 10th percentile on intrauterine growth charts. SGA infants are at an increased risk for various health complications due to their smaller size at birth, such as difficulties in regulating body temperature, low blood sugar, and respiratory distress. Postterm refers to a pregnancy that has extended beyond 42 weeks, while postmature refers specifically to a fetus that has been in the womb beyond the expected due date. Low birth weight may refer to a baby born below a certain weight threshold regardless of gestational age.
Question 4 of 5
A child is being admitted to the intensive care unit (ICU) and the parents are with the child. Which creates stressors for children and parents in ICUs? (Select all that apply.)
Correct Answer: A
Rationale: Equipment noise: The noises from medical equipment in the ICU can be loud and continuous, creating a stressful environment for both children and parents. This constant noise can be overwhelming and contribute to feelings of anxiety.
Question 5 of 5
A client with lung cancer develops Homer's when the tumor invades the ribs and affects the sympathetic nerve ganglia. When assessing for signs and symptoms of this syndrome, the nurse should note:
Correct Answer: A
Rationale: Homer's syndrome, also known as Horner's syndrome, is a rare condition that occurs when the sympathetic nerve supply to the eye and face is disrupted. In the case of lung cancer invading the ribs and affecting the sympathetic nerve ganglia, it can lead to Homer's syndrome. The classic triad of symptoms in Homer's syndrome includes miosis (constriction of the pupil), partial eyelid ptosis (drooping of the upper eyelid), and anhidrosis (lack of sweating) on the affected side of the face. These symptoms result from the disruption of sympathetic nerve pathways affecting the pupillary dilator muscle, the Müller muscle responsible for eyelid elevation, and sweat glands on one side of the face. Therefore, when assessing for signs and symptoms of Homer's syndrome in this client, the nurse should focus on looking for these specific manifestations.