ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
In teaching a female client who is HIV positive about pregnancy, the nurse would know more teaching is necessary when the client says:
Correct Answer: A
Rationale: Option A indicates a misunderstanding about HIV transmission during pregnancy. In reality, with proper medical care and management during pregnancy and delivery, the risk of transmitting HIV from mother to baby can be significantly reduced but not completely eliminated. The virus can be passed from mother to baby during pregnancy, childbirth, or breastfeeding, but it is not directly from the placenta. This misconception highlights the need for further education and clarification on the modes of HIV transmission from mother to child during pregnancy and delivery. Options B, C, and D all demonstrate understanding and appropriate planning related to HIV and pregnancy.
Question 2 of 5
A client metastatic ovarian cancer is prescribed cisplatin (Platinol). Before administering the first dose, the nurse reviews the client's medication history for drugs that may interact with cisplatin. Which drug may cause significant interactions when given concomitantly with cisplatin?
Correct Answer: D
Rationale: Amino glycosides, such as gentamicin or amikacin, can interact significantly with cisplatin, leading to increased risk of kidney damage or hearing loss. Both amino glycosides and cisplatin are known to have nephrotoxic and ototoxic effects independently. When combined, the risk of these side effects is potentiated, making it important to monitor renal function and hearing closely when these drugs are co-administered. Therefore, it is crucial to avoid the concomitant use of amino glycosides with cisplatin in order to prevent harmful drug interactions and reduce the risk of adverse effects in the client with metastatic ovarian cancer.
Question 3 of 5
The most common buffer system in the body is the:
Correct Answer: D
Rationale: The most common buffer system in the body is the bicarbonate-carbonic system. This system plays a crucial role in maintaining the pH balance in the blood. The bicarbonate ion (HCO3-) acts as a weak base, while carbonic acid (H2CO3) acts as a weak acid. The balance between these two components helps to regulate the pH of the blood.
Question 4 of 5
The major manifestation of nephrotic syndrome is:
Correct Answer: C
Rationale: The major manifestation of nephrotic syndrome is edema. Nephrotic syndrome is a kidney disorder characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. This results in low levels of protein in the blood, particularly albumin, leading to a decrease in oncotic pressure. The decreased oncotic pressure causes fluid to accumulate in the interstitial spaces, leading to edema formation. Patients with nephrotic syndrome typically present with periorbital edema, pedal edema, and ascites due to the fluid redistribution in the body. Hematuria, hyperalbuminemia, and anemia are not typically the primary manifestations of nephrotic syndrome.
Question 5 of 5
What is the causative agent in HIV/AIDS?
Correct Answer: C
Rationale: The causative agent of HIV/AIDS is the Human Immunodeficiency Virus (HIV). HIV infects and kills the immune system's CD4 T cells, weakening the immune system and making the body more susceptible to infections and certain cancers. The virus is primarily transmitted through sexual contact, exposure to infected blood, sharing needles, and from mother to child during childbirth or breastfeeding. Trichomonas vaginalis, Treponema pallidum, and Chlamydia trachomatis are all different microorganisms that are not responsible for causing HIV/AIDS.