ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
Persons with up to 70% prevalence of peculiar facial anatomy are considered risk factors for obstructive sleep apnea EXCEPT
Correct Answer: D
Rationale: Hypothyroidism is not a typical risk factor for obstructive sleep apnea.
Question 2 of 5
During a routine check-up, the nurse evaluates a client with rheumatoid arthritis. To assess for the most obvious disease manifestations first, the nurse checks for:
Correct Answer: C
Rationale: When evaluating a client with rheumatoid arthritis, the nurse should check for joint abnormalities first because it is the most obvious manifestation of the disease. Rheumatoid arthritis primarily affects the joints, causing inflammation, pain, stiffness, and potentially deformity over time. Assessing for joint abnormalities can provide crucial information about the severity and progression of the disease, guiding further assessment and intervention plans. Muscle weakness, painful subcutaneous nodules, and gait disturbances can also be present in rheumatoid arthritis, but joint abnormalities are the hallmark feature that should be assessed initially.
Question 3 of 5
While planning for proportionate distribution of restricted fluid volumes, what is the reason for a nurse to ensure that the client is actively involved during the development of the plan?
Correct Answer: A
Rationale: It is essential for a nurse to ensure that the client is actively involved in the development of the plan for proportionate distribution of restricted fluid volumes because it promotes the client's compliance with therapy. When the client participates in creating the plan, they are more likely to understand the importance of following it and be motivated to adhere to the recommended fluid restrictions. This active involvement fosters a sense of ownership and responsibility, leading to better treatment outcomes and improved overall health.
Question 4 of 5
JR is admitted to the medical-surgical unit because of a diagnosis of nephritic syndrome. What is the hallmark of this syndrome?
Correct Answer: C
Rationale: Nephritic syndrome is characterized by inflammation of the glomeruli in the kidneys, leading to proteinuria, hematuria, and decreased kidney function. The hallmark symptom of nephritic syndrome is edema, which occurs due to the loss of proteins in the urine as a result of damaged glomeruli. The loss of proteins leads to a decrease in colloid osmotic pressure, causing fluid to leak out from the blood vessels into the surrounding tissues, resulting in edema. Osmotic diuresis, hypolipidemia, and hyperproteinemia are not typically associated with nephritic syndrome.
Question 5 of 5
Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
Correct Answer: B
Rationale: An adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa is likely to exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing). These symptoms are common manifestations of the body's response to malnutrition and starvation. Tachycardia occurs as a compensatory mechanism to maintain an adequate supply of oxygen to vital organs, while tachypnea helps to eliminate excess carbon dioxide due to metabolic imbalances. It is essential for the nurse to recognize these signs during the physical assessment as they indicate the severity of the condition and the need for immediate intervention to prevent further complications. Dysmenorrhea and oliguria, heat intolerance and increased blood pressure, and lowered body temperature and brittle nails are not typically associated with the physical manifestations of anorexia nervosa.