ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
The BEST implication of a 6-month-old baby's visuomotor coordination is
Correct Answer: A
Rationale: Voluntary release is a key milestone in visuomotor coordination at this age.
Question 2 of 5
A patient has a positive Homans' sign. Which of the ff. does the nurse understand explains why ambulation and performing the Homans' sign is now contraindicated?
Correct Answer: C
Rationale: A positive Homans' sign indicates possible deep vein thrombosis (DVT) in the leg. When a patient has DVT, the clot may dislodge and travel to the lungs, causing a pulmonary embolism, which can be life-threatening. Therefore, ambulation and performing the Homans' sign can dislodge the clot and potentially cause an embolism. It is contraindicated to prevent this serious complication.
Question 3 of 5
A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?
Correct Answer: C
Rationale: Lymphangiography is a procedure in which a contrast dye is injected into the lymphatic vessels to help identify abnormalities. One harmless, temporary change that a client may experience after lymphangiography is the passing of bluish urine. This happens as a result of the contrast dye being excreted in the urine, causing it to temporarily change color. It is important for the nurse to inform the client about this possibility to prevent unnecessary worry or concern after the procedure. No concerns are associated with purplish stools, redness of the upper part of the feet, or coldness of the soles after a lymphangiography.
Question 4 of 5
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:
Correct Answer: B
Rationale: Standard precautions are guidelines put in place to prevent the transmission of infectious agents. When caring for a client with AIDS, it is important for the nurse to wear gloves when providing mouth care to prevent the transmission of any potential infectious agents through contact with the client's saliva or blood. Maintaining strict isolation, keeping the client in a private room, or wearing a gown when delivering the client's possible food tray are not necessary as part of standard precautions for a client with AIDS.
Question 5 of 5
While managing a client after a medical or surgical procedure for bladder stones, for what rise in the temperature should the nurse notify the physician?
Correct Answer: C
Rationale: A rise in temperature is concerning after a medical or surgical procedure as it can indicate infection or other complications. A temperature above 102F is typically considered a significant fever, especially in the postoperative period. It is essential to notify the physician promptly to assess the patient's condition and provide appropriate interventions to address the underlying cause of the fever.