ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
The dietary practice that will help a client reduce the dietary intake of sodium is
Correct Answer: C
Rationale: The dietary practice that will help a client reduce the dietary intake of sodium is avoiding the use of carbonated beverages. Carbonated beverages, such as sodas, contain high amounts of sodium that can contribute to increased sodium intake. By avoiding carbonated beverages, the client can effectively reduce their overall sodium consumption. Increasing the use of dairy products, using artificial sweeteners in coffee, and using catsup for cooking and flavoring food do not specifically address the reduction of sodium intake in the same way that avoiding carbonated beverages does.
Question 2 of 5
Why should the nurse closely monitor older adults when they are receiving IV therapy? Choose all that apply
Correct Answer: E
Rationale: Older adults should be closely monitored when receiving IV therapy because their defense mechanisms are less efficient (A) as they age, making them more susceptible to infections and complications from invasive procedures like IV therapy. Additionally, older adults are prone to reduced renal efficiency (C), which can affect their ability to excrete excess fluids and electrolytes properly. Monitoring for signs of fluid overload and renal impairment is crucial in this population to prevent adverse outcomes related to IV therapy.
Question 3 of 5
Which of the following communication methods is not an option for a patient following laryngectomy surgery?
Correct Answer: B
Rationale: Following laryngectomy surgery, the larynx (voice box) is removed, making it impossible for the patient to produce sound for speech. The options listed are alternative communication methods for patients post-surgery, except for using a picture board. Placing a finger over the stoma can help redirect air for speech, using a special valve can help divert air for speech as well, and learning esophageal speech involves speaking by swallowing air into the esophagus and then releasing it to create sound. Picture boards are not a common method of communication for patients following laryngectomy surgery.
Question 4 of 5
Which of the ff. positions is best for a chest drainage system when the patient is being transported by wheelchair?
Correct Answer: A
Rationale: The best position for a chest drainage system when the patient is being transported by wheelchair is to hang it on the top of the wheelchair backrest (Option A). This ensures that the chest drainage system remains upright and secure during transportation. Placing it on the patient's feet and asking the patient to hold it (Option B) is not ideal as it can cause discomfort and potentially compromise the drainage system. Hanging it on the same pole as the patient's IV (Option C) may lead to entanglement and interference with the IV line. Placing it in the patient's lap (Option D) is also not recommended as it can be cumbersome and may lead to accidental dislodgement of the chest drainage system. Therefore, hanging it on the top of the wheelchair backrest provides stability and ease of transport for the patient.
Question 5 of 5
Which of the ff. does the nurse understand usually precedes rheumatic fever?
Correct Answer: B
Rationale: Rheumatic fever is an inflammatory disease that can develop as a complication of untreated or inadequately treated infections caused by group A beta-hemolytic streptococci. These bacterial infections are usually in the form of strep throat or scarlet fever. Rheumatic fever typically occurs 2-4 weeks after a streptococcal infection. The body's immune response to the streptococcal infection can lead to an autoimmune reaction, resulting in rheumatic fever. It is important to promptly diagnose and treat streptococcal infections to prevent the development of rheumatic fever.