ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 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 2 of 5
Which is the most critical physiologic change required of the newborn?
Correct Answer: D
Rationale: The most critical physiologic change required of the newborn is the onset of breathing. Prior to birth, the fetus receives oxygen from the mother's blood through the placenta. However, once the newborn is delivered, it needs to begin breathing on its own to support oxygen exchange and remove carbon dioxide from the body. The respiratory system must transition from a fluid-filled state in the womb to an air-filled state outside the womb. The onset of breathing is essential for the newborn's survival and initiates the process of oxygenation of tissues and removal of carbon dioxide, which are vital for metabolism and overall physiological functioning. While closure of fetal shunts, stabilization of fluid and electrolytes, and body-temperature maintenance are also important changes that occur in the newborn, the onset of breathing is the most critical to ensure proper oxygenation of the body's tissues.
Question 3 of 5
What are distended sebaceous glands that appear as tiny white papules on cheeks, chin, and nose in the newborn period called?
Correct Answer: A
Rationale: Milia are distended sebaceous glands that appear as tiny white papules on the cheeks, chin, and nose in the newborn period. They are commonly found in newborns and usually resolve on their own without treatment. Milia are not harmful and are considered a normal physiological occurrence in newborns. Lanugo refers to fine, downy hair covering newborn infants, Mongolian spots are blue-grey birthmarks usually found on the lower back or buttocks of newborns, and Cutis marmorata is a vascular mottling of the skin in newborns.
Question 4 of 5
A nurse is conducting discharge teaching for parents of a newborn. The nurse instructs the parents on which method of care for the umbilical cord? (Select all that apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis?
Correct Answer: D
Rationale: The nurse should include in the explanation that in managing pediculosis capitis, it is necessary to remove nits with an extra-fine-tooth comb or tweezers since nits are attached to the hair shaft and can be difficult to wash out with regular shampoo. Removing the nits is crucial to prevent reinfestation, as they can hatch and start the cycle again. Cutting the hair shorter is not necessary unless the infestation is severe. It is important to distinguish viable (live) nits from nonviable (dead) ones and remove only the viable ones as the nonviable ones do not pose a threat of reinfestation.