ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
The MOST common behavioral sleep disorder in a 4-month-old baby who needs to be rocked to sleep is
Correct Answer: D
Rationale: Sleep-onset association disorder involves reliance on specific conditions to fall asleep.
Question 2 of 5
A nurse is assessing a 5 year old with a history of heart failure. Which finding indicates that the child has adequate cardiac output?
Correct Answer: A
Rationale: Adequate cardiac output is a measure of how well the heart is able to pump blood effectively to meet the body's metabolic demands. An adequate cardiac output ensures sufficient oxygen and nutrients are delivered to the tissues and organs. One of the most reliable indicators of adequate cardiac output is urine output. A urine output of at least 1 mL/kg/hour, which translates to around 30 mL/hour in a 5-year-old child, indicates adequate perfusion and renal function. In heart failure, decreased cardiac output may lead to decreased renal perfusion, resulting in a decreased urine output, so a stable or increased urine output suggests adequate cardiac output.
Question 3 of 5
A 10-mo-old boy has a left suprarenal mass. Surgery is accomplished with complete removal of the mass as well as the non-adherent lymph nodes; surgical biopsies are taken during surgery. The histology reveals poorly differentiated neuroblastoma with microscopic ipsilateral lymph nodes involvement. The contralateral lymph nodes are negative. Of the following, the BEST therapeutic approach for this infant is
Correct Answer: A
Rationale: Complete resection with microscopic residual disease typically warrants adjuvant chemotherapy.
Question 4 of 5
The client is being evaluated for hypothyroidism. During assessment, the nurse should stay alert for:
Correct Answer: D
Rationale: The correct assessment findings to stay alert for when evaluating for hypothyroidism are decreased body temperature and cold intolerance. Hypothyroidism is a condition characterized by an underactive thyroid gland, leading to a decrease in metabolic rate. This can result in symptoms such as feeling cold all the time and a lower body temperature. Therefore, the nurse should keep an eye out for these symptoms during the assessment of a client being evaluated for hypothyroidism. Symptoms such as exophthalmos and conjunctival redness are more commonly associated with hyperthyroidism.
Question 5 of 5
The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching?
Correct Answer: C
Rationale: The correct statement indicating that the parents have understood the teaching is: "The red blood cell count should begin to improve with these injections." Recombinant human erythropoietin (rHuEPO) is a hormone used to stimulate red blood cell production in patients with chronic renal failure. By increasing red blood cell production, rHuEPO can help combat anemia, a common complication of chronic renal failure. Therefore, the improvement of the red blood cell count is an expected outcome of administering rHuEPO injections in patients with chronic renal failure. The other statements are not accurate regarding the effects of rHuEPO injections.