ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
Correct Answer: A
Rationale: In a child with acute post streptococcal glomerulonephritis, the earliest sign of improvement typically seen is an increased urine output. This is because one of the hallmark features of glomerulonephritis is decreased urine output (oliguria) or even anuria. As the condition improves, the kidneys start functioning better, leading to increased urine output. Monitoring urine output is crucial in assessing the renal function and overall improvement in patients with glomerulonephritis. While increased appetite, energy level, and decreased diarrhea are important indicators of a child's overall health status, they are not specific signs of improvement in the context of acute post streptococcal glomerulonephritis.
Question 2 of 5
Fentanyl is used as analgesia during operative and postoperative procedures. Which of the following conditions is NOT associated with fentanyl use?
Correct Answer: D
Rationale: Fentanyl typically causes hypotension, nausea, and vomiting, but it does not cause acidosis.
Question 3 of 5
The age by which the child can make a tower of 9 cubes and imitates circular stroke is
Correct Answer: C
Rationale: This milestone is typically achieved around 36 months.
Question 4 of 5
How does nosocomial pneumonia occur?
Correct Answer: A
Rationale: Nosocomial pneumonia occurs in a healthcare setting. It is a type of pneumonia that is contracted during a hospital stay or other healthcare facilities. The risk of developing nosocomial pneumonia is higher in patients who are already hospitalized due to various medical conditions, surgeries, or use of medical devices like ventilators. The infection can be caused by different types of bacteria, viruses, or fungi present in the healthcare environment. Preventive measures, such as proper hand hygiene, infection control practices, and minimizing the use of invasive devices, are crucial in reducing the incidence of nosocomial pneumonia.
Question 5 of 5
A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:
Correct Answer: B
Rationale: In a client with esophageal cancer who is experiencing difficulty swallowing, maintaining a patent airway is the highest priority. The client is at risk for aspiration due to the compromised ability to swallow, which could lead to respiratory distress, choking, or aspiration pneumonia. Adequate oxygenation is essential for the client's survival and must be addressed as the priority issue. While coping with body image, preventing injury, and ensuring nutrition are important aspects of care, they are secondary to ensuring the client's airway remains open and clear to prevent respiratory complications.