ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?
Correct Answer: A
Rationale: In infants with heart failure, they may have increased metabolic demands due to their condition. Thus, it may be necessary to increase the caloric density of the infant's formula to ensure adequate nutrition and energy intake. This can help support the infant's growth and provide the necessary energy for their increased metabolic needs. Increasing the amount of formula or feeding too frequently (every 2 hours) may not be necessary and could lead to other issues like overfeeding. Placing a nasal oxygen cannula on the infant during and after each feeding (Option D) is not typically related to feeding practices for an infant with heart failure.
Question 2 of 5
While planning for proportionate distribution of restricted fluid volumes, what is the reason for a nurse to ensure that the client is actively involved during the development of the plan?
Correct Answer: A
Rationale: It is essential for a nurse to ensure that the client is actively involved in the development of the plan for proportionate distribution of restricted fluid volumes because it promotes the client's compliance with therapy. When the client participates in creating the plan, they are more likely to understand the importance of following it and be motivated to adhere to the recommended fluid restrictions. This active involvement fosters a sense of ownership and responsibility, leading to better treatment outcomes and improved overall health.
Question 3 of 5
A 23 y.o. woman is seen at an outpatient clinic for a routine Pap smear. When questioned, she states she is deciding whether to engage in sexual activity with a man she is just getting to know. She asks how she can tell if he has an STD. Which response by the nurse is best?
Correct Answer: D
Rationale: The best response by the nurse is to recommend an examination by a physician with diagnostic testing as the only way to know if the potential partner is infection free. Simply relying on the appearance of cleanliness or condom use may not be sufficient to determine the presence of sexually transmitted infections (STIs) such as HPV, chlamydia, or herpes, which may not have visible symptoms. Encouraging regular testing and open communication about sexual health with partners is crucial in preventing the spread of STIs.
Question 4 of 5
The most common buffer system in the body is the:
Correct Answer: D
Rationale: The most common buffer system in the body is the bicarbonate-carbonic system. This system plays a crucial role in maintaining the pH balance in the blood. The bicarbonate ion (HCO3-) acts as a weak base, while carbonic acid (H2CO3) acts as a weak acid. The balance between these two components helps to regulate the pH of the blood.
Question 5 of 5
A client with ascites has a paracentesis, and 1500 ml of fluid is removed. Immediately following the procedure it is most important for the nurse to observe for:
Correct Answer: C
Rationale: Following a paracentesis procedure where a large amount of ascitic fluid is removed, there is a risk of developing a fluid shift and a potential complication known as "paracentesis-induced circulatory dysfunction" (PICD). This may cause a sudden increase in central blood volume due to rapid re-distribution of fluid, leading to respiratory congestion, dyspnea, and hypoxemia. Therefore, it is crucial for the nurse to monitor the client closely for signs of respiratory distress or congestion immediately after the procedure to prevent any respiratory complications. A rapid, thready pulse (choice A) may indicate hypovolemia, but it is not the most important immediate concern in this case. Decreased peristalsis (choice B) and an increased temperature (choice D) are not typically associated with the immediate post-paracentesis period and are therefore lower priorities compared to monitoring for signs of respiratory congestion.