ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?
Correct Answer: C
Rationale: The nurse should include in the teaching that the parent will need to avoid adding salt to the child's food. This is important because reducing salt intake helps to decrease fluid retention and swelling in the body, which is critical for managing edema associated with acute glomerulonephritis. Excessive salt intake can worsen edema by causing the body to retain more fluid, so it is crucial to limit salt in the child's diet. This dietary modification can help improve the child's condition and overall health outcome.
Question 2 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 3 of 5
The nurse is teaching nursing students about shock that occurs in children. What is one of the most frequent causes of hypovolemic shock in children?
Correct Answer: B
Rationale: One of the most frequent causes of hypovolemic shock in children is blood loss. Children are at risk for blood loss due to trauma, surgical procedures, gastrointestinal bleeding, or other conditions that result in significant blood volume reduction. Blood loss leads to a decrease in circulating blood volume, which in turn reduces tissue perfusion and oxygen delivery to vital organs. This results in hypovolemic shock, where the heart is unable to pump sufficient blood to meet the body's needs, leading to organ dysfunction and potentially life-threatening complications. Therefore, recognizing and addressing blood loss promptly is essential in managing hypovolemic shock in children.
Question 4 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 5 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.