ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 9
The nurse knows which of the following is true about immunity?
Correct Answer: C
Rationale: Antibodies, also known as immunoglobulins, are proteins produced by a type of white blood cell called B-lymphocytes (B-cells). These antibodies play a crucial role in the immune response by recognizing and binding to specific antigens such as pathogens. This binding can lead to the inactivation of the pathogens or marking them for destruction by other immune cells. B-cells are a key component of the humoral immune response, which involves the production of antibodies to defend against infections. The statement that antibodies are produced by the B-cells is, therefore, true.
Question 2 of 9
The age at which the infant can see an object, grasp it, and bring it to the mouth is
Correct Answer: A
Rationale: This milestone is typically achieved around 4 months.
Question 3 of 9
Neuroblastoma can be associated with paraneoplastic syndromes. All the following features are paraneoplastic EXCEPT
Correct Answer: B
Rationale: Increased body coordination is not a typical feature of neuroblastoma-associated paraneoplastic syndromes.
Question 4 of 9
Burns are commonly seen in child abuse. Approximately 10% of children hospitalized with burns are victims of abuse. Of the following, inflicted burn can be MOST commonly the result of
Correct Answer: D
Rationale: Scalding injuries, often caused by hot liquids, are the most common type of inflicted burns in child abuse due to their accessibility and ease of use.
Question 5 of 9
The patient is dangling at the bedside and states, "Oh, my stomach is tearing open." Which of the following actions should the nurse immediately take when dehiscence occurs?
Correct Answer: B
Rationale: When dehiscence, which is the separation of the layers of a surgical incision, occurs in a patient, it is important to have the patient lie down. This position will help decrease intra-abdominal pressure and reduce the risk of further complications. Having the patient sit upright in a chair can increase intra-abdominal pressure, worsening the dehiscence. Slowing IV fluids may be necessary to prevent fluid overload in certain situations, but it is not the immediate action required when dehiscence occurs. Obtain a sterile suture set may eventually be needed, but the priority in this situation is to stabilize the patient by having them lie down.
Question 6 of 9
Which is an important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS)?
Correct Answer: C
Rationale: An important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS) is to wait to brush teeth until lesions are sufficiently healed. This is because brushing teeth while the lesions are present can be painful and potentially disruptive to the healing process. It is important to ensure that the child is comfortable and that the healing of the lesions is not impeded by brushing too early. This consideration helps promote optimal healing and comfort for the child with this condition.
Question 7 of 9
Why must a nurse measure the intake and output and recommend a daily fluid intake of approximately 3000 to 4000 mL for a client with pyelonephritis?
Correct Answer: B
Rationale: A nurse measures the intake and output and recommends a daily fluid intake of approximately 3000 to 4000 mL for a client with pyelonephritis primarily to help flush out the infectious microorganisms from the urinary tract. Pyelonephritis is a bacterial infection of the kidneys and urinary tract, and increasing fluid intake can help dilute the urine and increase urine output, which may help wash out and eliminate the infectious microorganisms causing the infection. Adequate hydration also helps the kidneys function optimally in eliminating waste and toxins from the body. Therefore, maintaining a high fluid intake is crucial in the management of pyelonephritis to support the body's natural defense mechanisms and aid in recovery.
Question 8 of 9
A nurse needs to assess a client who is undergoing urinary diversion. Which of the ff assessment is essential for the client?
Correct Answer: C
Rationale: The essential assessment for a client undergoing urinary diversion is the client's knowledge about the effects of the surgery on his nervous control. Urinary diversion is a surgical procedure that involves redirecting urine flow from the bladder to a new exit point in the body due to bladder cancer, birth defects, or other medical conditions. Understanding the effects of the surgery on nervous control is crucial as it can impact the client's ability to control urination and bowel movements post-surgery. Educating the client about these effects will help in managing expectations and in planning for any necessary adjustments to their lifestyle and daily routine. It is important for the nurse to assess the client's level of understanding and provide appropriate education and support regarding nervous control changes that may result from the procedure.
Question 9 of 9
Following the American Cancer Society guidelines, the nurse should recommend that the women:
Correct Answer: C
Rationale: The American Cancer Society recommends that women have a mammogram annually, starting at age 45, and then have the option to switch to every two years starting at age 55. This is based on evidence showing that regular mammograms can help detect breast cancer early when it is most treatable. Breast self-examinations are no longer recommended as a routine screening method due to studies showing they do not reduce mortality from breast cancer. Clinical breast exams conducted by a physician are also not recommended for routine screening in average-risk women, as they have not been shown to be effective in reducing breast cancer mortality. Normal receptor assay testing is not a screening test for breast cancer and is used to help determine the best treatment options for diagnosed breast cancer cases.