ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
The parent of a 7-year-old with continued bed-wetting at night says they've tried getting the child up at 11:30 p.m. Which is the best next step?
Correct Answer: C
Rationale: The correct answer is C) Limit fluids in the evening and consider a reward system for dry nights. Explanation: Limiting fluids in the evening is a practical step to reduce the likelihood of bed-wetting by decreasing the amount of urine produced during the night. Additionally, implementing a reward system for dry nights positively reinforces the desired behavior and motivates the child to stay dry. Why the other options are wrong: A) Medication like DDAVP may help decrease urine volume but should be considered after behavioral interventions have been tried. B) Being firm and showing the work involved in changing sheets may create a negative association with bedtime and worsen the situation. D) Bed-wetting alarms can be effective but are typically used when behavioral strategies have not been successful. Educational context: In pediatric nursing, addressing bed-wetting requires a holistic approach involving behavioral modifications, fluid management, and positive reinforcement techniques. It is essential to consider the emotional well-being of the child and involve the family in developing a supportive plan to manage bed-wetting effectively. By understanding the underlying causes and implementing appropriate strategies, healthcare providers can help children and families navigate this common issue with empathy and evidence-based interventions.
Question 2 of 5
The physical abuse of children by parents affects children of all ages. It is estimated that 1% to 2% of children are physically abused during childhood and that significant number of them are fatally injured each year. Of the following, the second LEADING cause of mortality from physical abuse is
Correct Answer: B
Rationale: The correct answer is B) head trauma. In cases of physical abuse, head trauma is a significant contributor to mortality due to the vulnerability of a child's developing brain. Head injuries can result in severe consequences, including brain damage and death. It is crucial for healthcare providers, especially pediatric nurses, to be vigilant in identifying signs of head trauma in abused children to intervene promptly and prevent further harm. Option A) rib fractures are a common injury in physically abused children, but they are not as likely to be fatal compared to head trauma. Rib fractures can cause pain and respiratory issues, but they are not typically a leading cause of mortality in abuse cases. Option C) abdominal injury is another possible outcome of physical abuse, but it is less likely to be a leading cause of mortality compared to head trauma. While abdominal injuries can be severe and require medical attention, they are generally not as immediately life-threatening as head trauma. Option D) hot tap water burn is a serious injury that can occur due to neglect or abuse, but it is less common as a leading cause of mortality compared to head trauma. Burns can cause significant morbidity and long-term complications, but they are not typically as immediately life-threatening as head injuries. In an educational context, understanding the specific types of injuries that result from child abuse is crucial for healthcare providers working with pediatric populations. By recognizing the significance of head trauma in cases of physical abuse, nurses can advocate for these vulnerable children and ensure they receive the necessary interventions and protection to prevent further harm.
Question 3 of 5
While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?
Correct Answer: B
Rationale: Acrocyanosis is a normal finding in newborns, characterized by bluish discoloration of the hands and feet due to immature circulation. It usually resolves on its own within 24 hours after birth and does not require any intervention. It is essential for the nurse to recognize this normal physiological process to avoid unnecessary interventions. Activating the code blue system, taking the newborn's temperature immediately, or notifying the physician of the need for a cardiac consult is not indicated in this scenario because acrocyanosis is a benign condition in neonates.
Question 4 of 5
A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child's vision, the nurse should ask:
Correct Answer: A
Rationale: Asking the child if they have any problems seeing different colors is a suitable way to assess their vision during a routine checkup. Issues with colors can indicate potential color blindness or other vision problems. Asking about night vision (choice B) or glare (choice C) might be more relevant in specific situations or with older patients. Inquiring about their performance in school (choice D) could provide information related to vision but is not as direct and specific as asking about color vision.
Question 5 of 5
Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:
Correct Answer: C
Rationale: The best position to keep Sunshine in after a lumbar puncture is in the supine position for several hours. This position helps prevent a post-lumbar puncture headache, which is a common complication of the procedure. Keeping Sunshine supine helps reduce the chances of leaking CSF and minimizes the risk of developing a headache due to decreased CSF pressure. Additionally, it is vital to encourage increased fluid intake post-procedure to help replenish the lost CSF and prevent dehydration.