ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
To combat the most common adverse effects of chemotherapy, the nurse would administer an:
Correct Answer: A
Rationale: The most common adverse effects of chemotherapy include nausea and vomiting, which can significantly impact the patient's quality of life. An antiemetic is a medication specifically designed to prevent or alleviate nausea and vomiting. By administering an antiemetic, the nurse can help manage these distressing side effects and improve the patient's overall comfort during chemotherapy treatments. Antibiotics are not typically used to combat the side effects of chemotherapy, and antimetabolites and anticoagulants do not address nausea and vomiting associated with chemotherapy.
Question 2 of 5
Which of the ff is a reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy?
Correct Answer: C
Rationale: Most clients are not hospitalized long after a mastectomy. This is a key reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy. Typically, clients undergoing mastectomy have shorter hospital stays, often as part of the trend toward faster postoperative recovery and reduced healthcare costs. By ensuring that clients have appropriate home care arrangements and understand postoperative instructions early on, healthcare providers can support a smooth transition from the hospital to the home environment, promoting optimal recovery and outcomes for the client.
Question 3 of 5
Which of the ff. does the nurse understand are the reasons a patient with pulmonary edema is given morphine sulphate? i.To reduce anxiety iv.To increase BP ii.To relieve chest pain v.To reduce preload and afterload iii.To strengthen heart contractions
Correct Answer: A
Rationale: Rationale: The correct answer is A) 2 and 4. 1. Morphine sulfate is given to patients with pulmonary edema to reduce anxiety (i) and increase blood pressure (iv). The anxiolytic properties of morphine help calm the patient, reducing stress and anxiety associated with difficulty breathing and chest discomfort. Additionally, morphine can help vasodilate peripheral vessels, leading to increased blood pressure, which can be beneficial in cases of hypotension associated with pulmonary edema. 2. Option B) 3 and 5 is incorrect because while strengthening heart contractions (iii) and reducing preload and afterload (v) are important goals in managing pulmonary edema, morphine sulfate does not directly achieve these effects. In fact, morphine can potentially worsen preload and exacerbate respiratory depression, which can further compromise the patient's condition. 3. Option C) 1 and 5 is incorrect because reducing anxiety (i) is a valid reason as discussed earlier, but reducing preload and afterload (v) is not a direct effect of morphine sulfate administration in the context of pulmonary edema. 4. Option D) 2 and 3 is incorrect because while increasing blood pressure (iv) is a known effect of morphine sulfate administration in patients with pulmonary edema, relieving chest pain (ii) is not a primary indication for giving morphine in this scenario. Educational Context: Understanding the rationale behind using morphine sulfate in patients with pulmonary edema is crucial for nurses caring for critically ill pediatric patients. By selecting the correct answer, nurses demonstrate knowledge of pharmacological management strategies to alleviate symptoms and improve outcomes in patients with pulmonary edema. It also highlights the importance of understanding the specific effects and considerations of medications in pediatric patients to provide safe and effective care.
Question 4 of 5
Which of the following medications should then nurse explain may cause headache as a side effect?
Correct Answer: D
Rationale: Adalat (Procardia) belongs to a class of medications known as calcium channel blockers. Headache is a common side effect associated with the use of calcium channel blockers, including Adalat (Procardia). The mechanism behind this side effect is related to the vasodilatory effects of calcium channel blockers, which can lead to relaxation and widening of blood vessels, potentially causing headaches. It is important for the nurse to explain to the patient that headache is a possible side effect of Adalat (Procardia) and to consult the healthcare provider if it becomes bothersome or severe.
Question 5 of 5
A nurse caring for a patient with a herniated lumbar disk develops a plan of care for impaired mobility related to nerve compression. Which patient outcome indicates that the plan has been successful?
Correct Answer: D
Rationale: The patient being able to ambulate 25 feet without pain is the most appropriate outcome to indicate the success of the plan for impaired mobility related to nerve compression due to a herniated lumbar disk. This outcome directly reflects an improvement in mobility, which is the primary goal when addressing impaired mobility caused by nerve compression. A reduction in pain intensity (choice A) is important but not as specific to mobility impairment. Having full range of motion (choice B) in the upper extremities is not directly related to the issue of lumbar disk herniation. Correct self-administration of analgesics (choice C) is important for pain management but does not directly reflect improvement in mobility.