ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
To meet the emotional needs of a 10-year-old patient who is dying, the most appropriate nursing action is to:
Correct Answer: A
Rationale: Answering questions honestly and frankly helps build trust and provides clarity for the child during this difficult time.
Question 2 of 5
Which of the ff. nursing interventions will help prevent complications in the patient with Bell's Palsy?
Correct Answer: D
Rationale: Bell's Palsy is a condition that affects the facial nerve, leading to weakness or paralysis of the facial muscles. One common complication of Bell's Palsy is the inability to fully close the affected eye, which can result in corneal exposure and dryness. Lubricating eye drops help prevent dryness and protect the cornea from damage due to inadequate eye closure. Using lubricating eye drops regularly can help maintain the eye's moisture and prevent potential complications such as corneal abrasions and infections, which are common in patients with Bell's Palsy. Megavitamin therapy, application of ice, and elastic bandages are not typically indicated for preventing complications in patients with Bell's Palsy.
Question 3 of 5
You are explaining the risk of leukemia in children with Down syndrome to medical students; your discussion will include all the following statements EXCEPT
Correct Answer: C
Rationale: Children with Down syndrome often have better outcomes when treated with specific regimens, contrary to this option.
Question 4 of 5
A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?
Correct Answer: D
Rationale: Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes characterized by hyperglycemia, ketosis, and metabolic acidosis. The initial treatment for DKA requires correcting dehydration and electrolyte imbalances. Normal saline infusion is the preferred choice for initial fluid resuscitation in patients with DKA to address dehydration and restore intravascular volume. It helps improve organ perfusion and correct electrolyte imbalances such as hyponatremia and dehydration commonly seen in DKA patients. Administering normal saline helps replace lost fluids and improve circulation, which is crucial in the management of DKA. Potassium infusion may be needed later to replete potassium levels once the patient's kidney function has been assessed. NPH insulin infusion is not the initial treatment for DKA, although insulin therapy is an essential component of DKA management. 5% dextrose infusion is contraindicated in the initial treatment
Question 5 of 5
The nurse is taking care of a 7-year-old child with herpes simplex virus (type 1 or 2). Which prescribed medication should the nurse expect to be included in the treatment plan?
Correct Answer: C
Rationale: For the treatment of herpes simplex virus (type 1 or 2) in a 7-year-old child, the nurse should expect the prescribed medication to include an oral antiviral agent. Antiviral medications such as acyclovir, valacyclovir, or famciclovir are commonly used to manage herpes simplex virus infections. These medications help to reduce the severity and duration of symptoms, promote healing of lesions, and prevent future outbreaks. Corticosteroids are not typically used in the treatment of herpes simplex virus infections. Oral griseofulvin is an antifungal medication used to treat fungal infections, not viral infections like herpes simplex virus. Topical and/or systemic antibiotics are used to treat bacterial infections and are not effective against viruses like herpes simplex.