ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
What does nursing care of the newborn with oral candidiasis (thrush) include?
Correct Answer: D
Rationale: Nursing care of the newborn with oral candidiasis (thrush) includes applying medication to the oral mucosa, being careful that none is ingested. This is because oral candidiasis is a fungal infection caused by Candida fungus, and treating it requires antifungal medication to effectively clear the infection. It is crucial to apply the medication directly to the affected oral mucosa to target and eliminate the fungus. Care must be taken to ensure that none of the medication is accidentally ingested by the newborn during the application process. This approach helps provide direct treatment to the affected area and promotes quicker resolution of oral thrush.
Question 2 of 5
A preterm newborn requires oxygen and mechanical ventilation. Which complications should the nurse assess for?
Correct Answer: A
Rationale: Preterm newborns who require oxygen and mechanical ventilation are at risk for developing bronchopulmonary dysplasia (BPD) and pneumothorax. BPD is a chronic lung disease that can occur in premature infants who have been on mechanical ventilation and supplemental oxygen. Pneumothorax is another common complication in preterm newborns due to the fragility of their lungs. Therefore, the nurse should closely monitor for signs and symptoms of these complications in a preterm newborn requiring oxygen and mechanical ventilation.
Question 3 of 5
A nurse is assessing a preterm newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which is most important to document about immunizations in the child's health history?
Correct Answer: C
Rationale: The most important information to document about immunizations in a child's health history is the exact date the immunizations were received. This information is crucial for tracking when the child is due for their next immunizations and to ensure they are following the recommended vaccination schedule. The dosage of immunizations received, occurrence of any reaction after an immunization, and the practitioner who administered the immunizations are also important details to document but the most critical one is the date to accurately maintain the vaccination records and plan future immunization appointments.
Question 5 of 5
At what age should the nurse expect the anterior fontanel to close?
Correct Answer: D
Rationale: The nurse should expect the anterior fontanel to close between the ages of 12 to 18 months. The fontanel is the soft spot on a baby's head that allows for the growth of the skull during infancy. It is the last fontanel to close, with closure typically occurring by around 18 months of age. Monitoring the closure of the fontanel is important as it can provide valuable information about the baby's hydration status and overall development.