ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
What is an early clinical manifestation of bilirubin encephalopathy in the newborn?
Correct Answer: C
Rationale: An early clinical manifestation of bilirubin encephalopathy in a newborn is lethargy or irritability. Bilirubin encephalopathy, also known as kernicterus, is a serious condition that occurs when high levels of unconjugated bilirubin build up in the brain tissues. Initially, the baby may become lethargic or irritable due to the toxic effects of bilirubin on the central nervous system. As the condition progresses, symptoms may include poor feeding, high-pitched crying, muscle tone abnormalities, and eventually may lead to more severe consequences such as seizures and irreversible neurological damage. Prompt recognition and treatment of bilirubin encephalopathy are crucial to prevent long-term complications.
Question 2 of 5
The parents overhear that their child's tumor is stage III. They ask what that means. Which is the best response?
Correct Answer: B
Rationale: Stage III indicates local spread (e.g., to lymph nodes or peritoneum) but still carries a very good prognosis with appropriate treatment.
Question 3 of 5
Which of the following disorders results from a deficiency of factor VIII?
Correct Answer: C
Rationale: Hemophilia A, also known as classic hemophilia, is a genetic bleeding disorder caused by a deficiency or dysfunction of clotting factor VIII. Factor VIII is crucial for the blood clotting process, and its deficiency leads to prolonged bleeding episodes, even from minor injuries. Christmas disease, mentioned in the options, refers to Hemophilia B, which results from a deficiency in clotting factor IX, not factor VIII. Therefore, the disorder resulting from a deficiency of factor VIII is Hemophilia A.
Question 4 of 5
The nurse observes the temperature record of a client and relates the fever to the brain infection the client currently has. The nurse knows that a high temperature may lead to an increased cerebral irritation. Which of the ff measures can help the nurse control the clients body temperature? Choose all that apply
Correct Answer: A
Rationale: A. Providing tepid sponge bath: This measure helps to gradually lower the body temperature by promoting heat loss through evaporation. It is a safe and effective way to cool down someone with a fever.
Question 5 of 5
A 3-year-old attends her grandfather's funeral. Her parents told her he is in heaven with God. Which statement best describes her understanding of spirituality?
Correct Answer: C
Rationale: Three-year-olds are literal thinkers; if they see a body, they may assume that the person is still present.