ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
When a neurologist asks a patient to smile, which cranial nerve is being tested?
Correct Answer: C
Rationale: When a neurologist asks a patient to smile, they are testing the function of the facial nerve, Cranial Nerve VII (CN VII). CN VII controls the muscles of facial expression, including the muscles required for smiling. If there is weakness or paralysis on one side of the face when the patient tries to smile, it may indicate a problem with CN VII function, such as Bell's palsy or a lesion affecting the facial nerve.
Question 2 of 5
Mr. RR is admitted to the hospital with a diagnosis of brain tumor. Mr. RR's doctor is very much concerned about the possibility of increased intracranial pressure. The following is the most reliable index of cerebral state:
Correct Answer: A
Rationale: The most reliable index of cerebral state in a patient diagnosed with a brain tumor and concerning increased intracranial pressure is the level of consciousness. Changes in consciousness, such as alterations in alertness, orientation, and responsiveness, are significant indicators of the brain's functioning and can provide valuable insights into the impact of increased intracranial pressure. Monitoring the level of consciousness helps healthcare providers assess neurological status and make critical decisions regarding the management of intracranial pressure. Unilateral papillary dilatation, increased systolic blood pressure, and decreased pulse pressure may also be important indicators but are not as reliable or direct as changes in the level of consciousness when evaluating cerebral status in this context.
Question 3 of 5
The examiner shines a light in the patient's eyes and notes that the pupils are round and constrict from 4 to 2 mm bilaterally. Next, the examiner asks the patient to focus on a far object, then on the examiner's finger as it is brought from 3 feet distance to 5 inches distance. The pupils constrict bilaterally and the eyes turn inward. Which of the ff. would be the correct documentation of these findings?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which of the ff. nursing interventions would have the highest priority in the plan of care for the postoperative eye patient?
Correct Answer: C
Rationale: In the postoperative period for an eye patient, sudden onset of acute pain can be indicative of a complication or an issue that needs immediate attention. Promptly reporting and addressing the pain is essential to prevent any further complications, such as infection, corneal abrasion, or increased intraocular pressure. This intervention takes priority over the other options listed as it involves the patient's immediate safety and well-being. It is crucial to follow postoperative protocols and report any unexpected or severe symptoms to ensure appropriate treatment and prevent any potential harm to the patient's eyesight.
Question 5 of 5
The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should:
Correct Answer: B
Rationale: Clients with diabetes mellitus are at a higher risk for developing foot problems due to nerve damage and poor circulation. Washing and inspecting the feet daily is crucial in preventing and identifying any foot issues early. This practice helps in maintaining good foot hygiene, detecting any cuts, sores, or infections promptly, and preventing complications like diabetic foot ulcers. Walking barefoot is not recommended as it increases the risk of injury and infection, and cutting toenails by rounding edges can lead to ingrown toenails. Commercial preparations for foot care may contain ingredients that can be harmful to people with diabetes, so it is important to consult healthcare providers before using them.