ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
Which action by the school nurse is important in the prevention of rheumatic fever?
Correct Answer: C
Rationale: Referring children with sore throats for throat cultures is important in the prevention of rheumatic fever. Rheumatic fever is a complication of untreated streptococcal throat infections, specifically caused by group A Streptococcus bacteria. By identifying and treating streptococcal infections promptly with antibiotics, the risk of developing rheumatic fever is significantly reduced. The school nurse plays a crucial role in recognizing the symptoms of strep throat and ensuring that affected children are appropriately referred for testing and treatment. This can help prevent the serious consequences of rheumatic fever, which can affect the heart, joints, skin, and brain if left untreated. Encouraging routine cholesterol screenings (choice A) and blood pressure screenings (choice B) are important for overall health monitoring but are not directly related to the prevention of rheumatic fever. Recommending salicylates over acetaminophen (choice D) is not advisable in children due to the risk of Reye's syndrome
Question 2 of 5
Undescended testis is a risk factor for the development of which of the following tumors?
Correct Answer: C
Rationale: Undescended testis is a well-documented risk factor for yolk sac tumors and other testicular cancers.
Question 3 of 5
While managing a client after a medical or surgical procedure for bladder stones, for what rise in the temperature should the nurse notify the physician?
Correct Answer: C
Rationale: A rise in temperature is concerning after a medical or surgical procedure as it can indicate infection or other complications. A temperature above 102F is typically considered a significant fever, especially in the postoperative period. It is essential to notify the physician promptly to assess the patient's condition and provide appropriate interventions to address the underlying cause of the fever.
Question 4 of 5
Antivenins should be considered in the treatment of all of the following EXCEPT
Correct Answer: E
Rationale: Hymenoptera envenomations (e.g., bee stings) typically do not require antivenin, as they are managed with supportive care.
Question 5 of 5
the therapeutic management of children with b-thalassemia major consists primarily of which of the following?
Correct Answer: D
Rationale: The primary therapeutic management of children with beta-thalassemia major involves frequent blood transfusions. This is necessary because beta-thalassemia major is a severe form of thalassemia where there is a significant reduction in the production of hemoglobin. Blood transfusions help to increase the levels of normal hemoglobin in the body, improving symptoms related to anemia and preventing complications such as growth failure and organ damage. Other treatments such as iron chelation therapy to manage iron overload and supportive measures like adequate hydration are also important, but frequent blood transfusions are the cornerstone of managing beta-thalassemia major.