ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which assessment finding would prompt the Rn to suspect compartment syndrome in a patient with a long leg cast?
Correct Answer: C
Rationale: Compartment syndrome is a serious condition that can occur when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and potential necrosis. Symptoms of compartment syndrome include severe, unrelieved pain that is disproportionate to the injury, as well as pain with passive stretch of the affected muscles. This pain is often described as deep, constant, and out of proportion to physical findings. Other signs that may indicate compartment syndrome include pallor, pulselessness, paresthesia, and paralysis, but the most specific and early sign is severe, unrelieved pain. While weak movement of the patient's toes and decreased pedal pulses can also be seen in compartment syndrome, they are not as specific or early indicators as severe, unrelieved pain.
Question 2 of 5
The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine:
Correct Answer: C
Rationale: The correct answer is C. The glycosylated hemoglobin (HbA1c) test is used to determine the average glucose levels over the past several months (approximately 2-3 months). This test measures the amount of glucose that has been bound to hemoglobin in red blood cells, providing an indication of the patient's overall blood sugar control. This is particularly important for diabetic patients, as it helps healthcare providers assess the effectiveness of the management plan and make necessary adjustments to prevent complications associated with high blood sugar levels over time. The other options provided do not accurately describe what the glycosylated hemoglobin test measures.
Question 3 of 5
A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?
Correct Answer: C
Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.
Question 4 of 5
A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:
Correct Answer: B
Rationale: In a client with esophageal cancer who is experiencing difficulty swallowing, maintaining a patent airway is the highest priority. The client is at risk for aspiration due to the compromised ability to swallow, which could lead to respiratory distress, choking, or aspiration pneumonia. Adequate oxygenation is essential for the client's survival and must be addressed as the priority issue. While coping with body image, preventing injury, and ensuring nutrition are important aspects of care, they are secondary to ensuring the client's airway remains open and clear to prevent respiratory complications.
Question 5 of 5
A child is being admitted to the intensive care unit (ICU) and the parents are with the child. Which creates stressors for children and parents in ICUs? (Select all that apply.)
Correct Answer: A
Rationale: Equipment noise: The noises from medical equipment in the ICU can be loud and continuous, creating a stressful environment for both children and parents. This constant noise can be overwhelming and contribute to feelings of anxiety.