ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which finding is an early indicator of bladder cancer?
Correct Answer: A
Rationale: Painless hematuria, which is the presence of blood in the urine without any associated pain, is an early indicator of bladder cancer. This symptom is often one of the first signs of this type of cancer and should be promptly evaluated by a healthcare provider. It is crucial not to ignore the presence of blood in the urine, as it can indicate various underlying conditions, including bladder cancer. While other symptoms like Nocturia (waking up at night to urinate), Occasional polyuria (increased urination), and Dysuria (painful urination) can also occur with bladder cancer, painless hematuria is a significant red flag for the disease.
Question 2 of 5
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
Question 3 of 5
As the nurse talks to the daughter of Mr. Dela Isla, which of the following statement of the daughter will require the nurse to give further teaching?
Correct Answer: B
Rationale: Option B, "I told her she is wrong and I explained to her what is right," would require the nurse to give further teaching because it indicates a lack of understanding about how to communicate with a person experiencing hallucinations. People with hallucinations may have a distorted sense of reality, and arguing with them or insisting on what is "right" can be counterproductive. The daughter would benefit from additional education on how to effectively communicate and support her father during episodes of hallucinations.
Question 4 of 5
A nurse has determined that a newborn's respiratory breathing is within a normal range. How should the nurse document this finding?
Correct Answer: B
Rationale: A newborn with normal respiratory breathing would typically exhibit regular breathing patterns, with abdominal movements indicating effective diaphragmatic breathing. The normal respiratory rate for a newborn is considered to be 25 to 35 breaths per minute. Therefore, documenting the newborn's respiratory breathing as "Regular, abdominal, 25 to 35 breaths/min" would accurately represent a normal finding.
Question 5 of 5
A client who was diagnosed with type I diabetes mellitus 14 years ago is admitted to the medical-surgical unit with abdominal pain. On admission, the client's blood glucose level is 470 mg/dl. Which finding is most likely to accompany this blood glucose level?
Correct Answer: B
Rationale: A blood glucose level of 470 mg/dl indicates severe hyperglycemia in a client with type I diabetes mellitus. Arm and leg trembling, known as tremors, is a common symptom associated with high blood glucose levels. Tremors are often a result of the body's stress response to the extreme levels of glucose in the blood. Other common symptoms of hyperglycemia include increased thirst, frequent urination, blurred vision, and fatigue. Cool, moist skin, rapid, thready pulse, and slow, shallow respirations are not typically associated with hyperglycemia and are more indicative of other conditions or clinical situations.