ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which is the best position for an 8-year-old who has returned after an appendectomy for a ruptured appendix?
Correct Answer: A
Rationale: Right side-lying promotes drainage of the peritoneal cavity and enhances comfort after surgery.
Question 2 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.
Question 3 of 5
A 61-year old female patient with diabetes is in the emergency department after stepping on a sharp onject while walking barefoot on the beach. The patient did not notice that the object pierced the skin unitl later that evening. What problem does she probably have?
Correct Answer: A
Rationale: The patient's presentation of stepping on a sharp object and not noticing the injury until later is suggestive of peripheral neuropathy, a common complication of long-standing diabetes. Peripheral neuropathy can decrease sensation in the feet, making the patient more susceptible to injuries. In diabetes, high blood sugar levels can damage the nerves throughout the body, particularly those in the extremities. This can result in decreased sensation and poor wound healing, putting the patient at risk for injuries like stepping on a sharp object without feeling it. Therefore, the likely problem the patient has is neuropathy affecting her peripheral nerves.
Question 4 of 5
Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
Correct Answer: C
Rationale: Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories may include weight that falls below the 15th percentile on growth charts. Weight falling below the 15th percentile may indicate poor nutrition intake leading to inadequate growth and development. Other signs such as avoidance of eye contact, an associated malabsorption defect, and normal achievement of developmental landmarks may not be specific indicators of failure to thrive due to behavioral problems with inadequate calorie intake.
Question 5 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: PERRLA stands for Pupils Equal Round Reactive to Light and Accommodation. This acronym is used to document the findings seen during a neurological examination of the pupils.