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: The best position for an 8-year-old who has returned after an appendectomy for a ruptured appendix is A) Right side-lying. In the right side-lying position, the child's abdomen is supported, reducing strain on the surgical incision site. This position also promotes optimal lung expansion and ventilation, decreasing the risk of respiratory complications post-surgery. Additionally, lying on the right side encourages the natural movement of the gastrointestinal tract, aiding in the passage of gas and stool, which can be particularly important after abdominal surgery. The other options are incorrect for various reasons: - B) Semi-Fowler position: This position might not provide adequate support to the surgical site and may not facilitate optimal lung expansion. - C) Prone position: Placing the child prone could increase pressure on the abdomen and disrupt the healing process. - D) Left side-lying: This position could potentially put pressure on the surgical incision and hinder the recovery process. In an educational context, understanding the rationale behind positioning post-abdominal surgery in pediatric patients is crucial for nurses and healthcare providers caring for these children. Proper positioning can significantly impact a child's comfort, respiratory function, and overall recovery process, emphasizing the importance of evidence-based practice in pediatric care.
Question 2 of 5
A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:
Correct Answer: A
Rationale: Milia are small, whitish, pinpoint spots that commonly occur in newborns due to retained sebaceous secretions in the skin. They are commonly seen on the nose and can also appear on the cheeks and chin. Milia are not indicative of any illness and tend to disappear on their own without any treatment. They are a benign and temporary skin condition in newborns.
Question 3 of 5
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?
Correct Answer: C
Rationale: Total protein is a laboratory test that is commonly ordered to assess the nutritional status of an individual. In the case of a child with poor nutritional status and weight loss, assessing the total protein levels can help in diagnosing a negative nitrogen balance. Total protein levels may decrease in individuals with inadequate protein intake, malnutrition, or negative nitrogen balance. Monitoring total protein levels can provide valuable information about the child's nutritional status and help guide further interventions to improve their overall health and well-being.
Question 4 of 5
The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take?
Correct Answer: D
Rationale: In this situation, the nurse's priority is to provide a safe environment for the patient during the seizure. Inserting a padded tongue blade (Option A) is not recommended as it can cause more harm than good, such as dental injury. Restraint of the patient (Option B) during a seizure is also not recommended as it can lead to injury. Calling the operator to page for seizure assistance (Option C) may delay immediate intervention. The best course of action is for the nurse to clear the area of any objects that may injure the patient during the seizure and position the client safely. This will help prevent injury and ensure the patient's safety until the seizure subsides.
Question 5 of 5
Nurse Kai is evaluating a female child with acute post-streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
Correct Answer: A
Rationale: In a female child with acute post-streptococcal glomerulonephritis, the earliest sign of improvement is often seen as an increase in urine output. This occurs as the kidneys start to recover and normal functioning is restored. Increased urine output indicates improved glomerular filtration and clearance of waste products from the body. It is an essential indicator of renal function and overall improvement in the condition of the child. Other signs such as increased appetite and energy levels may follow but increased urine output is typically the first noticeable sign of improvement in cases of glomerulonephritis.