ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
Which nursing intervention is appropriate for the nurse to take when setting up supplies for a client who requires a blood transfusion?
Correct Answer: C
Rationale: When setting up supplies for a client who requires a blood transfusion, the appropriate nursing intervention is to prime the tubing of the blood administration set with 0.9% NS solution completely, filling the filter. This is essential to ensure that the blood components flow smoothly through the tubing and any potential air bubbles are removed in order to prevent air embolism and ensure the safety of the blood transfusion process. Option A is not correct because adding IV medication in the blood bag is not a standard practice and can compromise the integrity of the blood product. Option B is also incorrect as blood products should be stored and maintained at specific temperatures to prevent spoilage or contamination; leaving it at room temperature is not advised. Option D is unrelated to setting up supplies for a blood transfusion and addresses inadequate dietary intake, which is a different nursing concern than the preparation of blood transfusion supplies.
Question 2 of 5
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, NO, MO. What does this classification mean?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client is receiving chemotherapy to treat breath cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
Correct Answer: A
Rationale: Chemotherapy can cause fluid and electrolyte imbalances in the body, leading to potential kidney damage and altered urinary output. A low urine output of 400 ml in 8 hours could indicate dehydration or impaired renal function, both of which can be induced by chemotherapy. Monitoring urine output is crucial in assessing the patient's fluid balance and kidney function during chemotherapy. It is essential to identify and address such imbalances promptly to prevent complications.
Question 4 of 5
The nurse is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:
Correct Answer: B
Rationale: A diagnosis of breast cancer is confirmed through a biopsy, which involves removing a sample of tissue or cells from the lump in the breast and examining it under a microscope. Fine needle aspiration is a minimally invasive procedure where a thin needle is used to remove cells from the lump for examination. This diagnostic method allows for the confirmation of breast cancer by analyzing the cells for signs of malignancy. While breast self-examinations, mammography, and chest x-rays are important tools for detecting breast abnormalities, they are not definitive in confirming a diagnosis of breast cancer.
Question 5 of 5
The nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority?
Correct Answer: B
Rationale: In caring for a client with bronchogenic carcinoma, the highest priority nursing diagnosis would be Ineffective airway clearance related to obstruction by a tumor or secretions. This is crucial because any blockage in the airway can lead to serious respiratory complications, such as respiratory distress or respiratory failure. Ensuring effective airway clearance is essential to maintain adequate oxygenation and ventilation for the client. Addressing this priority nursing diagnosis promptly can help prevent potential life-threatening situations and promote optimal respiratory function for the client.