ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which of the ff. does the nurse understand are the reasons a patient with pulmonary edema is given morphine sulphate? i.To reduce anxiety iv.To increase BP ii.To relieve chest pain v.To reduce preload and afterload iii.To strengthen heart contractions
Correct Answer: A
Rationale: Rationale: The correct answer is A) 2 and 4. 1. Morphine sulfate is given to patients with pulmonary edema to reduce anxiety (i) and increase blood pressure (iv). The anxiolytic properties of morphine help calm the patient, reducing stress and anxiety associated with difficulty breathing and chest discomfort. Additionally, morphine can help vasodilate peripheral vessels, leading to increased blood pressure, which can be beneficial in cases of hypotension associated with pulmonary edema. 2. Option B) 3 and 5 is incorrect because while strengthening heart contractions (iii) and reducing preload and afterload (v) are important goals in managing pulmonary edema, morphine sulfate does not directly achieve these effects. In fact, morphine can potentially worsen preload and exacerbate respiratory depression, which can further compromise the patient's condition. 3. Option C) 1 and 5 is incorrect because reducing anxiety (i) is a valid reason as discussed earlier, but reducing preload and afterload (v) is not a direct effect of morphine sulfate administration in the context of pulmonary edema. 4. Option D) 2 and 3 is incorrect because while increasing blood pressure (iv) is a known effect of morphine sulfate administration in patients with pulmonary edema, relieving chest pain (ii) is not a primary indication for giving morphine in this scenario. Educational Context: Understanding the rationale behind using morphine sulfate in patients with pulmonary edema is crucial for nurses caring for critically ill pediatric patients. By selecting the correct answer, nurses demonstrate knowledge of pharmacological management strategies to alleviate symptoms and improve outcomes in patients with pulmonary edema. It also highlights the importance of understanding the specific effects and considerations of medications in pediatric patients to provide safe and effective care.
Question 2 of 5
A nurse caring for a patient with a herniated lumbar disk develops a plan of care for impaired mobility related to nerve compression. Which patient outcome indicates that the plan has been successful?
Correct Answer: D
Rationale: The patient being able to ambulate 25 feet without pain is the most appropriate outcome to indicate the success of the plan for impaired mobility related to nerve compression due to a herniated lumbar disk. This outcome directly reflects an improvement in mobility, which is the primary goal when addressing impaired mobility caused by nerve compression. A reduction in pain intensity (choice A) is important but not as specific to mobility impairment. Having full range of motion (choice B) in the upper extremities is not directly related to the issue of lumbar disk herniation. Correct self-administration of analgesics (choice C) is important for pain management but does not directly reflect improvement in mobility.
Question 3 of 5
Why would a Heimlich maneuver be performed on a client?
Correct Answer: B
Rationale: The Heimlich maneuver, also known as abdominal thrusts, is performed on a client to clear the airway if the client is choking and cannot speak or breathe after swallowing food. The maneuver involves applying upward pressure on the abdomen in an effort to forcefully expel the object blocking the airway. It is a crucial life-saving technique that can prevent the client from suffocating due to an obstructed airway. In cases of choking emergencies, the Heimlich maneuver should be administered promptly to effectively remove the obstruction and restore breathing.
Question 4 of 5
A patient is scheduled for an MRI and asks what to expect. Which of the following responses by the nurse is best?
Correct Answer: D
Rationale: The best response by the nurse in this scenario is option D: "It is a noninvasive test that uses magnetic energy to visualize internal parts." This response provides a clear and accurate description of what an MRI (Magnetic Resonance Imaging) involves. An MRI is a diagnostic test that uses a powerful magnetic field, radio waves, and a computer to create detailed images of the internal structures of the body. It is noninvasive, meaning there are no needles, electrodes, or injections involved. By explaining the procedure in a simple and understandable way, the nurse can help alleviate any anxiety or concerns the patient may have about the upcoming MRI.
Question 5 of 5
The nurse observes the temperature record of a client and relates the fever to the brain infection the client currently has. The nurse knows that a high temperature may lead to an increased cerebral irritation. Which of the ff measures can help the nurse control the clients body temperature? Choose all that apply
Correct Answer: A
Rationale: In this scenario, the correct measures to help the nurse control the client's body temperature include providing a tepid sponge bath. This is because tepid water helps to gently lower the body temperature without causing shivering or vasoconstriction, which can actually increase temperature. Applying ice packs may seem like a good idea to lower body temperature quickly, but it can lead to vasoconstriction and shivering, potentially raising the body temperature instead. Administering prescribed antipyretics is effective in reducing fever by acting on the hypothalamus to lower the body's set point for temperature regulation. Keeping the room temperature warm is not beneficial in this situation as it may contribute to further increasing the client's body temperature. Educationally, it's crucial for nurses to understand the appropriate interventions for managing fever in pediatric patients with brain infections. Providing a tepid sponge bath is a safe and effective method to help reduce fever without causing harm, making it a valuable skill for pediatric nurses to employ in clinical practice.