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: Morphine sulfate is commonly administered to patients with pulmonary edema for two main reasons:
Question 2 of 5
Which assessment finding would prompt the Rn to suspect compartment syndrome in a patient with a long leg cast?
Correct Answer: C
Rationale: Compartment syndrome is a serious condition that can occur when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and potential necrosis. Symptoms of compartment syndrome include severe, unrelieved pain that is disproportionate to the injury, as well as pain with passive stretch of the affected muscles. This pain is often described as deep, constant, and out of proportion to physical findings. Other signs that may indicate compartment syndrome include pallor, pulselessness, paresthesia, and paralysis, but the most specific and early sign is severe, unrelieved pain. While weak movement of the patient's toes and decreased pedal pulses can also be seen in compartment syndrome, they are not as specific or early indicators as severe, unrelieved pain.
Question 3 of 5
The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?
Correct Answer: C
Rationale: The nurse should include in the teaching that the parent will need to avoid adding salt to the child's food. This is important because reducing salt intake helps to decrease fluid retention and swelling in the body, which is critical for managing edema associated with acute glomerulonephritis. Excessive salt intake can worsen edema by causing the body to retain more fluid, so it is crucial to limit salt in the child's diet. This dietary modification can help improve the child's condition and overall health outcome.
Question 4 of 5
The MOST common cause of obstructive sleep apnea in children is
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
Question 5 of 5
The nurse 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 child with acute post streptococcal glomerulonephritis, the earliest sign of improvement typically seen is an increased urine output. This is because one of the hallmark features of glomerulonephritis is decreased urine output (oliguria) or even anuria. As the condition improves, the kidneys start functioning better, leading to increased urine output. Monitoring urine output is crucial in assessing the renal function and overall improvement in patients with glomerulonephritis. While increased appetite, energy level, and decreased diarrhea are important indicators of a child's overall health status, they are not specific signs of improvement in the context of acute post streptococcal glomerulonephritis.