ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which of the following communication methods is not an option for a patient following laryngectomy surgery?
Correct Answer: B
Rationale: Following laryngectomy surgery, the larynx (voice box) is removed, making it impossible for the patient to produce sound for speech. The options listed are alternative communication methods for patients post-surgery, except for using a picture board. Placing a finger over the stoma can help redirect air for speech, using a special valve can help divert air for speech as well, and learning esophageal speech involves speaking by swallowing air into the esophagus and then releasing it to create sound. Picture boards are not a common method of communication for patients following laryngectomy surgery.
Question 2 of 5
Which of the ff. does the nurse understand usually precedes rheumatic fever?
Correct Answer: B
Rationale: Rheumatic fever is an inflammatory disease that can develop as a complication of untreated or inadequately treated infections caused by group A beta-hemolytic streptococci. These bacterial infections are usually in the form of strep throat or scarlet fever. Rheumatic fever typically occurs 2-4 weeks after a streptococcal infection. The body's immune response to the streptococcal infection can lead to an autoimmune reaction, resulting in rheumatic fever. It is important to promptly diagnose and treat streptococcal infections to prevent the development of rheumatic fever.
Question 3 of 5
A baby is born temporarily immune to the diseases to which the mother is immune. The nurse understands that this is an example of which of the following types of immunity?
Correct Answer: A
Rationale: In the scenario described, the baby is born with temporary immunity to diseases that the mother is immune to. This is an example of naturally acquired passive immunity, where the baby receives preformed antibodies from the mother, providing immediate protection against certain diseases. This type of immunity is passive because the baby did not produce the antibodies themselves, and it is naturally acquired as it occurs through the transfer of antibodies from the mother to the baby during pregnancy.
Question 4 of 5
Which of the following is disease process characterized by a chronic progressive inflammation of the sacroiliac and costovertebral joints and adjacent soft tissue?
Correct Answer: D
Rationale: Ankylosing spondylitis is a chronic inflammatory disease primarily affecting the sacroiliac joints and the spine. It leads to progressive inflammation of the sacroiliac and costovertebral joints, which can cause pain, stiffness, and eventually lead to fusion of the affected joints. This condition is also characterized by inflammation of other joints, tendons, and ligaments, as well as extra-articular manifestations such as uveitis and cardiac involvement. Ankylosing spondylitis is more common in young males and is associated with the presence of the HLA-B27 genetic marker. It is important to diagnose and manage ankylosing spondylitis early to help prevent complications and improve quality of life for affected individuals.
Question 5 of 5
In planning an educational session for a patient with HIV, the nurse would include which of the following as a method of transmission for HIV? i.Saliva iv.Semen ii.Tears v.Blood iii.Breast milk
Correct Answer: C
Rationale: HIV can be transmitted through specific body fluids that contain the virus. Saliva, tears, and semen do not typically contain enough HIV to transmit the virus, so they are not considered significant modes of transmission. However, blood, breast milk, and genital fluids (such as semen) are known to contain higher levels of HIV and can lead to transmission of the virus. Therefore, the nurse would include blood, breast milk, and semen as methods of transmission for HIV during the educational session.