ATI RN
Free Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
Correct Answer: B
Rationale: An adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa is likely to exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing). These symptoms are common manifestations of the body's response to malnutrition and starvation. Tachycardia occurs as a compensatory mechanism to maintain an adequate supply of oxygen to vital organs, while tachypnea helps to eliminate excess carbon dioxide due to metabolic imbalances. It is essential for the nurse to recognize these signs during the physical assessment as they indicate the severity of the condition and the need for immediate intervention to prevent further complications. Dysmenorrhea and oliguria, heat intolerance and increased blood pressure, and lowered body temperature and brittle nails are not typically associated with the physical manifestations of anorexia nervosa.
Question 2 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 3 of 5
A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?
Correct Answer: A
Rationale: In infants with heart failure, they may have increased metabolic demands due to their condition. Thus, it may be necessary to increase the caloric density of the infant's formula to ensure adequate nutrition and energy intake. This can help support the infant's growth and provide the necessary energy for their increased metabolic needs. Increasing the amount of formula or feeding too frequently (every 2 hours) may not be necessary and could lead to other issues like overfeeding. Placing a nasal oxygen cannula on the infant during and after each feeding (Option D) is not typically related to feeding practices for an infant with heart failure.
Question 5 of 5
The nurse is teaching nursing students about shock that occurs in children. What is one of the most frequent causes of hypovolemic shock in children?
Correct Answer: B
Rationale: One of the most frequent causes of hypovolemic shock in children is blood loss. Children are at risk for blood loss due to trauma, surgical procedures, gastrointestinal bleeding, or other conditions that result in significant blood volume reduction. Blood loss leads to a decrease in circulating blood volume, which in turn reduces tissue perfusion and oxygen delivery to vital organs. This results in hypovolemic shock, where the heart is unable to pump sufficient blood to meet the body's needs, leading to organ dysfunction and potentially life-threatening complications. Therefore, recognizing and addressing blood loss promptly is essential in managing hypovolemic shock in children.