ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
While managing a client after a medical or surgical procedure for bladder stones, for what rise in the temperature should the nurse notify the physician?
Correct Answer: C
Rationale: A rise in temperature is concerning after a medical or surgical procedure as it can indicate infection or other complications. A temperature above 102F is typically considered a significant fever, especially in the postoperative period. It is essential to notify the physician promptly to assess the patient's condition and provide appropriate interventions to address the underlying cause of the fever.
Question 2 of 5
When evaluating a client's response to fluid replacement therapy, the observation that indicates adequate tissue perfusion to vital organ is;
Correct Answer: A
Rationale: The observation that indicates adequate tissue perfusion to vital organs is a urinary output of 30 ml in an hour. Adequate tissue perfusion is essential to ensure that vital organs receive enough blood and oxygen. Monitoring urinary output is a crucial indicator of perfusion status, as it reflects the perfusion of the kidneys. A urinary output of at least 30 ml/hour or more indicates that the kidneys are receiving sufficient blood flow and are able to produce urine, which helps in removing waste products from the body. In this case, a urinary output of 30 ml in an hour suggests adequate tissue perfusion to vital organs. The other options do not directly reflect tissue perfusion to vital organs and may indicate inadequate perfusion or compromised hemodynamic status.
Question 3 of 5
For which of the ff conditions would the use of salt tablets be considered?
Correct Answer: A
Rationale: Salt tablets should be considered for mild deficits of serum sodium. Salt tablets contain sodium chloride, which helps increase the sodium levels in the body. In cases of mild deficits of serum sodium, also known as hyponatremia, salt tablets can help replenish the sodium levels and correct the electrolyte imbalance. However, for severe deficits of serum magnesium, potassium, or calcium, other specific electrolyte replacement therapies are usually preferred over salt tablets. It is important to consult a healthcare professional for proper diagnosis and treatment of electrolyte imbalances.
Question 4 of 5
Why should the nurse closely monitor a client to ensure that the venous access device remains in the vein during a transfusion?
Correct Answer: D
Rationale: Keeping the venous access device securely in the vein during a transfusion is important to minimize the risk of localized edema embolism. If the device dislodges and infiltrates into surrounding tissues, it can lead to localized swelling, pain, and potential complications such as tissue damage. Monitoring ensures proper placement and function of the device, reducing the risk of complications related to dislodgment.
Question 5 of 5
The nurse teaches a patient how to live with a new tracheostomy. Which of the ff. instructions is appropriate?
Correct Answer: C
Rationale: Option C, "Be sure to protect your tracheostomy from pollutants such as powders, hair and chemicals," is the most appropriate instruction for a patient with a new tracheostomy. It is important to keep the tracheostomy site clean and free from any potential irritants or contaminants that could cause infection or complications. Powders, hair, and chemicals can lead to irritation or clogging of the tracheostomy tube, so it is crucial for the patient to be mindful of avoiding such pollutants near the tracheostomy site.