ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Why must a nurse measure the intake and output and recommend a daily fluid intake of approximately 3000 to 4000 mL for a client with pyelonephritis?
Correct Answer: B
Rationale: A nurse measures the intake and output and recommends a daily fluid intake of approximately 3000 to 4000 mL for a client with pyelonephritis primarily to help flush out the infectious microorganisms from the urinary tract. Pyelonephritis is a bacterial infection of the kidneys and urinary tract, and increasing fluid intake can help dilute the urine and increase urine output, which may help wash out and eliminate the infectious microorganisms causing the infection. Adequate hydration also helps the kidneys function optimally in eliminating waste and toxins from the body. Therefore, maintaining a high fluid intake is crucial in the management of pyelonephritis to support the body's natural defense mechanisms and aid in recovery.
Question 2 of 5
A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes. The MOST appropriate action is
Correct Answer: A
Rationale: Temper tantrums are common at this age and often do not indicate pathology.
Question 3 of 5
At a public health fair, the nurse teaches a group of women about breast cancer awareness. Possible signs of breast cancer include:
Correct Answer: B
Rationale: Possible signs of breast cancer include nipple discharge (especially if it is bloody) and a breast nodule or lump that can be felt. It is important to note any changes in the breasts and report them to a healthcare provider for evaluation. Fever, breast changes during menstruation, and erythema of the breast are not typically associated with breast cancer. It is essential for women to perform regular breast self-exams and seek medical attention if they notice any unusual changes in their breast tissue.
Question 4 of 5
Which of the ff. positions is best for a chest drainage system when the patient is being transported by wheelchair?
Correct Answer: A
Rationale: The best position for a chest drainage system when the patient is being transported by wheelchair is to hang it on the top of the wheelchair backrest (Option A). This ensures that the chest drainage system remains upright and secure during transportation. Placing it on the patient's feet and asking the patient to hold it (Option B) is not ideal as it can cause discomfort and potentially compromise the drainage system. Hanging it on the same pole as the patient's IV (Option C) may lead to entanglement and interference with the IV line. Placing it in the patient's lap (Option D) is also not recommended as it can be cumbersome and may lead to accidental dislodgement of the chest drainage system. Therefore, hanging it on the top of the wheelchair backrest provides stability and ease of transport for the patient.
Question 5 of 5
During the initial assessment, he is placed in a modified Trendelenburg position. What desired effect should the position have on the client?
Correct Answer: A
Rationale: Placing a client in a modified Trendelenburg position involves having the client lie flat on the back with the legs elevated above the level of the heart. The main purpose of this position is to help increase blood pressure in cases of hypotension or shock. By raising the legs above the heart level, gravity helps to facilitate the return of venous blood to the heart, which can increase cardiac output and, consequently, blood pressure. This position is commonly used in clinical settings to help improve perfusion to vital organs and assist in stabilizing a client's blood pressure.