Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

A 5-year-old girl is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose" test. What is the nurse testing for?

  • A. Deep tendon reflexes
  • B. Cerebellar function
  • C. Sensory discrimination
  • D. Ability to follow directions
Correct Answer: B

Rationale: The nurse is testing the girl's cerebellar function by asking her to do the "finger-to-nose" test. The cerebellum is the part of the brain that plays a crucial role in coordinating movement, balance, and posture. In the finger-to-nose test, the child is asked to touch her own nose and then the nurse's finger repeatedly. A properly functioning cerebellum helps control and coordinate these precise movements. If there are issues with the cerebellar function, the child might have difficulty performing this task accurately, indicating a potential problem with motor coordination and balance.

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The statement about sleep which is NOT true is

  • A. melatonin is secreted in dark-light cycle
  • B. slow-wave sleep is needed for brain injury protection
  • C. rapid eye movement (REM) sleep is responsible for dreams
  • D. both REM and non-REM cycles are sufficient for sleep
Correct Answer: B

Rationale: Slow-wave sleep is primarily restorative, not protective against brain injury.

Burns are commonly seen in child abuse. Approximately 10% of children hospitalized with burns are victims of abuse. Of the following, inflicted burn can be MOST commonly the result of

  • A. contact with hot iron
  • B. contact with radiators
  • C. cigarette application
  • D. scalding injuries
Correct Answer: D

Rationale: Scalding injuries, often caused by hot liquids, are the most common type of inflicted burns in child abuse due to their accessibility and ease of use.

Which of the ff. does the nurse understand usually precedes rheumatic fever?

  • A. A viral infection
  • B. A beta-hemolytic streptococcal
  • C. A fungal infection infection c.A staphylococcal infection
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.

The statement about sleep which is NOT true is

  • A. melatonin is secreted in dark-light cycle
  • B. slow-wave sleep is needed for brain injury protection
  • C. rapid eye movement (REM) sleep is responsible for dreams
  • D. both REM and non-REM cycles are sufficient for sleep
Correct Answer: B

Rationale: Slow-wave sleep is primarily restorative, not protective against brain injury.

Postural Hypotension is A drop in systolic pressure less than 10 mmHg when patient changes position from lying to sitting.

  • A. A drop in systolic pressure greater than 10 mmHg when patient changes position from lying to sitting
  • B. A drop in diastolic pressure less than 10 mmHg when patient changes position from lying to sitting
  • C. A drop in diastolic pressure greater than 10 mmHg when patient changes position from lying to sitting
Correct Answer: A

Rationale: Postural hypotension, also known as orthostatic hypotension, refers to a drop in blood pressure when a person stands up from a sitting or lying position. The usual criteria for diagnosing postural hypotension is a drop in systolic blood pressure of 20 mmHg or more or a drop in diastolic blood pressure of 10 mmHg or more within 3 minutes of standing up.

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