Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

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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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Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT

  • A. positive family history of melanoma
  • B. dark-skinned child
  • C. hairy nevus
  • D. dysplastic nevus
Correct Answer: B

Rationale: Dark-skinned individuals have a lower risk of melanoma.

Neuroblastoma can be associated with paraneoplastic syndromes. All the following features are paraneoplastic EXCEPT

  • A. uncontrollable jerking movements
  • B. cerebellar ataxia and increased body coordination
  • C. unilateral ptosis, myosis, and anhidrosis
  • D. profound secretory diarrhea
Correct Answer: B

Rationale: Increased body coordination is not a typical feature of neuroblastoma-associated paraneoplastic syndromes.

The nurse is conducting a staff in-service on childhood-acquired heart diseases. Which is a major clinical manifestation of rheumatic fever?

  • A. Polyarthritis
  • B. Osler nodes
  • C. Janeway spots
  • D. Splinter hemorrhages of distal third of nails
Correct Answer: A

Rationale: Rheumatic fever is a systemic inflammatory condition that can develop as a complication of untreated or inadequately treated streptococcal infections, such as strep throat. One of the major clinical manifestations of rheumatic fever is polyarthritis, which is characterized by inflammation and pain in multiple joints. It typically involves large joints like the knees, ankles, elbows, and wrists. Polyarthritis in rheumatic fever is migratory in nature, meaning the joint pain shifts from one joint to another over a period of time. Other common clinical manifestations of rheumatic fever include carditis (inflammation of the heart), chorea (involuntary movements), subcutaneous nodules, and erythema marginatum (rash).

Although the etiology of hepatoblastoma is unknown, there are many associated risk factors for development of hepatoblastoma EXCEPT

  • A. Beckwith-Wiedemann syndrome
  • B. familial adenomatous polyposis syndrome
  • C. prematurity
  • D. Hepatitis C
Correct Answer: D

Rationale: Hepatitis C infection is not a recognized risk factor for hepatoblastoma.

Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT

  • A. low stage (I/II) at diagnosis
  • B. no prior radiotherapy
  • C. anaplastic histology
  • D. more than 12 mo from nephrectomy
Correct Answer: C

Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.

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