Free Pediatric CCRN Practice Questions

Free Pediatric CCRN Practice Questions Related

Review Free Pediatric CCRN Practice Questions related questions and content

A client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provide by which type of white blood cell?

  • A. Neutrophil
  • B. Monocyte
  • C. Basophil
  • D. Lymphocyte
Correct Answer: D

Rationale: Lymphocytes are the type of white blood cells that provide adaptive immunity. There are two main types of lymphocytes: B cells and T cells. B cells produce antibodies that can specifically recognize and target certain pathogens (including HIV), while T cells have various functions in the immune response, such as directly killing infected cells or helping other immune cells. Adaptive immunity is characterized by the body's ability to remember specific pathogens and mount a targeted response upon subsequent exposures. In the context of HIV and AIDS, understanding the role of lymphocytes in adaptive immunity is essential for the client to comprehend how the virus affects the immune system and why immune function becomes compromised over time.

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Which of the following parameters would Nurse Max monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageL REFLUX (GER)?

  • A. Urine
  • B. Vomiting
  • C. Weight
  • D. Stools
Correct Answer: C

Rationale: Nurse Max would monitor the infant's weight to evaluate the effectiveness of thickened feedings for gastroesophageal reflux (GER). Weight monitoring is crucial because it can indicate if the infant is gaining, maintaining, or losing weight, which can be reflective of how well they are tolerating the thickened feedings. An increase in weight would suggest that the infant is receiving adequate nutrition and that the thickened feedings are effective in managing GER symptoms. Monitoring weight can also help assess if the infant's overall growth and development are progressing appropriately in the context of their GER condition.

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?

  • A. "You will need to decrease the number of calories in your child's diet."
  • B. "Your child's diet will need an increased amount of protein."
  • C. "You will need to avoid adding salt to your child's food."
  • D. "Your child's diet will consist of low-fat, low-carbohydrate foods."
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.

The age by which the child can make a tower of 9 cubes and imitates circular stroke is

  • A. 24 months
  • B. 30 months
  • C. 36 months
  • D. 42 months
Correct Answer: C

Rationale: This milestone is typically achieved around 36 months.

In assessing clients for pernicious anemia, the nurse should be alert for which of the following risk factors?

  • A. Positive family history
  • B. Infectious agents or toxins
  • C. Acute or chronic blood loss
  • D. Inadequate dietary intake
Correct Answer: C

Rationale: Pernicious anemia is primarily caused by the body's inability to absorb vitamin B12 due to a lack of intrinsic factor produced by the stomach. However, chronic blood loss can also lead to anemia by depleting the body's iron stores necessary for the production of healthy red blood cells. Acute blood loss can quickly lower the hemoglobin levels in the blood, while chronic blood loss can lead to iron-deficiency anemia over time. Therefore, in assessing clients for pernicious anemia, the nurse should be alert for the risk factor of acute or chronic blood loss as a potential cause of anemia.

A nurse is assessing a 12-month-old infant. Which statement best describes the infant's physical development a nurse should expect to find?

  • A. Anterior fontanel closes by age 6 to 10 months.
  • B. Binocularity is well established by age 8 months.
  • C. Birth weight doubles by age 5 months and triples by age 1 year.
  • D. Maternal iron stores persist during the first 12 months of life.
Correct Answer: C

Rationale: The statement that best describes the infant's physical development that a nurse should expect to find is that birth weight doubles by age 5 months and triples by age 1 year. This characteristic growth pattern is typical in the first year of life. Infants usually regain their birth weight by around 2 weeks of age, double it by about 5 months, and triple it by 1 year. This steady growth reflects the healthy development of the infant and is an important marker of overall well-being and nutrition. It is a key aspect that healthcare providers, including nurses, monitor closely to ensure the infant is thriving.

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