Free Pediatric CCRN Practice Questions

Free Pediatric CCRN Practice Questions Related

Review Free Pediatric CCRN Practice Questions related questions and content

A client metastatic ovarian cancer is prescribed cisplatin (Platinol). Before administering the first dose, the nurse reviews the client's medication history for drugs that may interact with cisplatin. Which drug may cause significant interactions when given concomitantly with cisplatin?

  • A. Erythromycin
  • B. A cephalosporin
  • C. A tetracycline
  • D. An amino glycoside Situation: A client with ovarian cancer is prescribed hydroxyurea (Hydrea), an antimetabolite drug.
Correct Answer: D

Rationale: Amino glycosides, such as gentamicin or amikacin, can interact significantly with cisplatin, leading to increased risk of kidney damage or hearing loss. Both amino glycosides and cisplatin are known to have nephrotoxic and ototoxic effects independently. When combined, the risk of these side effects is potentiated, making it important to monitor renal function and hearing closely when these drugs are co-administered. Therefore, it is crucial to avoid the concomitant use of amino glycosides with cisplatin in order to prevent harmful drug interactions and reduce the risk of adverse effects in the client with metastatic ovarian cancer.

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A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is

  • A. radiotherapy
  • B. concomitant chemotherapy-radiotherapy
  • C. another surgery
  • D. observation
Correct Answer: B

Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.

Which is the most critical physiologic change required of the newborn?

  • A. Closure of fetal shunts in the heart
  • B. Stabilization of fluid and electrolytes
  • C. Body-temperature maintenance
  • D. Onset of breathing
Correct Answer: D

Rationale: The most critical physiologic change required of the newborn is the onset of breathing. Prior to birth, the fetus receives oxygen from the mother's blood through the placenta. However, once the newborn is delivered, it needs to begin breathing on its own to support oxygen exchange and remove carbon dioxide from the body. The respiratory system must transition from a fluid-filled state in the womb to an air-filled state outside the womb. The onset of breathing is essential for the newborn's survival and initiates the process of oxygenation of tissues and removal of carbon dioxide, which are vital for metabolism and overall physiological functioning. While closure of fetal shunts, stabilization of fluid and electrolytes, and body-temperature maintenance are also important changes that occur in the newborn, the onset of breathing is the most critical to ensure proper oxygenation of the body's tissues.

While caring for a patient who is hospitalized for acute gastroenteritis and dehydration, the pediatric nurse notes that the patient's parent keeps packets of herbs by the patient's bedside. Suspecting that the parent may be administering the herbs to the patient, the nurse's first action is to:

  • A. ask the parent in a nonjudgmental manner about the herbs.
  • B. coordinate a nursing care conference to discuss the patient's plan of care.
  • C. discuss the risks of using alternative therapies with the parent.
  • D. refer the family to a social worker for possible nonadherence with the healthcare regimen.
Correct Answer: A

Rationale: A nonjudgmental approach encourages open communication and allows the nurse to assess the situation appropriately.

Children with severe traumatic brain injury (TBI) may experience autonomic dysfunction characterized by all the following EXCEPT

  • A. elevated temperature
  • B. elevated heart rate
  • C. elevated respiratory rate
  • D. lowered blood pressure
Correct Answer: D

Rationale: Autonomic dysfunction in TBI typically involves elevated temperature, heart rate, and respiratory rate due to dysregulation of the autonomic nervous system. Lowered blood pressure is less common and may indicate hypovolemia or other conditions rather than autonomic dysfunction.

At health fair, an oncology nurse answers questions about risk factors for various types of cancer. One person with a family history of colon cancer asks the nurse to identify risk factors for this type of cancer. The nurse should identify:

  • A. Smoking
  • B. Obesity
  • C. Heavy alcohol consumption
  • D. Saccharin consumption
Correct Answer: B

Rationale: Obesity is a known risk factor for colon cancer. Studies have shown that individuals who are obese have an increased risk of developing colon cancer compared to those who are of normal weight. The excess fat tissue, particularly around the abdomen, can lead to chronic inflammation and hormonal changes in the body, which can contribute to the development of cancer cells. It is essential for individuals with a family history of colon cancer to be mindful of maintaining a healthy weight as part of their overall cancer prevention strategies. Smoking, heavy alcohol consumption, and saccharin consumption are not identified as primary risk factors for colon cancer.

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