Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

Patients with lymphoma are at risk for infection. Which of the ff. activities increases this risk?

  • A. Going to church
  • B. Cleaning the house
  • C. Taking a walk outside
  • D. Watching television
Correct Answer: C

Rationale: Patients with lymphoma are at higher risk for infections because their immune system is often compromised due to the disease itself or treatment such as chemotherapy. Going outside for a walk exposes the patient to various environmental factors including pathogens, bacteria, and viruses that can increase the risk of infections. In contrast, going to church, cleaning the house, and watching television do not necessarily pose the same level of risk for infection as being outside in the open air. It is therefore important for patients with lymphoma to avoid unnecessary exposure to potential sources of infection to reduce their risk of developing infections.

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A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. When charting this observation, the nurse identifies it as:

  • A. Milia
  • B. Lanugo
  • C. Whiteheads
  • D. Mongolian spots
Correct Answer: A

Rationale: Milia are small, whitish, pinpoint spots that commonly occur in newborns due to retained sebaceous secretions in the skin. They are commonly seen on the nose and can also appear on the cheeks and chin. Milia are not indicative of any illness and tend to disappear on their own without any treatment. They are a benign and temporary skin condition in newborns.

Metabolic derangement secondary to tumor lysis syndrome in children includes all the following EXCEPT

  • A. hyperuricemia
  • B. hypernatremia
  • C. hyperkalemia
  • D. hyperphosphatemia
Correct Answer: B

Rationale: Hypernatremia is not typically associated with tumor lysis syndrome, whereas hyperuricemia, hyperkalemia, and hyperphosphatemia are common.

The nurse is preparing to administer a dose of digoxin (Lanoxin) to a child in heart failure (HF). Which is a beneficial effect of administering digoxin (Lanoxin)?

  • A. It decreases edema.
  • B. It decreases cardiac output.
  • C. It increases heart size.
  • D. It increases venous pressure.
Correct Answer: A

Rationale: Digoxin is a medication commonly used in the treatment of heart failure (HF) because of its positive inotropic effect, which means it strengthens the heart muscle. While digoxin does not directly decrease edema, its ability to increase the strength of the heart muscle allows the heart to pump more effectively. When the heart is pumping blood more efficiently, it can help reduce fluid accumulation in the body, including edema.

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.

A nurse in the emergency department is assessing a 5-year-old child with symptoms of pneumonia and a fever of 102° F. Which intervention can the nurse implement to promote a sense of control for the child?

  • A. None; this is an emergency and the child should not participate in care.
  • B. Allow the child to hold the digital thermometer while taking the child's blood pressure.
  • C. Ask the child if it is OK to take a temperature in the ear.
  • D. Have parents wait in the waiting room.
Correct Answer: C

Rationale: Involving the child in decision-making and asking for their permission before performing a procedure promotes a sense of control and autonomy. By asking the child if it is OK to take the temperature in the ear, the nurse respects the child's preferences and helps them feel more empowered in the situation. This fosters a positive therapeutic relationship and can help reduce the child's anxiety during the medical assessment.

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