Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

An adult has been treated for pulmonary tuberculosis and is being discharged home with his wife and two young children. His wife asks how TB is passed from one person to another so she can prevent anyone from catching it. How should the nurse respond?

  • A. You should wear gloves when handling his linen and bedding
  • B. You should keep the windows and doors closed so as not to spread the droplets
  • C. He must be careful to cough into a handkerchief that is washed in hot water or discarded
  • D. Make sure to boil all water before drinking or using it
Correct Answer: C

Rationale: Tuberculosis is primarily spread through the air when an infected person coughs, sneezes, speaks, or sings, releasing bacteria-containing droplets into the air. Therefore, it is important for the individual with TB to cover their mouth and nose when coughing or sneezing to prevent the spread of the bacteria. By coughing into a disposable tissue or a handkerchief that can be washed in hot water, the risk of spreading the infection to others is significantly reduced. This measure helps minimize the transmission of the disease within the household and community.

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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.

The age at which the infant can see an object, grasp it, and bring it to the mouth is

  • A. 4 months
  • B. 5 months
  • C. 6 months
  • D. 7 months
Correct Answer: A

Rationale: This milestone is typically achieved around 4 months.

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 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.

Constellation of aniridia and hemihypertrophy is strongly associated with increased risk of which of the following tumors?

  • A. rhabdomyosarcoma
  • B. hepatoblastoma
  • C. Wilms tumor
  • D. medulloblastoma
Correct Answer: C

Rationale: Aniridia and hemihypertrophy are features of WAGR syndrome, which increases the risk of Wilms tumor.

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