Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

During the initial assessment, he is placed in a modified Trendelenburg position. What desired effect should the position have on the client?

  • A. An increase in the client's blood pressure
  • B. An increase in the client's respiratory rate f. An increase in the client's heart rate h. A decrease in blood loss
  • C. An increase in the client's respiratory rate
  • D. An increase in the client's heart rate h. A decrease in blood loss
Correct Answer: A

Rationale: Placing a client in a modified Trendelenburg position involves having the client lie flat on the back with the legs elevated above the level of the heart. The main purpose of this position is to help increase blood pressure in cases of hypotension or shock. By raising the legs above the heart level, gravity helps to facilitate the return of venous blood to the heart, which can increase cardiac output and, consequently, blood pressure. This position is commonly used in clinical settings to help improve perfusion to vital organs and assist in stabilizing a client's blood pressure.

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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.

Regarding the physical growth of preschool children (3-5 yr), all are true EXCEPT

  • A. 7-8 kg weight increment/yr
  • B. 6-7 cm height increment/yr
  • C. brain myelinization stops by 8 yr
  • D. 20 primary teeth erupted by 3 yr
Correct Answer: A

Rationale: Weight increment slows after infancy, making 7-8 kg/year incorrect.

The nurse is assigned to a client with polymyositis. Which expected outcome in the plan of care relates to a potential problem associated with polymyositis?

  • A. "Client will lose 2lb per week on a calorie-restricted diet."
  • B. "Client will exhibit no signs or symptoms of aspiration."
  • C. "Client will exhibit bowel and bladder continence."
  • D. "Client will exhibit alertness and orientation to person, place, and time."
Correct Answer: B

Rationale: Polymyositis is a condition that involves inflammation of the muscles, including the muscles involved in swallowing (dysphagia) and breathing. This can lead to a higher risk of aspiration, where food or fluids go into the airway instead of the esophagus. Therefore, monitoring for signs and symptoms of aspiration and ensuring the client exhibits no signs of aspiration are crucial in the care of a client with polymyositis. The other options are not directly related to the potential problems associated with polymyositis and are more general aspects of nursing care.

A child with which of the following diseases may suffer a severe acute reaction to radiotherapy?

  • A. Chédiak-Higashi syndrome
  • B. Neurofibromatosis
  • C. Chronic mucocutaneous candidiasis
  • D. Ataxia-telangiectasia
Correct Answer: D

Rationale: Children with ataxia-telangiectasia are highly sensitive to radiation and can suffer severe reactions to radiotherapy.

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.

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