Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

Following the American Cancer Society guidelines, the nurse should recommend that the women:

  • A. Perform breast self-examination annually
  • B. Have a physician conduct a clinical
  • C. Have a mammogram annually examination every 2 years
  • D. Have a normal receptor assay annually
Correct Answer: C

Rationale: The American Cancer Society recommends that women have a mammogram annually, starting at age 45, and then have the option to switch to every two years starting at age 55. This is based on evidence showing that regular mammograms can help detect breast cancer early when it is most treatable. Breast self-examinations are no longer recommended as a routine screening method due to studies showing they do not reduce mortality from breast cancer. Clinical breast exams conducted by a physician are also not recommended for routine screening in average-risk women, as they have not been shown to be effective in reducing breast cancer mortality. Normal receptor assay testing is not a screening test for breast cancer and is used to help determine the best treatment options for diagnosed breast cancer cases.

You may also like to solve these questions

The nurse is taking care of a 7-year-old child with herpes simplex virus (type 1 or 2). Which prescribed medication should the nurse expect to be included in the treatment plan?

  • A. Corticosteroids
  • B. Oral griseofulvin
  • C. Oral antiviral agent
  • D. Topical and/or systemic antibiotic
Correct Answer: C

Rationale: For the treatment of herpes simplex virus (type 1 or 2) in a 7-year-old child, the nurse should expect the prescribed medication to include an oral antiviral agent. Antiviral medications such as acyclovir, valacyclovir, or famciclovir are commonly used to manage herpes simplex virus infections. These medications help to reduce the severity and duration of symptoms, promote healing of lesions, and prevent future outbreaks. Corticosteroids are not typically used in the treatment of herpes simplex virus infections. Oral griseofulvin is an antifungal medication used to treat fungal infections, not viral infections like herpes simplex virus. Topical and/or systemic antibiotics are used to treat bacterial infections and are not effective against viruses like herpes simplex.

A 5-year old girl presents to ER with fever, convulsions and unconsciousness of one day duration. On examination she is pale, Glasgow coma scale is 8 and there are no signs of meningial irritation and no focal neurological signs. The most likely diagnosis is:

  • A. Viral encephalitis
  • B. Pyomeningitis
  • C. Tuberculous meningitis
  • D. Cerebral malaria
Correct Answer: D

Rationale: Cerebral malaria can cause fever, seizures, altered consciousness, and normal cerebrospinal fluid findings without focal neurological signs.

Which of the ff. does the nurse understand usually precedes rheumatic fever?

  • A. A viral infection
  • B. A beta-hemolytic streptococcal
  • C. A fungal infection infection c.A staphylococcal infection
Correct Answer: B

Rationale: Rheumatic fever is an inflammatory disease that can develop as a complication of untreated or inadequately treated infections caused by group A beta-hemolytic streptococci. These bacterial infections are usually in the form of strep throat or scarlet fever. Rheumatic fever typically occurs 2-4 weeks after a streptococcal infection. The body's immune response to the streptococcal infection can lead to an autoimmune reaction, resulting in rheumatic fever. It is important to promptly diagnose and treat streptococcal infections to prevent the development of rheumatic fever.

An appropriate nursing action to include in the care of an infant with congenital heart disease who has been admitted with heart failure is:

  • A. Positioning flat on the back
  • B. Encouraging nutritional fluids
  • C. Offering small frequent feedings
  • D. Measuring the head circumference
Correct Answer: C

Rationale: Infants with congenital heart disease who have been admitted with heart failure may have difficulty feeding due to increased work of breathing and poor energy reserves. Offering small, frequent feedings can help prevent fatigue and provide adequate nutrition to support the infant's growth and recovery. It also helps to prevent overloading the heart with a large volume of fluids at once. This approach allows the infant to receive enough calories while reducing the risk of aspiration and conserving energy for feeding and breathing. Positioning the infant flat on the back may worsen respiratory distress, encouraging nutritional fluids alone may not address the feeding challenges faced by the infant, and measuring the head circumference is important for growth monitoring but may not be the priority when managing heart failure in this case.

Neuroblastoma can be associated with paraneoplastic syndromes. All the following features are paraneoplastic EXCEPT

  • A. uncontrollable jerking movements
  • B. cerebellar ataxia and increased body coordination
  • C. unilateral ptosis, myosis, and anhidrosis
  • D. profound secretory diarrhea
Correct Answer: B

Rationale: Increased body coordination is not a typical feature of neuroblastoma-associated paraneoplastic syndromes.

Copyright © 2025 Nokea. All rights reserved.