Free Pediatric CCRN Practice Questions

Free Pediatric CCRN Practice Questions Related

Review Free Pediatric CCRN Practice Questions related questions and content

In teaching a female client who is HIV positive about pregnancy, the nurse would know more teaching is necessary when the client says:

  • A. "The baby can get the virus from my placenta."
  • B. "I'm planning on starting on birth control pills."
  • C. "Not everyone who has the virus gives birth to a baby who has the virus."
  • D. "I'll need to have a C-section if I become pregnant and have a baby."
Correct Answer: A

Rationale: Option A indicates a misunderstanding about HIV transmission during pregnancy. In reality, with proper medical care and management during pregnancy and delivery, the risk of transmitting HIV from mother to baby can be significantly reduced but not completely eliminated. The virus can be passed from mother to baby during pregnancy, childbirth, or breastfeeding, but it is not directly from the placenta. This misconception highlights the need for further education and clarification on the modes of HIV transmission from mother to child during pregnancy and delivery. Options B, C, and D all demonstrate understanding and appropriate planning related to HIV and pregnancy.

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What is a common initial reaction of parents to illness or injury and hospitalization in their child?

  • A. Anger
  • B. Fear
  • C. Depression
  • D. Helplessness
Correct Answer: B

Rationale: A common initial reaction of parents to illness or injury and hospitalization in their child is fear. When a parent receives news that their child is unwell or requires hospitalization, it can trigger feelings of fear about the child's well-being, the seriousness of the situation, the treatment process, and the overall outcome. Fear of the unknown, concern for their child's pain and suffering, and worries about the future can all contribute to this initial reaction. It is a natural response for parents to be fearful in such situations as they navigate through the uncertainty and challenges associated with their child's illness or injury.

Which of the following disorders results from a deficiency of factor VIII?

  • A. Sickle cell disease
  • B. Christmas disease
  • C. Hemophilia A
  • D. Hemophilia B
Correct Answer: C

Rationale: Hemophilia A, also known as classic hemophilia, is a genetic bleeding disorder caused by a deficiency or dysfunction of clotting factor VIII. Factor VIII is crucial for the blood clotting process, and its deficiency leads to prolonged bleeding episodes, even from minor injuries. Christmas disease, mentioned in the options, refers to Hemophilia B, which results from a deficiency in clotting factor IX, not factor VIII. Therefore, the disorder resulting from a deficiency of factor VIII is Hemophilia A.

Low birth weight or premature infants are screened for anemia at birth and again at the age of

  • A. 2 months
  • B. 4 months
  • C. 6 months
  • D. 8 months
Correct Answer: C

Rationale: Anemia screening for low birth weight or premature infants is recommended at 6 months.

A client with cancer that has metastazised to the liver is started on chemotherapy- His physician has specified divided doses of the antimetabolite. The client asks why he could take the drug in divided doses. The appropriate response is:

  • A. " There really is no reason your doctor just wrote the orders that way."
  • B. "This schedule will reduce the side effect of the drug."
  • C. "Divided doses produce greater cytotoxic effects on the diseased cells."
  • D. "Because these drugs prevent cell division, they are more effective in divided doses,"
Correct Answer: D

Rationale: The correct response is D, "Because these drugs prevent cell division, they are more effective in divided doses."

A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?

  • A. cyclophosphamide
  • B. vincristine
  • C. etoposide
  • D. doxorubicin
Correct Answer: C

Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.

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