Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

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Mr. RR is admitted to the hospital with a diagnosis of brain tumor. Mr. RR's doctor is very much concerned about the possibility of increased intracranial pressure. The following is the most reliable index of cerebral state:

  • A. Level of consciousness
  • B. Unilateral papillary dilatation
  • C. Increased systolic BP
  • D. Decreased pulse pressure
Correct Answer: A

Rationale: The most reliable index of cerebral state in a patient diagnosed with a brain tumor and concerning increased intracranial pressure is the level of consciousness. Changes in consciousness, such as alterations in alertness, orientation, and responsiveness, are significant indicators of the brain's functioning and can provide valuable insights into the impact of increased intracranial pressure. Monitoring the level of consciousness helps healthcare providers assess neurological status and make critical decisions regarding the management of intracranial pressure. Unilateral papillary dilatation, increased systolic blood pressure, and decreased pulse pressure may also be important indicators but are not as reliable or direct as changes in the level of consciousness when evaluating cerebral status in this context.

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As the nurse talks to the daughter of Mr. Dela Isla, which of the following statement of the daughter will require the nurse to give further teaching?

  • A. I know the hallucinations are parts of the disease
  • B. I told her she is wrong and I explained to her what is right
  • C. I help her do some tasks he cannot do for himself
  • D. Ill turn off the TV when we go to another room
Correct Answer: B

Rationale: Option B, "I told her she is wrong and I explained to her what is right," would require the nurse to give further teaching because it indicates a lack of understanding about how to communicate with a person experiencing hallucinations. People with hallucinations may have a distorted sense of reality, and arguing with them or insisting on what is "right" can be counterproductive. The daughter would benefit from additional education on how to effectively communicate and support her father during episodes of hallucinations.

Which characteristics could the nurse expect when observing Mr. Gil? a.Transient ischemic attacks

  • A. Remissions & exacerbations
  • B. Rapid deterioration of mental functioning because of arteriosclerosis
  • C. Slowly progressive deficits in intellect, which may be noted for a long time HEMATOLOGY SITUATION: Aisa, is a 4-year old with severe anemia. She is seen by the nurse in the clinic.
Correct Answer: C

Rationale: The question is asking about the characteristics the nurse might expect to observe in Mr. Gil. Given the information provided, Mr. Gil's possible condition can be related to a slowly progressive deficit in intellect. This might manifest as cognitive decline, memory issues, and other intellectual challenges over an extended period of time. This description aligns with conditions such as dementia or Alzheimer's disease, which are characterized by a gradual decline in cognitive abilities rather than rapid deterioration (as in option B) or transient episodes (as in option A). Therefore, option C is the most likely characteristic the nurse could expect when observing Mr. Gil.

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.

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.

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.

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