Free Pediatric CCRN Practice Questions

Free Pediatric CCRN Practice Questions Related

Review Free Pediatric CCRN Practice Questions related questions and content

The nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy?

  • A. Methimazole (Tapazole)
  • B. Livothyronine (Cytomel)
  • C. Thyroid USP dessicated (Thyroid USP
  • D. Levothyroxine (Synthroid) Enseals)
Correct Answer: D

Rationale: Levothyroxine (Synthroid) is the agent of choice for thyroid hormone replacement therapy in clients with hypothyroidism. Levothyroxine is a synthetic form of the thyroid hormone T4 and is considered a stable and reliable medication for thyroid replacement. It is usually well tolerated and has a consistent potency, making it easier to adjust the dosage based on the client's thyroid hormone levels. Levothyroxine is typically taken orally once daily on an empty stomach, preferably in the morning, to ensure optimal absorption. In contrast, Methimazole (Tapazole) is used to treat hyperthyroidism by inhibiting the production of thyroid hormones, Livothyronine (Cytomel) is a synthetic form of the thyroid hormone T3, and Thyroid USP dessicated (Thyroid USP) is a natural preparation derived from porcine thyroid glands,

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JR is admitted to the medical-surgical unit because of a diagnosis of nephritic syndrome. What is the hallmark of this syndrome?

  • A. osmotic dieresis
  • B. hypolipidemia
  • C. edema
  • D. hyperproteinemia
Correct Answer: C

Rationale: Nephritic syndrome is characterized by inflammation of the glomeruli in the kidneys, leading to proteinuria, hematuria, and decreased kidney function. The hallmark symptom of nephritic syndrome is edema, which occurs due to the loss of proteins in the urine as a result of damaged glomeruli. The loss of proteins leads to a decrease in colloid osmotic pressure, causing fluid to leak out from the blood vessels into the surrounding tissues, resulting in edema. Osmotic diuresis, hypolipidemia, and hyperproteinemia are not typically associated with nephritic syndrome.

The age by which the child can make a tower of 9 cubes and imitates circular stroke is

  • A. 24 months
  • B. 30 months
  • C. 36 months
  • D. 42 months
Correct Answer: C

Rationale: This milestone is typically achieved around 36 months.

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

  • A. Dysmenorrhea and oliguria
  • B. Tachycardia and tachypnea
  • C. Heat intolerance and increased blood pressure
  • D. Lowered body temperature and brittle nails
Correct Answer: B

Rationale: An adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa is likely to exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing). These symptoms are common manifestations of the body's response to malnutrition and starvation. Tachycardia occurs as a compensatory mechanism to maintain an adequate supply of oxygen to vital organs, while tachypnea helps to eliminate excess carbon dioxide due to metabolic imbalances. It is essential for the nurse to recognize these signs during the physical assessment as they indicate the severity of the condition and the need for immediate intervention to prevent further complications. Dysmenorrhea and oliguria, heat intolerance and increased blood pressure, and lowered body temperature and brittle nails are not typically associated with the physical manifestations of anorexia nervosa.

Which of the ff is a reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy?

  • A. The adverse effect of mastectomy are immediate
  • B. The wound of the surgery is highly contagious and the client should exercise isolation precautions immediately after the procedure
  • C. Most clients are not hospitalized long after a mastectomy
  • D. The suicidal tendencies in the women undergoing a mastectomy are high
Correct Answer: C

Rationale: Most clients are not hospitalized long after a mastectomy. This is a key reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy. Typically, clients undergoing mastectomy have shorter hospital stays, often as part of the trend toward faster postoperative recovery and reduced healthcare costs. By ensuring that clients have appropriate home care arrangements and understand postoperative instructions early on, healthcare providers can support a smooth transition from the hospital to the home environment, promoting optimal recovery and outcomes for the client.

The MOST common cause of obstructive sleep apnea in children is

  • A. obesity
  • B. allergies
  • C. adenotonsillar hypertrophy
  • D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C

Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.

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