Free Pediatric CCRN Practice Questions

Free Pediatric CCRN Practice Questions Related

Review Free Pediatric CCRN Practice Questions related questions and content

Which assessment finding would prompt the Rn to suspect compartment syndrome in a patient with a long leg cast?

  • A. weak movement of the patient's toes
  • B. decreased pedal pulses
  • C. severe, unrelieved pain
  • D. presence of foot pallor
Correct Answer: C

Rationale: Compartment syndrome is a serious condition that can occur when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and potential necrosis. Symptoms of compartment syndrome include severe, unrelieved pain that is disproportionate to the injury, as well as pain with passive stretch of the affected muscles. This pain is often described as deep, constant, and out of proportion to physical findings. Other signs that may indicate compartment syndrome include pallor, pulselessness, paresthesia, and paralysis, but the most specific and early sign is severe, unrelieved pain. While weak movement of the patient's toes and decreased pedal pulses can also be seen in compartment syndrome, they are not as specific or early indicators as severe, unrelieved pain.

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In fetal period, all are true EXCEPT

  • A. 10 weeks - midgut returns to abdomen
  • B. 12 weeks - external genitalia formed
  • C. 24 weeks - surfactant production begun
  • D. 26 weeks - face clearly recognizable
Correct Answer: D

Rationale: Face recognition typically occurs earlier than 26 weeks.

Osteosarcoma is the most common primary malignant bone tumor in children and adolescents; it has multiple subtypes and requires different modalities of treatment including surgery and chemotherapy. Of the following, the subtype of osteosarcoma which is treated by surgery alone is

  • A. fibroblastic
  • B. chondroblastic
  • C. parosteal
  • D. periosteal
Correct Answer: D

Rationale: Periosteal osteosarcoma is often treated with surgery alone if margins are clear.

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

  • A. "You will need to decrease the number of calories in your child's diet."
  • B. "Your child's diet will need an increased amount of protein."
  • C. "You will need to avoid adding salt to your child's food."
  • D. "Your child's diet will consist of low-fat, low-carbohydrate foods."
Correct Answer: C

Rationale: The nurse should include in the teaching that the parent will need to avoid adding salt to the child's food. This is important because reducing salt intake helps to decrease fluid retention and swelling in the body, which is critical for managing edema associated with acute glomerulonephritis. Excessive salt intake can worsen edema by causing the body to retain more fluid, so it is crucial to limit salt in the child's diet. This dietary modification can help improve the child's condition and overall health outcome.

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, the nurse should assign highest priority to:

  • A. Helping the client cope with body image
  • B. Maintaining a patent airway.
  • C. Preventing injury.
  • D. Ensuring adequate nutrition.
Correct Answer: B

Rationale: In a client with esophageal cancer who is experiencing difficulty swallowing, maintaining a patent airway is the highest priority. The client is at risk for aspiration due to the compromised ability to swallow, which could lead to respiratory distress, choking, or aspiration pneumonia. Adequate oxygenation is essential for the client's survival and must be addressed as the priority issue. While coping with body image, preventing injury, and ensuring nutrition are important aspects of care, they are secondary to ensuring the client's airway remains open and clear to prevent respiratory complications.

The nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:

  • A. hypotension
  • B. thick, coarse skin
  • C. deposits of adipose tissue in the trunk and dorsocervical area
  • D. weight gain in arms and legs
Correct Answer: C

Rationale: Cushing's syndrome is a disorder characterized by excessive levels of cortisol in the body. One of the classic physical manifestations of Cushing's syndrome is the accumulation of adipose (fat) tissue in specific areas, such as the trunk (central obesity) and dorsocervical area (referred to as a "buffalo hump"). This redistribution of body fat is a key feature in Cushing's syndrome. The thick, coarse skin is commonly seen in conditions like acromegaly, not in Cushing's syndrome. Weight gain in the arms and legs is not a typical finding in Cushing's syndrome. Additionally, hypertension, rather than hypotension, is more commonly associated with excess cortisol levels in Cushing's syndrome.

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