Pediatric CCRN Practice Questions

Pediatric CCRN Practice Questions Related

Review Pediatric CCRN Practice Questions related questions and content

Which of the following is disease process characterized by a chronic progressive inflammation of the sacroiliac and costovertebral joints and adjacent soft tissue?

  • A. Rheumatoid arthritis
  • B. Scoliosis
  • C. Kyphosis
  • D. Ankylosing spondylitis
Correct Answer: D

Rationale: Ankylosing spondylitis is a chronic inflammatory disease primarily affecting the sacroiliac joints and the spine. It leads to progressive inflammation of the sacroiliac and costovertebral joints, which can cause pain, stiffness, and eventually lead to fusion of the affected joints. This condition is also characterized by inflammation of other joints, tendons, and ligaments, as well as extra-articular manifestations such as uveitis and cardiac involvement. Ankylosing spondylitis is more common in young males and is associated with the presence of the HLA-B27 genetic marker. It is important to diagnose and manage ankylosing spondylitis early to help prevent complications and improve quality of life for affected individuals.

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The statement about sleep which is NOT true is

  • A. melatonin is secreted in dark-light cycle
  • B. slow-wave sleep is needed for brain injury protection
  • C. rapid eye movement (REM) sleep is responsible for dreams
  • D. both REM and non-REM cycles are sufficient for sleep
Correct Answer: B

Rationale: Slow-wave sleep is primarily restorative, not protective against brain injury.

The age by which the child can pull to stand, starting to pincer grasp, and plays pat-a-cake is

  • A. 6 mo
  • B. 7 mo
  • C. 8 mo
  • D. 9 mo
Correct Answer: D

Rationale: These milestones are typically achieved around 9 months of age.

A nurse is conducting a class for adolescent girls about pelvic inflammatory disease (PID). Why should the nurse emphasize the importance of preventing pelvic inflammatory disease (PID)?

  • A. PID can be sexually transmitted.
  • B. PID cannot be treated.
  • C. PID can have devastating effects on the reproductive tract.
  • D. PID can cause serious defects in future children of affected adolescents.
Correct Answer: C

Rationale: The nurse should emphasize the importance of preventing pelvic inflammatory disease (PID) because it can have devastating effects on the reproductive tract. PID is often caused by untreated sexually transmitted infections (STIs) and can lead to inflammation and scarring of the fallopian tubes, uterus, and surrounding tissues. If left untreated, PID can result in serious complications such as chronic pelvic pain, infertility, and ectopic pregnancy. Therefore, preventing PID through safe sexual practices and seeking prompt treatment for any signs of infection is crucial to protect the reproductive health of adolescent girls.

Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

  • A. Social isolation
  • B. Level of stress
  • C. Degree of depression
  • D. Desire to punish others
Correct Answer: D

Rationale: The most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats is the desire to punish others. Individuals who commit suicide often exhibit behaviors or thought patterns indicating a desire to cause harm or guilt to others. This desire to punish others may drive them to take their own lives as a way to make others feel responsible or suffer the consequences of their actions. On the other hand, individuals who make suicidal attempts or threats may not have the same level of intent to harm others through their actions, and their motivations may stem from different underlying issues such as social isolation, stress, or depression. Therefore, the desire to punish others is a crucial factor that sets those who commit suicide apart from those who make attempts or threats.

Which points should a nurse includes in the discharge teaching plan for a client after cardiac surgery?

  • A. Avoid showers and take tub bath until all incisions are healed
  • B. Notify the physician if a painless lump is felt at the top of the chest incision
  • C. Continue to wear support hose or elastic stockings during the night and remove them during the day
  • D. Sexual relations typically can be resumed in 2-4 weeks depending on tolerance for activity
Correct Answer: B

Rationale: The correct answer is B. In the discharge teaching plan for a client after cardiac surgery, it is important for the nurse to include education on monitoring for signs of complications, such as notifying the physician if a painless lump is felt at the top of the chest incision. This could potentially indicate a seroma or hematoma, which may require medical attention. By educating the client on this specific point, the nurse helps to promote early detection and prompt management of any post-operative issues, which contributes to better outcomes for the client. The other options mentioned are important aspects of post-cardiac surgery care but do not address the specific concern of a painless lump at the chest incision site.

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