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Exam (elaborations)

CCRN PEDS AACN EXAM PRACTICE QUESTIONS AND ANSWERS

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CCRN PEDS AACN EXAM PRACTICE QUESTIONS AND ANSWERS 1. In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the following as a primary treatment measure? A. Administration of protamine sulfate B. Administration of glucose C. Transfusion of pac...

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  • November 3, 2024
  • 61
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCRN
  • CCRN
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KaylinHoffman
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CCRN PEDS AACN EXAM PRACTICE

QUESTIONS AND ANSWERS


1. In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the

following as a primary treatment measure?




A. Administration of protamine sulfate


B. Administration of glucose


C. Transfusion of packed RBCs


D. Replacement of fluid and electrolytes - ANSWER✔✔-D. Replacement of fluid and electrolytes


2. An adolescent with the developmental age of a 4-year-old requires placement of a chest tube. The

best way to prepare the patient for this procedure is to




A. Use short simple sentences and limit descriptions to concrete explanations.


B. Show the patient a chest tube and explain how it will feel.


C. Explain in detail why a chest tube is needed and how it works.


D. Tell the parents what will be done so they can explain it to their child. - ANSWER✔✔-Use short simple

sentences and limit descriptions to concrete explanations.




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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


3. A child admitted with a gunshot wound to the head, accidentally inflicted by an older sibling. The

parents are overcome with grief and appear to be ignoring the following statements made by the older

sibling: "It was an accident; I didn't mean to do it; I'm sorry!" Which of the following actions by the nurse

would be most appropriate?




A. Discuss the importance of gun safety with the older sibling while the parents are at the bedside.


B. Seek additional support for the parents for ways they can assist the older sibling


C. Tell the parents that they need to provide support for the older sibling


D. Tell the older sibling, "Accidents happen; I know you didn't mean to do it." - ANSWER✔✔-Seek

additional support for the parents for ways they can assist the older sibling


4. Which of the following laboratory findings is indicative of the syndrome of inappropriate ADH

secretion (SIADH)?




A. Serum sodium = 148 mEq/L


B. Decreased serum osmolality


C. Blood urea nitrogen (BUN) = 28 mg/dl


D. Serum potassium = 5.1 mEq/L - ANSWER✔✔-Decreased serum osmolality


5. A 3-year-old is admitted to the ICU with a 10-hour history of an acute-onset asthma attack. Initial

assessment reveals the following


HR 160


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pH 7.25


RR 48


pCO2 35


BP 112/76


pO2 40


T 32*C


HCO3 22


A. Administration of NaHCO3


B. Fluid resuscitation


C. Racemic epinephrine


D. Intubation - ANSWER✔✔-Intubation


6. A 2-year-old is experiencing manifestations of digoxin (Lanoxin) toxicity. BP is 94/60, capillary refill

time is 2 seconds and the electrocardiogram reveals AV block with a heart rate of 60. The critical care

nurse would anticipate which of the following interventions?




A. Performance of cardioversion


B. Administration of Atropine


C. Performance of vasovagal maneuvers




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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


D. Monitoring of HR and rhythm and perfusion status - ANSWER✔✔-Monitoring of HR and rhythm and

perfusion status


7. An adolescent with asthma is readmitted just a week after discharge from the hospital. On

questioning, the nurse learns that the patient refuses to use the inhalers at school. The nurse should


A. Talk to the teen about long-term consequences of the disease if the treatment plan is not followed


B. Talk to the school nurse to find out why they are not monitoring the medications at school


C. Help the parents set up a disciplinary contract with the teen


D. Arrange for the teen to attend an asthma support group - ANSWER✔✔-Arrange for the teen to attend

an asthma support group


8. An unconscious 5-month-old is admitted. The parent reports the baby fell off the table during a diaper

change by an older sibling. What findings would indicate further inquiry of the history?




A. A reddened or bruised are on the skull


B. Poorly reactive pupils


C. Retinal hemorrhage


D. A linear skull fracture - ANSWER✔✔-Retinal hemorrhage


1. A 1-month-old infant presents with poor feeding, vomiting and diarrhea since birth. The infant is

lethargic and in mild respiratory distress. The mother reports having another infant with the same

symptoms who died at 2 months of age. Which finding would cause the nurse to suspect an inborn error

of metabolism?


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