2PASS4SURE REAL AACN CCRN-PEDIATRIC QUESTIONS PDF

2Pass4sure Real AACN CCRN-Pediatric Questions PDF

2Pass4sure Real AACN CCRN-Pediatric Questions PDF

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AACN Critical Care Nursing Exam Sample Questions (Q33-Q38):

NEW QUESTION # 33
A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, "I just want to make sure my child has the best life." The nurse should:

  • A. Provide education about the procedure
  • B. Offer reassurance to the parent
  • C. Notify the medical team
  • D. Obtain a palliative care consult

Answer: D

Explanation:
This statement reflectsemotional and existential distressrather than a purely educational need. Apalliative care consultis appropriate to provideholistic support,clarify goals of care, and ensure that the family's values and quality-of-life concerns are addressed within a multidisciplinary approach.
"Palliative care is appropriate when families face complex, life-altering decisions. It supports communication, decision-making, and emotional well-being alongside curative or life-sustaining treatments." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Palliative Care and Family- Centered Decision-Making)


NEW QUESTION # 34
Nurse Beyonce is caring for a 20 lbs, 6 month-old with a 3 day history of loose watery stool, vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 40 ml/hr. Which finding should be reported to the health care provider immediately?

  • A. sucking on a pacifier too vigorously
  • B. 3 episodes of vomiting within a period of an hour
  • C. anuria within the past 4 hours
  • D. crying and irritability

Answer: C

Explanation:
Explanation: The concern is possible Hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys


NEW QUESTION # 35
An adolescent was admitted after a suicidal attempt. The nurse learned that she ingested a bottle of acetaminophen. What diagnostic study should a nurse monitor closely:

  • A. WBC and RBC levels
  • B. Serum albumin findings
  • C. ABG level
  • D. liver function tests

Answer: D

Explanation:
Explanation: Acetaminophen is metabolized by the liver and an excess may result in an elevated AST, bilirubin, and prothrombin.


NEW QUESTION # 36
After the nurse instructs the parents of a 5-month-old infant about the purpose of the Denver Developmental Screening Test (DDST), which of the following statements by the parents about what the test measures would indicate that the teaching was effective:

  • A. Social and physical abilities
  • B. Intelligence quotient
  • C. Potential for future development
  • D. Emotional development

Answer: A

Explanation:
Explanation: DDST measures a child's social, language, and fine and gross motor skills by testing abilities that usually occur at a given age. The DDST is not designed to measure intelligence or emotional development nor does it necessarily predict future development.


NEW QUESTION # 37
A 12-year-old patient with severe developmental delay underwent a video-assisted thoracentesis and chest tube placement for an empyema. The patient remained intubated after the procedure. The nurse is assessing for postoperative pain. Which of the following pain assessment tools should the nurse select?

  • A. Numeric scale
  • B. Visual analog scale
  • C. FLACC pain scale
  • D. Faces pain rating scale

Answer: C

Explanation:
TheFLACC scale(Face, Legs, Activity, Cry, Consolability) is abehavioral pain assessment tool validated for use in non-verbal or cognitively impaired children, as well as those who are intubated or developmentally delayed.
"For non-verbal children or those with developmental delay, the FLACC scale is most appropriate. It assesses behavioral cues and is validated for use in ICU and post-op settings." (Referenced from CCRN Pediatric - Direct Care: Neurological, Pain and Sedation Assessment Tools)


NEW QUESTION # 38
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