AACN CCRN-PEDIATRIC CERTIFIED - CCRN-PEDIATRIC TEST LAB QUESTIONS

AACN CCRN-Pediatric Certified - CCRN-Pediatric Test Lab Questions

AACN CCRN-Pediatric Certified - CCRN-Pediatric Test Lab Questions

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Tags: CCRN-Pediatric Certified, CCRN-Pediatric Test Lab Questions, CCRN-Pediatric Certificate Exam, CCRN-Pediatric Sure Pass, CCRN-Pediatric Exam Simulator Online

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AACN Critical Care Nursing Exam Sample Questions (Q25-Q30):

NEW QUESTION # 25
An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse's most appropriate response is:

  • A. "Perhaps try one more day of treatment to see if there are any changes in condition."
  • B. "Legally you have the right to make that decision."
  • C. "As I remember, your child expressed a desire to die peacefully."
  • D. "I will support whatever decision you decide upon."

Answer: D

Explanation:
This situation represents a conflict betweenadolescent autonomyandparental authority. The nurse must maintain anonjudgmental, supportive role, allowing the family toexplore values and make informed decisionswithout imposing interpretation.
"In end-of-life situations, nurses should offer emotional support, facilitate shared decision-making, and respect family values. Supporting the decision-regardless of direction-is key." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: End-of-Life Ethics and Family- Centered Care)


NEW QUESTION # 26
A 17-year-old presents with history of progressive exercise intolerance. He is admitted with a diagnosis of hypertrophic cardiomyopathy. The vital signs are as follows:
* BP: 78/55
* HR: 110
* RR: 20
* T: 98.3°F (36.8°C)
* SpO#: 89% on room air
The patient's vital signs reflect:

  • A. Myocardial ischemia
  • B. Inflammatory process of the myocardium
  • C. Ventricular dysfunction
  • D. Decreased splanchnic perfusion

Answer: C

Explanation:
Hypertrophic cardiomyopathy (HCM)causesleft ventricular outflow tract obstruction, impairing cardiac output. The low blood pressure, tachycardia, and hypoxemia are classic signs ofventricular dysfunction- specificallydiastolic dysfunctiondue to a thickened, stiff left ventricle.
"HCM may lead to ventricular dysfunction due to impaired relaxation and outflow obstruction, especially during increased demand. Symptoms include hypotension, tachycardia, and hypoxia." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Cardiomyopathies and Shock States)


NEW QUESTION # 27
Angela, a school age girl, was bitten by a rabid dog. She is scheduled to receive antirabies vaccine/inoculations. The nurse is aware that rabies is a:

  • A. a bacterial infection characterized by Opisthotonus
  • B. bacterial infection that causes encephalopathy
  • C. a viral infection characterized by Opisthotonus
  • D. viral infection characterized by difficulty in swallowing and seizure

Answer: D

Explanation:
Explanation: These are characteristics of rabies infection that affects the nervous system. It is not a bacterial infection


NEW QUESTION # 28
An adolescent patient presents with altered mental status following ingestion of unknown substances at a party. Lab values include an elevated serum ammonia. The nurse should anticipate an order for which of the following?

  • A. Vitamin K
  • B. Ipecac syrup
  • C. Lactulose
  • D. Acetylcysteine

Answer: C

Explanation:
Elevated serum ammoniais often associated withhepatic encephalopathyor metabolic disturbances.
Lactuloseis the standard treatment to reduce ammonia levels by promoting ammonia excretion via the GI tract.
"Lactulose lowers serum ammonia levels by converting ammonia into ammonium, which is then excreted in stool. It is a cornerstone in the treatment of encephalopathy caused by hyperammonemia." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Hepatic Failure and Encephalopathy)


NEW QUESTION # 29
The plan of care for a child with possible epiglottitis should include:

  • A. An x-ray of the lateral neck
  • B. A racemic epinephrine treatment
  • C. ABG analysis
  • D. Visualization of the airway

Answer: A

Explanation:
Epiglottitis is a life-threatening conditionoften caused by Haemophilus influenzae type B. It presents with stridor, drooling, and dysphagia. Direct visualization may provokelaryngospasm and complete airway obstruction, making itcontraindicated unless in a controlled OR environment. Alateral neck x-raymay reveal the "thumbprint sign" (swollen epiglottis) and is the safer diagnostic choice.
"For suspected epiglottitis, lateral neck radiographs are recommended prior to airway manipulation.
Visualization of the airway is avoided due to risk of precipitating obstruction." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Airway Emergencies)


NEW QUESTION # 30
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