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CCRN-Pediatric Trustworthy Exam Torrent | New CCRN-Pediatric Test Testking

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

NEW QUESTION # 25
The nurse assigned at the ER admits a child who had a seizure episode at school. The mother comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?

A. "Since it was his first episode, it will not happen again"
B. "There is no need to worry. The sky won't fall down"
C. "Your child needs a lifetime medication to prevent seizure"
D. "Seizure may or may not mean that your child is suffering from epilepsy"

Answer: D

Explanation:
Explanation: There are many possible causes for a childhood seizure. These include fever, central nervous system conditions, trauma, metabolic alterations and idiopathic causes.

NEW QUESTION # 26
Nurse Tammy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school- age child. What's the smallest amount of glucose that's considered safe and not caustic to small veins, while also providing adequate TPN?

A. 10%
B. 15%
C. 20%
D. 13%

Answer: A

Explanation:
Explanation: The amount of glucose that's considered safe for peripheral veins while still providing adequate total parental nutrition is 10%. Any amount above 10% must be administered via central venous access.

NEW QUESTION # 27
A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

A. Respiratory distress syndrome (RDS)
B. Pneumothorax
C. ET tube displacement
D. Aspiration pneumonitis

Answer: A

Explanation:
Following near-drowning, the child may developpediatric acute respiratory distress syndrome (PARDS).
This manifests asnon-cardiogenic pulmonary edemawithdiffuse alveolar damage, resulting in poor oxygenation and elevated airway pressures.
"In cases of near-drowning, the patient may progress to ARDS with bilateral pulmonary infiltrates and refractory hypoxemia despite increasing FiO#. Mechanical ventilation strategies should be adjusted accordingly." (Referenced from CCRN Pediatric - Direct Care: Pulmonary Dysfunction and Ventilator Management)

NEW QUESTION # 28
An inborn error of metabolism that causes premature destruction of RBC:

A. Hemocystinuria
B. Celiac Disease
C. Phenylketonuria
D. G6PD

Answer: D

Explanation:
Explanation: G6PD is the premature destruction of RBC when the blood is exposed to antioxidants, legumes and flava beans.

NEW QUESTION # 29
Which of the following reflects the child's level of moral development when a 2 1/2-year-old child states that the nurse is "a bad girl" after she administers an injection:

A. Preconventional/naive instrumentation
B. Preconventional/punishment-obedience
C. Conventional/interpersonal concordance
D. Conventional/"law and order"

Answer: B

Explanation:
Explanation: Children between ages 1 and 3 are at the Preconventional/punishment-obedience stage and determine the goodness or badness of an action in terms of its consequences.

NEW QUESTION # 30
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