FREE Pediatric CCRN Sample Question and Answers
Blood in her urine is the main complaint of a young patient. Medical records investigation reveals multiple admissions for the same ailment. No cause has been identified. Only when the mother is there does the patient exhibit symptoms. The nurse anticipates that the diagnosis is going to be:
It is also referred to as factitious disorder by proxy or medical child abuse. When a caregiver purposefully exaggerates or fabricates a medical history and symptoms, or causes symptoms to satisfy the caregiver, it is diagnosed as Munchausen syndrome by proxy. The medical state of the child does not match the history, and the diagnosis provided by past medical history is not supported by the diagnostic data.
Extreme dyspnea is being experienced by a 3-year-old with left-sided ventricular heart failure and pulmonary edema. Which of the following would the nurse advise doing to help the child breathe easier and feel less anxious and agitated?
Morphine reduces related anxiety and agitation by relaxing the smooth muscles in the bronchial passages, which facilitates breathing.
What desired outcome is achieved when amrinone lactate (Inocor) is administered?
Amrinone is a phosphodiesterase inhibitor that improves myocardial contractility and vasodilation by increasing intracellular cAMP and delaying intracellular calcium uptake.
A toddler who suffered a head injury is admitted. The following is the most important aspect of the nurse's ongoing evaluation for early neurological deterioration:
The initial indicator of neurological state improvement or deterioration is the level of consciousness.
Which of the following should be done after desmopressin (DDAVP) has been given to a patient with diabetes insipidus?
Due to the extremely high urine production caused by diabetes insipidus, considerable amounts of fluid replacement are required to prevent dehydration. Desmopressin (DDAVP) causes a decrease in urine production, which necessitates adjusting the IV fluid flow.
The nurse's initial step in treating a patient who has hypovolemic shock as a result of persistent vomiting should be to:
It is crucial to ensure that the blood in circulation is oxygenated.
Which of the following electrolyte problems should a nurse monitor when administering an exchange transfusion to a sickle cell patient?
Blood transfusion metabolic side effects include hypocalcemia
Which of the following group of children might have a hypertensive crisis as shown by acidosis, hypothermia, and alveolar hypoxia?
A pulmonary hypertensive crisis could occur in kids with pulmonary vascular disease.
Which of the following will the asthma patient's chest X-ray most frequently display?
As a result of asthma-related airflow obstruction, hyperinflation is the anticipated finding.
Which of the following would cause a newborn who had recently undergone cardiac surgery to lose more fluid without being aware of it and develop hypovolemia?
The effects of evaporation are amplified by the radiant warmer, increasing the insensible fluid loss.
When treating a baby with persistent pulmonary hypertension, the primary objective is to:
Patients with persistent pulmonary hypertension of the infant benefit from pulmonary vasodilation, which lowers pulmonary vascular resistance and ensures oxygen delivery to tissues.
All of the following, except one, are side effects of an external ventricular drain (EVD).
In order to assess ICP and drain CSF, an EVD is a ventriculostomy in which a catheter is placed into one of the brain's lateral ventricles. The transducer, which connects the catheter to a drip chamber, is placed between the external auditory canal and the outer canthus of the eye. Infection, bleeding, brain herniation, and elevated ICP from tube kinks or occlusion are complications.
Which of the following does positive end-expiratory pressure (PEEP) aim to accomplish?
By keeping the alveoli open following expiration and enhancing alveolar volume, PEEP increases functional residual capacity (FRC).
After taking prenatal vitamins with iron, a 5-year-old is receiving treatment in the PICU. The nurse assumes all of the following EXCEPT:
With the exception of metals (such as iron and lithium), caustic materials, ethanol, and many pesticides, activated charcoal binds to the majority of medications and toxins.
The nurse would anticipate finding _______ of a child whose coarctation of the aorta was suspected.
Coarctation of the aorta is a congenital heart defect characterized by a narrowing of the aorta, causing increased pressure in the upper body and reduced blood flow to the lower extremities. The bounding pulses in the arms result from the body's compensation to redirect more blood to the upper body due to the constriction in the aorta.
A diabetic child who passed out in class is hospitalized. He has tachycardia, short breathing, dilated pupils, and hyperreflexia at admission. The treatment strategy would involve providing:
The patient is exhibiting severe hypoglycemia symptoms, and IV dextrose delivery will immediately increase blood glucose levels. Peripheral administration of glucose should not exceed 12.5%.