High Hit-Rate AACN - CCRN-Pediatric - Test Critical Care Nursing Exam Question

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AACN CCRN-Pediatric Exam is a rigorous certification exam that assesses the knowledge, skills, and abilities of nurses who specialize in pediatric critical care. Nurses who pass the exam demonstrate a strong understanding of a wide range of topics related to pediatric critical care nursing and are recognized as leaders in their field. Achieving CCRN-Pediatric Certification is a significant accomplishment that demonstrates a nurse's commitment to excellence in patient care and ongoing professional development.

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AACN Critical Care Nursing Exam Sample Questions (Q141-Q146):

NEW QUESTION # 141
Early management of a child in septic shock includes:

A. Fluid resuscitation, analgesic administration, and O# supplementation
B. Fluid resuscitation, antibiotic administration, and inotropic support
C. Bronchodilator administration, diuretic administration, and inotropic support
D. O# supplementation, steroid administration, and antibiotic administration

Answer: B

Explanation:
Septic shockin pediatric patients requiresearly goal-directed therapy, including:
* Fluid resuscitationto restore perfusion,
* Antibioticswithin the first hour to treat the underlying infection, and
* Inotropesif shock persists after fluids.
"Early interventions for pediatric septic shock include aggressive fluid resuscitation, timely administration of broad-spectrum antibiotics, and initiation of vasopressors or inotropes if hypotension remains." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Sepsis Management)

NEW QUESTION # 142
The family member of a patient who is receiving mechanical ventilation is to be taught suctioning.
When developing a teaching plan, the nurse should first:

A. Obtain written information about the procedure
B. Encourage the family member to observe the procedure on other patients
C. Determine a schedule for demonstrating the technique
D. Identify the areas in which the family member needs information and skills

Answer: D

Explanation:
Assessment of learner needsis the foundational step in developing a teaching plan. Understanding what the caregiver knows or is anxious about allows for a tailored, effective education approach.
"Before implementing education, the nurse should assess the family member's baseline knowledge and learning needs to guide teaching and ensure competence in complex care procedures." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Teaching and Learning)

NEW QUESTION # 143
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. Serum albumin findings
B. WBC and RBC levels
C. liver function tests
D. ABG level

Answer: C

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

NEW QUESTION # 144
A patient has been declared brain dead. A nurse would like the family to consider organ donation but has never requested this from a family before. The best initial action by the nurse is to:

A. Find out if the patient has an organ donor card
B. Directly ask the patient's family members if they would consider organ donation
C. Consult the organ donation liaison
D. Request that the physician discuss the issue with the family

Answer: C

Explanation:
It is a best practice-and often required by hospital policy-fortrained personnel such as an organ donation liaison or organ procurement organization (OPO)representative to approach families about organ donation. This ensures that the conversation is handled sensitively, accurately, and in accordance with regulatory requirements.
"The nurse should notify the designated organ donation liaison or team when a patient meets criteria for brain death. These individuals are trained to communicate effectively and ethically with families." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Ethics, End-of-Life Care, and Organ Donation)

NEW QUESTION # 145
For a 20-kg child experiencing abdominal hemorrhaging, a nurse should expect to administer a fluid bolus of:

A. 600 mL of PRBCs
B. 400 mL of 0.9% NS
C. 200 mL of lactated Ringer's
D. 500 mL of 5% albumin

Answer: B

Explanation:
In pediatric hemorrhagic shock, theinitial fluid bolus is 20 mL/kgofisotonic crystalloid(e.g.,normal saline or lactated Ringer's). For a 20-kg child, this equals400 mL of 0.9% NS. Albumin and PRBCs are considered after fluid responsiveness is evaluated or if ongoing blood loss is confirmed.
"The initial step in pediatric fluid resuscitation for hemorrhagic or hypovolemic shock is 20 mL/kg isotonic fluid bolus. Normal saline is the preferred initial fluid." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Shock Management)

NEW QUESTION # 146
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