いま安心でAACN CCRN-Pediatric認定試験を受験することができる現在のネットワークの全盛期で、AACNのCCRN-Pediatricの認証試験を準備するのにいろいろな方法があります。JPTestKingが提供した最も依頼できるトレーニングの問題と解答はあなたが気楽にAACNのCCRN-Pediatricの認証試験を受かることに助けを差し上げます。JPTestKingにAACNのCCRN-Pediatricの試験に関する問題はいくつかの種類がありますから、すべてのIT認証試験の要求を満たすことができます。 AACN Critical Care Nursing Exam 認定 CCRN-Pediatric 試験問題 (Q83-Q88):質問 # 83
An 18-month-old child is irritable and restless. Retractions, grunting with crackles, and an S3 gallop are noted. Vital signs:
* BP: 70/56
* HR: 160
* RR: 60
* Temp: 99°F (37.4°C)
Which of the following types of shock is this patient most likely experiencing?
A. Obstructive
B. Distributive
C. Hypovolemic
D. Cardiogenic
正解：D
解説：
The presence ofgrunting, crackles, retractions, and anS3 gallop-withhypotension and tachycardia-is highly suggestive ofcardiogenic shock. These findings indicatepoor myocardial contractility and pulmonary congestion. An S3 gallop is particularly indicative ofvolume overloadin the setting of ventricular dysfunction.
"Cardiogenic shock should be suspected in pediatric patients with signs of respiratory distress (crackles, retractions), an S3 gallop, and poor perfusion. Myocardial failure leads to elevated filling pressures and pulmonary edema." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Types of Shock and Hemodynamic Findings)
質問 # 84
An infant with a sternal wound infection has a negative-pressure wound therapy device in place. A nurse should recognize that the primary purpose of the device is to speed healing of the wound through:
A. Maintenance of a clean, moist wound environment
B. The use of subatmospheric pressure through suction
C. Maintenance of a seal around the wound
D. Removal of exudate and stimulation of vascular growth
正解：D
解説：
Negative-pressure wound therapy (NPWT), also known as wound VAC, accelerates wound healing by removing exudate, reducing bacterial burden, andstimulating angiogenesis and granulation tissue formationthroughmechanical microstrain. This is essential in deep, complex wounds such as post-sternal infections.
"Negative pressure wound therapy promotes wound healing through the removal of infectious material and exudate and by increasing local blood flow and granulation tissue." (Referenced from CCRN Pediatric - Direct Care: Integumentary, Advanced Wound Management)
質問 # 85
The nurse is caring for a 16 year-old boy with Hemophilia A, who was admitted after falling from a tree.
In understanding his behavior and in planning care for this client, what must the nurse understand about adolescents with hemophilia A?
A. Explain limitations to peers
B. Should have well planned activities
C. Avoid any risk after bleeding episodes
D. Often take part in active sports
正解：D
解説：
Explanation: Adolescent hemophiliacs should be aware that contact sports may trigger bleeding.
However, developmental characteristics of this age group such as impulsivity, inexperience and peer pressure, place adolescents in unsafe environments.
質問 # 86
A recently deceased patient's family begins arriving to the ICU, visibly distraught and wailing. What is the nurse's first action?
A. Keep the family in the waiting room until they are calmer
B. Provide the family access to the patient
C. Seek assistance from the chaplain
D. Ask about funeral arrangements
正解：B
解説：
Immediate access to the deceased patient supportsgrief processingandfamily-centered care. Presence at the bedside allows the family to begin saying goodbye and mayreduce psychological traumaassociated with sudden loss.
"Grief support includes prompt access to the deceased loved one. Delaying this can intensify distress and negatively affect family outcomes." (Referenced from CCRN Pediatric - Direct Care: Psychosocial, End-of-Life and Bereavement Support)
質問 # 87
A primary school age boy was diagnosed with Myelogenous Leukemi
a. He is about to begin Chemotherapy and tells the nurse "I'm already 12 years old and I think I have the right to refuse the treatment". The nurse's most therapeutic response is:
A. "You are old enough. You're also old enough to understand that you need the Chemotherapy.
B. Your father already gave his consent so we need to go on with the treatment".
C. "You seem afraid. Let me talk to you about it".
D. Because you're under 18 years old, it means you don't have the capacity to refuse.
正解：C
解説：
Explanation: In a case, the nurse finds out the boy is disinterested, "You seem afraid. Let me talk to you about it" is the best response because it permits exploration of the child's feelings. If the child starts to discuss feelings, there may not be a need to inform him that he is too young to refuse the treatment.
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