CCRN-Pediatric試験の準備方法｜高品質なCCRN-Pediatric日本語試験対策試験｜真実的なCritical Care Nursing Exam資格試験21世紀には、{Examcode}認定は受験者の特定の能力を表すため、社会でますます認知されるようになりました。ただし、{Examcode}認定を取得するには、CCRN-Pediatric試験の準備に多くの時間を費やす必要があります。CCRN-Pediatric模擬試験を購入すると、当社のウェブサイトはプロの技術を使用してすべてのユーザーのプライバシーを暗号化し、ハッカーの盗用を防ぎます。私たちは、ビジネスがお客様のために十分に考慮された場合にのみ継続できると考えているため、当社の評判を損なうような行為は一切行いません。 CCRN-Pediatric試験問題に完全な信頼を寄せていただければ幸いです。失望することはありません。 AACN Critical Care Nursing Exam 認定 CCRN-Pediatric 試験問題 (Q122-Q127):質問 # 122
A 7-year-old is admitted to the pediatric unit for acute asthma. Vital signs re RR of 56, BP of 98/75 and has shortness of breath. The nurse expects that the child's arterial blood gas level to indicate a:
A. pH of 7.28
B. HCO3 of 24 mEq/L
C. PCO2 of 43 mmHg
D. PO2 of 88 mmHg
正解：A
解説：
Explanation: A pH of 7.28 indicates hypoxia. The value is less than the expected range of 7.35 to 7.45.
Hypoxia leads to hypercapnia that later leads to low pH level.
質問 # 123
Following a traumatic brain injury, an intubated 2-year-old patient requires an infusion of cisatracurium (Nimbex) to assist with intracranial pressure. On day 3, the ventilator's mean airway pressure begins to alarm frequently and suctioning needs have increased. The patient's vital signs are:
* BP: 99/58
* HR: 148
* RR: 20
* T: 102.2°F (39°C)
* ICP: 19
* CPP: 53
* WBC: 22,000
* Na#: 153 mEq/L
A nurse should anticipate the patient will require:
A. Mannitol (Osmitrol) 2 g/kg
B. A head CT
C. A sputum culture
D. Albuterol (Proventil) treatment
正解：C
解説：
The elevated WBC count, fever, rising airway pressures, and increased secretions are consistent with a developing ventilator-associated pneumonia (VAP). Asputum cultureis needed to identify the infectious agent and guide antibiotic therapy.
"Signs of VAP include increased airway secretions, elevated temperature, and rising ventilator pressures.
Diagnostic workup includes obtaining sputum culture to guide treatment." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Ventilator Complications and Infection)
質問 # 124
A pediatric client is evaluated for a surgery in order to correct Strabismus. During history taking, the nurse learns that the parents had their child examined when they first noticed:
A. excessive tears
B. unusual blinking
C. bloodshot eyes
D. frequent squinting
正解：D
解説：
Explanation: The classic sign of Strabismus is squinting. It occurs because of the misalignment of the yes.
質問 # 125
A child was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is called:
A. Blalock-Tausig
B. Waterston-Cooley
C. Coronary artery bypass
D. Raskkind Procedure
正解：A
解説：
Explanation: Blalock-Tausig procedure its just a temporary or palliative surgery which creates a shunt between the aorta and pulmonary artery so that the blood can leave the aorta and enter the pulmonary artery and thus oxygenating the lungs and return to the left side of the heart, then to the aorta then to the body. This procedure also makes use of the subclavian vein so pulse is not palpable at the right arm.
質問 # 126
A patient on peritoneal dialysis has high blood glucose. Most likely cause is:
A. Decreased pancreatic function
B. Systemic corticosteroids
C. Increased glucagon release
D. Glucose in the dialysate
正解：D
解説：
Peritoneal dialysis usesdialysate fluid that contains glucoseto create an osmotic gradient for fluid removal.
This glucose can beabsorbed into the bloodstream, especially with prolonged dwell times, resulting in hyperglycemia, particularly in pediatric patients with small body mass.
"Glucose in peritoneal dialysis solutions may be systemically absorbed, causing elevated serum glucose levels, particularly in pediatric and insulin-sensitive patients." (Referenced from CCRN Pediatric - Direct Care: Endocrine/Renal, Dialysis Complications)