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Get Certified in One Go with ValidDumps's Reliable AACN CCRN-Pediatric Questions
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AACN Critical Care Nursing Exam Sample Questions (Q121-Q126):NEW QUESTION # 121
A 10-year-old child presents with peri-umbilical pain, rebound tenderness, nausea, and fever up to 102° F (38.9°C). The pain prevents him from standing up straight. Which of the following should a nurse anticipate first?
- A. Administer antiemetics
- B. Consult pediatric surgery
- C. Initiate oral rehydration
- D. Insert a nasogastric tube
Answer: B
Explanation:
This child presents with classic signs ofacute appendicitispotentially progressing toperitonitis or perforation. The priority is toconsult pediatric surgery immediately, asdelaying surgical evaluation can lead to worsening complications, including sepsis.
"Clinical presentation of acute appendicitis includes right lower quadrant or peri-umbilical pain, nausea, fever, and rebound tenderness. Surgical consultation is the priority in suspected appendicitis." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Acute Abdomen and Surgical Emergencies)
NEW QUESTION # 122
A 6-year-old patient with ARDS has been mechanically ventilated for 10 days. The patient is being assessed for readiness to wean. The patient will open his eyes spontaneously but not to command. The pupils are equal and reactive but the patient is restless, sleeping only for short intervals. A nurse suspects the patient is demonstrating signs of:
- A. Delirium
- B. Hypoxic-ischemic injury
- C. Withdrawal
- D. Neuroleptic syndrome
Answer: A
Explanation:
Pediatric ICU delirium is a common but underdiagnosed condition in critically ill children, especially those on prolonged ventilation. Hallmarks includedisorientation, sleep disturbance, agitation, and altered attention.
"Delirium should be suspected in pediatric ICU patients showing new or worsening behavioral symptoms, altered sleep-wake cycles, and fluctuating mental status. Prolonged sedation and critical illness are risk factors." (Referenced from CCRN Pediatric - Direct Care: Neurologic Dysfunction and ICU Delirium)
NEW QUESTION # 123
A 2-month-old with a VP shunt has a fever, irritability, and a bulging fontanel. Blood and urine cultures are negative. The most likely cause is:
- A. A faulty valve
- B. Perforation of the small bowel
- C. Intracranial hemorrhage
- D. Shunt infection
Answer: D
Explanation:
Ashunt infectionis a common complication, especially within thefirst few months after placement.
Symptoms includefever, irritability, bulging fontanel, and vomiting. Negative blood and urine cultures suggest acentral nervous system source, supporting the likelihood of a shunt infection.
"Shunt infections typically present with fever, bulging fontanel, and neurologic irritability. They can occur without systemic bacteremia and require prompt neurosurgical consultation." (Referenced from CCRN Pediatric - Direct Care: Neurological, VP Shunt Complications)
NEW QUESTION # 124
Charlie, an 8-month-old infant, had a clubfoot. A boot cast was applied to correct the problem. Which of the following assessment could not be determined while the boot cast is in place:
- A. blanching
- B. warmth
- C. Pedal pulse
- D. color
Answer: C
Explanation:
Explanation: Pedal pulse is obviously not measurable while the boot cast is in place.
NEW QUESTION # 125
A nurse teaches a mother of a 2-month-old infant to be sure that the floor is free of small objects when her child is crawling. The reason for this is that:
- A. the infant could hide small objects making them harder to find.
- B. the infant can easily pick up small objects
- C. it is very hazardous for them to pick up things from the floor.
- D. sharp objects can easily injure the infant's skin.
Answer: B
Explanation:
Explanation: A 2-month-old infant already has the ability to use its fingers and thumbs in opposition (known as pincer grasp); this therefore enables it to pick up small objects and put them into its mouth which could lead to aspiration.
NEW QUESTION # 126
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