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[General] Exam CCRN-Pediatric Lab Questions, CCRN-Pediatric Passing Score Feedback

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【General】 Exam CCRN-Pediatric Lab Questions, CCRN-Pediatric Passing Score Feedback

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AACN Critical Care Nursing Exam Sample Questions (Q95-Q100):NEW QUESTION # 95
An adolescent patient presents with altered mental status following ingestion of unknown substances at a party. Lab values include an elevated serum ammonia. The nurse should anticipate an order for which of the following?
  • A. Ipecac syrup
  • B. Acetylcysteine
  • C. Lactulose
  • D. Vitamin K
Answer: C
Explanation:
Elevated serum ammoniais often associated withhepatic encephalopathyor metabolic disturbances.
Lactuloseis the standard treatment to reduce ammonia levels by promoting ammonia excretion via the GI tract.
"Lactulose lowers serum ammonia levels by converting ammonia into ammonium, which is then excreted in stool. It is a cornerstone in the treatment of encephalopathy caused by hyperammonemia." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Hepatic Failure and Encephalopathy)

NEW QUESTION # 96
Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?
  • A. O# therapy and alkalinization
  • B. PAOP monitoring and sodium nitroprusside
  • C. O# therapy and RBC transfusion
  • D. PAOP monitoring and dobutamine
Answer: A
Explanation:
PPHN is caused by the failure of the pulmonary vasculature to relax after birth. Management includes:
* Oxygen therapyas a pulmonary vasodilator
* Alkalinization(e.g., sodium bicarbonate) toincrease pH, which helps decrease pulmonaryvascular resistance Inhaled nitric oxide and ECMO are also advanced interventions if initial therapies fail.
"Initial management of PPHN includes oxygen, mechanical ventilation, and alkalinization to reduce pulmonary vascular resistance." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Neonatal Pulmonary Hypertension)

NEW QUESTION # 97
Hillary is a 6 year old who has meningitis. The nurse at the unit noticed that she assumes an opisthotonic position. The nurse should place her in :
  • A. knee-chest position
  • B. semi-fowler's position
  • C. high fowler's position
  • D. side-lying position
Answer: D
Explanation:
Explanation: In meningitis, side-lying position is for maximum safety and comfort because the child with meningitis has hyperextended neck and back.

NEW QUESTION # 98
Parent teaching for a child with encephalopathy should include which of the following?
  • A. Often, no causative agent is found
  • B. The condition is caused by a contagious agent
  • C. Neurologic damage will be minimal
  • D. Antibiotics are effective
Answer: A
Explanation:
Encephalopathy refers to aglobal brain dysfunctioncaused by various factors such asmetabolic imbalances, toxins, hypoxia, or infections. In many cases,no definitive causative agent is identified, and treatment focuses onsupportive care and managing underlying triggers.
"Pediatric encephalopathy is often multifactorial, and in many cases no specific causative agent is isolated.
Families should be counseled accordingly."
(Referenced from CCRN Pediatric - Direct Care: Neurological, Encephalopathy and Parental Education)

NEW QUESTION # 99
A mother of a 7 year-old child telephones the clinic nurse because her daughter was sent home from school due to rashes. The child had been seen the day before by a doctor and diagnosed with Erythema Infectiosum or fifth disease. What is the most appropriate action by the nurse?
  • A. Tell the mother to bring the child to the clinic for further assessment
  • B. Have the school nurse explain the nature of the illness.
  • C. Inform that rash is not contagious and does not require isolation
  • D. Inform the teacher that the child receives antibiotics for the rash
Answer: C
Explanation:
Explanation: Fifth Disease is a viral disease with an uncertain period of communicability (perhaps 1 week prior to and 1 week after onset). Isolation of the child with Fifth Disease is not necessary.

NEW QUESTION # 100
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