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[General] New CCRN-Pediatric Exam Test, Detail CCRN-Pediatric Explanation

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【General】 New CCRN-Pediatric Exam Test, Detail CCRN-Pediatric Explanation

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AACN Critical Care Nursing Exam Sample Questions (Q80-Q85):NEW QUESTION # 80
Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride:
  • A. Beutler's test
  • B. Coomb's test
  • C. Guthrie Test
  • D. Phenestix test
Answer: D
Explanation:
Explanation: Phenestix test is a diagnostic test for Phenylketonuria which uses a fresh urine sample (diapers) and mixed with ferric chloride. If positive, there will be a presence of green spots at the diapers. Guthrie test is another test for PKU and is the one that mostly used. The specimen used is the blood and it tests if CHON is converted to amino acid.

NEW QUESTION # 81
A school age girl was rushed to the Emergency room with symptoms of acute, crampy abdominal pain, fever, and impaired sensory perception. The nurse found a black line between his teeth and gums. The client needs further evaluation because findings are characteristics of:
  • A. Aspirin toxicity
  • B. Plumbism
  • C. Perthe's disease
  • D. Tetracycline exposure
Answer: B
Explanation:
Explanation: Findings are common to lead poisoning or Plumbism attributable to the deposition of lead at the gum lines and in between teeth.

NEW QUESTION # 82
A 7 year-old child was rushed at the ER after a sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, fever, leaning forward while in a sitting position, protruding tongue, salivation and suprasternal retractions. What should the nurse do first?
  • A. Have the child undergo an upper airway x-ray
  • B. have the sputum sent to laboratory for testing
  • C. notify the doctor about the current status
  • D. assess the throat
Answer: C
Explanation:
Explanation: These findings suggest a medical emergency and may be due to epiglottises. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate medical attention in a hospital equipped with Intubation or a Tracheostomy in the event of further or complete obstruction.

NEW QUESTION # 83
An infant with Myelomeningocoele underwent a surgical repair. Suddenly, the client developed metabolic acidosis, notable decreased urinary output and diarrhe a. The nurse at the unit anticipates that the doctor will order:
  • A. Potassium chloride
  • B. Isotonic saline
  • C. Sodium Lactate
  • D. Hypertonic saline
Answer: C
Explanation:
Explanation: T o correct the sodium deficit and metabolic acidosis, the client needs Sodium Lactate.
Sodium Lactate is converted to sodium bicarbonate. Saline intensifies acidosis. Potassium will only be given once kidney function was restored.

NEW QUESTION # 84
A school-aged patient who was admitted with an acute asthma exacerbation has improved and is now ready for transfer to the floor. In preparation for discharge, the nurse should evaluate:
  • A. Adherence to follow-up appointments
  • B. The need for home health oxygen services
  • C. The patient's readiness to self-administer inhaler
  • D. Family's access to safe food and shelter
Answer: C
Explanation:
In asthma management, patient education andself-management skills, including proper use of an inhaler, are crucial to preventing readmission. School-aged children are often capable of learning and demonstrating proper technique, which should be assessed prior to discharge.
"Before discharge following asthma exacerbation, nurses should assess the child's ability to self-administer inhaled medications, understand controller vs. rescue medications, and demonstrate correct technique." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Asthma Management and Discharge Planning)

NEW QUESTION # 85
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