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[Hardware] Web-based AACN CCRN-Pediatric Practice Test Software: Identify and Fill Your Kno

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【Hardware】 Web-based AACN CCRN-Pediatric Practice Test Software: Identify and Fill Your Kno

Posted at yesterday 20:31      View：18 | Replies：0        Print      Only Author   [Copy Link] 1#
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AACN CCRN-Pediatric (Critical Care Nursing) Certification Exam is an important certification for nurses who specialize in pediatric critical care. Critical Care Nursing Exam certification is designed to recognize the specialized knowledge and skills required to care for critically ill pediatric patients. CCRN-Pediatric Exam is created and administered by the American Association of Critical-Care Nurses (AACN), a professional organization dedicated to advancing the field of critical care nursing.
AACN Critical Care Nursing Exam Sample Questions (Q74-Q79):NEW QUESTION # 74
The primary pulmonary pathophysiological change leading to respiratory distress syndrome (RDS) is:
  • A. Increased alveolar-capillary membrane permeability
  • B. Increased surfactant production
  • C. Pulmonary vascular hypertension
  • D. Thinning of alveolar membrane
Answer: A
Explanation:
Neonatal Respiratory Distress Syndrome (RDS) is primarily caused by surfactant deficiency, which results in alveolar collapse and increased permeability of the alveolar-capillary membrane. This leads to pulmonary edema, impaired gas exchange, and hypoxemia.
"The hallmark of RDS is increased permeability of the alveolar-capillary membrane, which allows fluid to leak into alveoli, contributing to atelectasis and reduced oxygenation. Surfactant deficiency is the initiating factor." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Neonatal RDS Pathophysiology) Increased surfactant production would be protective, not pathological. Pulmonary vascular hypertension can occur secondarily but is not the initiating pathophysiology.

NEW QUESTION # 75
A nurse is caring for a child with diarrhea due to salmonella infection. What order should be questioned by the nurse:
  • A. kaopectate, 1 tsp every bowel movement
  • B. Paracetamol, 5ml for temperature = 37.8°C
  • C. Ciprofloxacin 250 mg tab BID for 5 days
  • D. ORS I tab dissolve in 150 ml water
Answer: A
Explanation:
Explanation: Kaopectate will keep the stool in the intestines longer which could allow the organism to infect the intestinal mucosa. This drug has adsorbent and demulcent effects.

NEW QUESTION # 76
A 7-week-old infant was admitted after 2 days of vomiting. She was diagnosed of hypertrophic pyloric stenosis. The nurse at the emergency room knows that the most important nursing assessment is the:
  • A. amount, frequency, amd character of vomiting.
  • B. amount of milk and water taken at the time of last feeding
  • C. amount and color of urine, skin turgor and respirations
  • D. presence of olive shaped mass in the hypogastric area
Answer: C
Explanation:
Explanation: If an infant has dark scanty urine, poor skin turgor, and increased depth of respirations then dehydration and metabolic alkalosis are present. It happens due to fluid and hydrochloric acid loss and the depletion of Potassium.

NEW QUESTION # 77
A young patient is admitted from the PACU to the ICU with complications following surgery. The parents are angry and confused as they were originally told by the surgeon their child was stable and the plan was to transfer the child to a regular room. How should the nurse best address the parents' concerns?
  • A. Let the parents know the PACU was only trying to help their child
  • B. Ensure there is consistency with communication among the team
  • C. Document the parent's complaint and notify the patient-family representative
  • D. Page the hospitalist to meet with parents and provide an explanation
Answer: B
Explanation:
Families depend onclear, consistent communicationfrom healthcare providers, especially when care plans change unexpectedly. Thenurse's roleincludescoordinating communicationamong the team and ensuring clarity and alignment of messagingto prevent misunderstandings.
"Nurses are responsible for ensuring consistency of communication across interdisciplinary teams.
Discrepancies between what families are told and what occurs can damage trust and must be promptly addressed." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Communication and Family Advocacy)

NEW QUESTION # 78
A stat abdominal x-ray reveals free air and a large loculated fluid collection presumed to be blood. The priority of care should be:
  • A. Nasogastric tube placement
  • B. Platelet transfusion
  • C. Vasopressin (Pitressin) therapy
  • D. Surgical intervention
Answer: D
Explanation:
Free air on abdominal x-rayindicatesbowel perforation, andloculated fluidsuggests hemoperitoneum or intra-abdominal bleeding. This is asurgical emergency, and the child requiresimmediate operative interventionto prevent further deterioration.
"Free intraperitoneal air and fluid suggest perforation and hemorrhage, which require emergent surgical exploration and correction to prevent peritonitis and shock." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Surgical Emergencies and Acute Abdomen)

NEW QUESTION # 79
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