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The AACN CCRN-Pediatric exam covers a range of topics related to pediatric critical care nursing, including cardiovascular, pulmonary, and neurological systems, pharmacology, and patient assessment and monitoring. It consists of 125 multiple-choice questions and is administered in a computer-based format. Nurses who pass the exam earn the CCRN-Pediatric credential, which is valid for three years and can be renewed through continued professional development and re-examination. Obtaining this certification can open up new career opportunities and help nurses stand out in a competitive job market.
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AACN Critical Care Nursing Exam Sample Questions (Q77-Q82):
NEW QUESTION # 77
A mother is upset because her 8-year-old daughter developed a right breast mass. She asks the nurse what she should do. The nurse bases her response on knowing that the breast mass is most likely due to which of the following:
- A. The onset of puberty
- B. Precocious thelarche
- C. Gynecomastia
- D. Precocious pseudo puberty
Answer: A
Explanation:
Explanation: The onset of puberty may start as early as age 8, with development possibly beginning unilaterally. Gynecomastia is the development of breast tissue in males. Precocious pseudo puberty is a precocity that develops with no early secretion of gonadotropin. Precocious thelarche occurs before the onset of the pubertal period, which can start as young as age 8
NEW QUESTION # 78
A pediatric patient with a complex, chronic condition has a multidisciplinary care team. The patient's family expresses frustration with receiving conflicting information from different team members.
Which of the following is the most appropriate action for a nurse to take?
- A. Arrange a team meeting to clarify the treatment plan prior to meeting with the family
- B. Recommend the family direct all of their questions to the attending physician to minimize confusion
- C. Provide the family with written information summarizing the key points from each specialist
- D. Reassure the family this is common with complex cases and encourage them to focus on the goal
Answer: A
Explanation:
Effective communication is a pillar of ethical and professional nursing practice. In complex care situations, coordination and unified messagingare vital to support family understanding and reduce distress.
"When families express confusion or frustration due to inconsistent communication, it is the nurse's responsibility to advocate for a coordinated approach by facilitating interdisciplinary collaboration and clarity of plan." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Communication and Advocacy) Arranging a team meeting promotes collaboration, consistency, and ensures that the family receives accurate, unified information.
NEW QUESTION # 79
A 2-month-old with ventricular septal defect (VSD) and CHF should be managed with:
- A. Digoxin, diuretics, and sedation
- B. Digoxin, diuretics, and caloric supplementation
- C. Supplemental O# and fluid restriction
- D. Supplemental O# and supplemental calories
Answer: B
Explanation:
VSD causesleft-to-right shunting, leading tovolume overload, CHF, and poor weight gain. Management includes:
* Digoxinto improve contractility
* Diureticsto reduce preload
* High-calorie feedsto support growth in the setting of increased metabolic demand O# isnot routinely usedunless there's hypoxia, as it can increase pulmonary vascular dilation andworsen the shunt.
"Medical management of CHF in infants with VSD includes diuretics, digoxin, and nutritional support with caloric supplementation." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Congenital Heart Defects and Heart Failure)
NEW QUESTION # 80
Channel is a 3 year old girl who has Thalassemi
a. She underwent several blood transfusion and folate intake as treatments. After 2 months, the doctor planned a therapy to remove too much iron in the blood. The nurse is aware that this therapy is called:
- A. Chelation
- B. Hemoglobin electrophoresis
- C. Cautery
- D. Plasmapheresis
Answer: A
Explanation:
Explanation: Person who received significant numbers of blood transfusions need a treatment called Chelation therapy to remove excess iron from the body. The chelating agent may be administered intravenously, intramuscularly, or orally, depending on the agent and the type of poisoning
NEW QUESTION # 81
Multiple blood transfusions have been given to a patient with massive blood loss following a motor vehicle crash. Which of the following electrolyte abnormalities should a nurse anticipate?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Hypercalcemia
- D. Hypocalcemia
Answer: D
Explanation:
Stored blood containscitrate, an anticoagulant that bindsionized calcium, leading tohypocalcemiawith multiple transfusions. This can causetetany, arrhythmias, and hypotensionif not corrected.
"Massive transfusion can cause hypocalcemia due to citrate toxicity. Monitoring ionized calcium is essential during and after blood product administration." (Referenced from CCRN Pediatric - Direct Care: Hematologic Emergencies and Transfusion Management)
NEW QUESTION # 82
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