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Exam CCRN-Pediatric Topic & Exam CCRN-Pediatric Learning
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The AACN CCRN-Pediatric exam covers a wide range of topics related to pediatric critical care nursing, including cardiovascular, pulmonary, neurologic, gastrointestinal, hematology/oncology, and multisystem disorders. It also includes questions related to patient assessment, hemodynamic monitoring, pharmacology, and ethical and legal issues in critical care nursing. CCRN-Pediatric Exam is intended to test the nurse's ability to apply their knowledge and skills in real-life situations and to provide safe and effective care to critically ill pediatric patients.
AACN Critical Care Nursing Exam Sample Questions (Q52-Q57):
NEW QUESTION # 52
During ablation of a child's marrow in preparation for bone marrow transplantation, a nurse should monitor for which of the following complications?
- A. Dehydration and bleeding
- B. Stomatitis and dehydration
- C. Respiratory distress and infection
- D. Infection and bleeding
Answer: D
Explanation:
Myeloablationprior to bone marrow transplantdestroys bone marrow cells, leading toprofound neutropenia and thrombocytopenia. As a result, patients are atextremely high risk for infection and bleeding, requiring close monitoring, isolation, and transfusion support.
"Pre-transplant conditioning regimens cause neutropenia and thrombocytopenia, making infection and bleeding the primary complications during marrow ablation." (Referenced from CCRN Pediatric - Direct Care: Hematology, Bone Marrow Transplantation and Myelosuppression)
NEW QUESTION # 53
Charlie, a toddler, is going to take his Ferrous Fumarate. The order reads: 25 mg BID. The suspension conatins 40 mg/0.5 ml. The nurse should give:
- A. 0.10 ml
- B. 0.5 ml
- C. 0.30 ml
- D. 0.25 ml
Answer: C
Explanation:
Explanation: To a toddler who is going to take his Ferrous Fumarate, the nurse should give D/S x Q which is 25mg/40mg x 0.5 ml = 0.3 ml
NEW QUESTION # 54
A child has fever, chills, back pain, elevated WBC and ESR, and abnormal urinalysis. After IV fluids and antibiotics, what procedure should be anticipated?
- A. KUB
- B. Chest x-ray
- C. Renal ultrasound
- D. Upper GI
Answer: C
Explanation:
These findings are consistent withpyelonephritisor another upper urinary tract infection. Arenal ultrasound is a non-invasive test used to evaluate forstructural abnormalities, abscess, or obstruction, especially in a febrile child with a urinary tract infection.
"Renal ultrasound is indicated after diagnosis of febrile UTI to evaluate renal anatomy and rule out complications like abscess." (Referenced from CCRN Pediatric - Direct Care: Renal, Urinary Tract Infections and Imaging)
NEW QUESTION # 55
Which of the following is the correct way of instilling eardrops among children below 3 years old:
- A. Cleanse the ear canal trough pulling the pinna outward
- B. Apply medicated ear wicks, then instill the eardrops
- C. Pull the pinna up and back to straighten the ear canal
- D. Pull the pinna down and back to straighten the ear canal
Answer: D
Explanation:
Explanation: Canal should be straighten by pulling it down and back so that the eardrops will reach the eardrum. This approach is applicable to children below 3 years old because their ear canal curves upward.
NEW QUESTION # 56
The nurse is caring for a 10 year-old with an acute illness. Which of the following indicates that the nurse understands common sibling reactions to hospitalization?
- A. Siblings enjoy privacy
- B. Younger sibling adapts very well
- C. Visitation is useful for both
- D. The one that was cared most at home will adapt better
Answer: C
Explanation:
Explanation: Contact with the hospitalized child helps siblings understand the reasons for hospitalization and maintain their relationship.
NEW QUESTION # 57
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