Pass the AACN CCRN CCRN-Pediatric Questions and answers with CertsForce

Viewing page 4 out of 5 pages
Viewing questions 31-40 out of questions
Questions # 31:

A family member has not left a child’s bedside in 3 days and says, “I would leave, but I don’t know where to go.” The best nursing response is:

Options:

A.

"Do you have a friend you could call to take you out?"


B.

"Where do you normally go to relax and de-stress?"


C.

"Would you like me to bring you some new magazines to read?"


D.

"I can print off a list of area restaurants and shopping for you."


Expert Solution
Questions # 32:

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?

Options:

A.

Hyperglycemia


B.

Hypercalcemia


C.

Hypocalcemia


D.

Hypoglycemia


Expert Solution
Questions # 33:

To lead a unit-based initiative to decrease central line-associated bloodstream infections, which of the following is the most appropriate approach?

Options:

A.

plan, develop, start, assess


B.

participate, decide, state, amend


C.

participate, do, study, assess


D.

plan, do, study, act


Expert Solution
Questions # 34:

A patient is admitted with severe anemia requiring urgent intervention. The parents refuse the transfusion due to religious beliefs. The most appropriate action by the nurse is to:

Options:

A.

Consult the hospital’s ethics committee and legal team while providing alternative treatments


B.

Convince the parents to change their mind by emphasizing the severity and potential for fatality


C.

Immediately administer the transfusion to save the patient’s life, regardless of the parents' wishes


D.

Respect the family’s wishes to withhold the blood transfusion, and document their refusal


Expert Solution
Questions # 35:

A 6-year-old with WPW syndrome and SVT episodes is admitted. What intervention is anticipated?

Options:

A.

Placement of an automatic internal cardioverter defibrillator


B.

Cardiac catheterization for ablation


C.

Administration of a digitalizing dose of digoxin


D.

24-hour Holter monitoring


Expert Solution
Questions # 36:

In an infant with bronchopulmonary dysplasia (BPD), pathophysiologic consequences of chronic hypoxia include:

Options:

A.

Cor pulmonale


B.

Anemia


C.

Increased systemic vascular resistance


D.

Decreased pulmonary vascular resistance


Expert Solution
Questions # 37:

Why are unit admission and discharge criteria developed?

Options:

A.

Identify criteria for withholding treatment


B.

Address triage decisions


C.

Provide ethical decision-making guidelines


D.

Secure managed care contracts


Expert Solution
Questions # 38:

One hour after starting a continuous IV insulin, a patient’s glucose drops by 145 mg/dL. What should the nurse monitor for?

Options:

A.

Bradycardia, widened pulse pressure, and doll's eyes reflex


B.

Tachycardia, irregular respirations, and polyuria


C.

Bradycardia, irregular respirations, and widened pulse pressure


D.

Tachycardia, widened pulse pressure, and oliguria


Expert Solution
Questions # 39:

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?

Options:

A.

Let the parents know the PACU was only trying to help their child


B.

Page the hospitalist to meet with parents and provide an explanation


C.

Ensure there is consistency with communication among the team


D.

Document the parent's complaint and notify the patient-family representative


Expert Solution
Questions # 40:

CSF analysis shows: glucose 36 mg/dL, protein 110 mg/dL, and WBCs (PMNs) 1,000/microliters. These findings are indicative of:

Options:

A.

Bacterial meningitis


B.

Guillain-Barre syndrome


C.

Encephalitis


D.

Viral meningitis


Expert Solution
Viewing page 4 out of 5 pages
Viewing questions 31-40 out of questions