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

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Questions # 41:

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?

Options:

A.

Arrange a team meeting to clarify the treatment plan prior to meeting with the family


B.

Reassure the family this is common with complex cases and encourage them to focus on the goal


C.

Provide the family with written information summarizing the key points from each specialist


D.

Recommend the family direct all of their questions to the attending physician to minimize confusion


Expert Solution
Questions # 42:

An infant with acute exacerbation of bronchopulmonary dysplasia (BPD) is placed on mechanical ventilation. The most appropriate ventilator strategy is:

Options:

A.

A normal PaCO₂


B.

An adequate FiO₂ to maintain oxygen saturation greater than 95%


C.

Permissive hypercapnia


D.

A tidal volume of 10–15 mL/kg


Expert Solution
Questions # 43:

A patient has visitors whose loud talking and laughing disrupts other patients and visitors in the ICU. Which of the following is the most effective way for a nurse to address this situation?

Options:

A.

Initiate discussions about a visiting plan that includes behavioral limits


B.

Consult the social worker to create a visiting contract


C.

Create a visiting contract that includes behavioral limits and present it to the family


D.

Discuss the developmental needs of the patient with the family


Expert Solution
Questions # 44:

An infant is admitted with tonic-clonic movement of the lower extremities. The most likely etiology of the seizure is:

Options:

A.

Lead poisoning


B.

A febrile illness


C.

A brain tumor


D.

An arteriovenous malformation


Expert Solution
Questions # 45:

An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse’s most appropriate response is:

Options:

A.

“I will support whatever decision you decide upon.”


B.

“As I remember, your child expressed a desire to die peacefully.”


C.

“Perhaps try one more day of treatment to see if there are any changes in condition.”


D.

“Legally you have the right to make that decision.”


Expert Solution
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