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AACN CCRN-Pediatric (Critical Care Nursing) Certification Exam is a specialized certification exam for nurses who work in the critical care unit with pediatric patients. Critical Care Nursing Exam certification exam is designed to measure the knowledge and skills of registered nurses who provide direct care to acutely ill pediatric patients in settings such as emergency departments, neonatal units, and pediatric intensive care units.
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NEW QUESTION # 55
A 9-year-old boy scout was treated with Lyme disease. He expresses fear of going camping again because of deer ticks. The nurse's best response would be:
Answer: D
Explanation:
Explanation: The nurse's best response would be "frequent checking for ticks will prevent infection." It identifies the concern and presents an appropriate protective intervention. Frequent and prompt removal of ticks decreases the chance of spread of Lyme disease to humans.
NEW QUESTION # 56
A patient with restrictive cardiomyopathy is ambulating and begins to complain of fatigue and chest pain. A nurse should expect initial treatment to be aimed at:
Answer: D
Explanation:
Restrictive cardiomyopathyis characterized byimpaired ventricular fillingdue to stiff ventricular walls.
The primary issue isdiastolic dysfunction, not contractility. As a result, the focus is onreducing myocardial oxygen demand and workload, often with activity restriction, beta blockers, and afterload reduction.
"Management of restrictive cardiomyopathy centers on decreasing cardiac workload and optimizing preload, as the heart cannot relax properly. Inotropic agents are not typically effective." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Cardiomyopathies)
NEW QUESTION # 57
A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:
Answer: D
Explanation:
Following near-drowning, the child may developpediatric acute respiratory distress syndrome (PARDS).
This manifests asnon-cardiogenic pulmonary edemawithdiffuse alveolar damage, resulting in poor oxygenation and elevated airway pressures.
"In cases of near-drowning, the patient may progress to ARDS with bilateral pulmonary infiltrates and refractory hypoxemia despite increasing FiO#. Mechanical ventilation strategies should be adjusted accordingly." (Referenced from CCRN Pediatric - Direct Care: Pulmonary Dysfunction and Ventilator Management)
NEW QUESTION # 58
How would a nurse soothe an infant who was hospitalized and appears to be in pain:
Answer: A
Explanation:
Explanation: Touching the infant while in pain will make him feel secured. This is the best for a distressed infant. Feeding doesn't always comfort an infant.
NEW QUESTION # 59
The nurse is caring for a 16 year-old boy with Hemophilia A, who was admitted after falling from a tree.
In understanding his behavior and in planning care for this client, what must the nurse understand about adolescents with hemophilia A?
Answer: C
Explanation:
Explanation: Adolescent hemophiliacs should be aware that contact sports may trigger bleeding.
However, developmental characteristics of this age group such as impulsivity, inexperience and peer pressure, place adolescents in unsafe environments.
NEW QUESTION # 60
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