CCRN-Pediatric by AACN Valid Free Exam Practice Test

Question 1

A nurse managing a patient with carbon monoxide poisoning should consider the possibility of an inaccurate:

A. pH B. PaO# C. SpO# D. EtCO#

Correct Answer: C

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Question 2

An infant with bronchiolitis is intubated and mechanically ventilated. ABG:
* pH: 7.31
* PaCO#: 62 mmHg
* PaO#: 50 mmHg
* HCO#: 26 mEq/L
Which radiologic finding is most likely?

A. Pneumothorax B. Hypoinflation C. Atelectasis D. Pleural effusion

Correct Answer: B

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Question 3

Parent teaching for a child with encephalopathy should include which of the following?

A. Often, no causative agent is found B. Antibiotics are effective C. Neurologic damage will be minimal D. The condition is caused by a contagious agent

Correct Answer: A

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Question 4

A child with a right pulmonary contusion is intubated and ventilated. When positioned with the affected side down, O# saturation drops. The most likely cause is:

A. A tension pneumothorax B. Decreased pulmonary vascular resistance C. ET tube dislodgement D. Ventilation/perfusion mismatch

Correct Answer: D

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Question 5

A patient is postoperative day 1 from a laparotomy for appendicitis. Which intervention best prevents surgical wound infection?

A. Cleanse the wound with antibacterial soap and water, maintain NPO status, and encourage mobility B. Shower twice daily, apply betadine to the skin around the wound, and maintain NPO status C. Encourage nutritional support as early as possible, bathe daily with pH-balanced cleanser, and encourage mobility D. Apply a dressing with plastic tape over the wound, encourage handwashing, and offer a high-calorie diet

Correct Answer: C

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Question 6

Early management of a child in septic shock includes:

A. Fluid resuscitation, analgesic administration, and O# supplementation B. Fluid resuscitation, antibiotic administration, and inotropic support C. Bronchodilator administration, diuretic administration, and inotropic support D. O# supplementation, steroid administration, and antibiotic administration

Correct Answer: B

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Question 7

Following placement of a central venous catheter, a mechanically ventilated child develops acute tachycardia, hypotension, and arterial desaturation. A nurse should evaluate the need for:

A. Administration of a sedative B. An increase in the ventilator rate C. Insertion of a chest tube D. An IV fluid bolus

Correct Answer: C

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Question 8

To evaluate effectiveness of transvenous ventricular pacing, the ECG should show a pacing spike followed by:

A. Atrial depolarization B. Ventricular repolarization C. Ventricular depolarization D. Atrial repolarization

Correct Answer: C

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Question 9

The treatment of choice for diabetes insipidus should be fluid:

A. Replacement and vasopressin (Pitressin) B. Replacement and aldosterone C. Restriction and vasopressin (Pitressin) D. Restriction and aldosterone

Correct Answer: A

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AACN Critical Care Nursing - CCRN-Pediatric Exam Practice Test