CCRN PEDS AACN LATEST UPDATED 2025/2026 WITH COMPLETE Questions and SURE VERIFIED SOLUTIONS 100% GRADED AT A+ SCORE!! SURE GUARANTEED PASS!!

CCRN PEDS AACN LATEST UPDATED 2025/2026 WITH COMPLETE Questions and SURE VERIFIED SOLUTIONS 100% GRADED AT A+ SCORE!! SURE GUARANTEED PASS!! In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the following as a primary treatment measure? A. Administration of protamine sulfate B. Administration of glucose C. Transfusion of packed RBCs D. Replacement of fluid and electrolytes - ANSWER D. Replacement of fluid and electrolytes 2. An adolescent with the developmental age of a 4-year-old requires placement of a chest tube. The best way to prepare the patient for this procedure is to A. Use short simple sentences and limit descriptions to concrete explanations. B. Show the patient a chest tube and explain how it will feel. C. Explain in detail why a chest tube is needed and how it works. D. Tell the parents what will be done so they can explain it to their child. - ANSWER Use short simple sentences and limit descriptions to concrete explanations. 3. A child admitted with a gunshot wound to the head, accidentally inflicted by an older sibling. The parents are overcome with grief and appear to be ignoring the following statements made by the older sibling: "It was an accident; I didn't mean to do it; I'm sorry!" Which of the following actions by the nurse would be most appropriate? A. Discuss the importance of gun safety with the older sibling while the parents are at the bedside. B. Seek additional support for the parents for ways they can assist the older sibling C. Tell the parents that they need to provide support for the older sibling D. Tell the older sibling, "Accidents happen; I know you didn't mean to do it." - ANSWER Seek additional support for the parents for ways they can assist the older sibling 4. Which of the following laboratory findings is indicative of the syndrome of inappropriate ADH secretion (SIADH)? A. Serum sodium = 148 mEq/L B. Decreased serum osmolality C. Blood urea nitrogen (BUN) = 28 mg/dl D. Serum potassium = 5.1 mEq/L - ANSWER Decreased serum osmolality 5. A 3-year-old is admitted to the ICU with a 10-hour history of an acute-onset asthma attack. Initial assessment reveals the following HR 160 pH 7.25 RR 48 pCO2 35 BP 112/76 pO2 40 T 32*C HCO3 22 A. Administration of NaHCO3 B. Fluid resuscitation C. Racemic epinephrine D. Intubation - ANSWER Intubation 6. A 2-year-old is experiencing manifestations of digoxin (Lanoxin) toxicity. BP is 94/60, capillary refill time is 2 seconds and the electrocardiogram reveals AV block with a heart rate of 60. The critical care nurse would anticipate which of the following interventions? A. Performance of cardioversion B. Administration of Atropine C. Performance of vasovagal maneuvers D. Monitoring of HR and rhythm and perfusion status - ANSWER Monitoring of HR and rhythm and perfusion status 7. An adolescent with asthma is readmitted just a week after discharge from the hospital. On questioning, the nurse learns that the patient refuses to use the inhalers at school. The nurse should A. Talk to the teen about long-term consequences of the disease if the treatment plan is not followed B. Talk to the school nurse to find out why they are not monitoring the medications at school C. Help the parents set up a disciplinary contract with the teen D. Arrange for the teen to attend an asthma support group - ANSWER Arrange for the teen to attend an asthma support group 8. An unconscious 5-month-old is admitted. The parent reports the baby fell off the table during a diaper change by an older sibling. What findings would indicate further inquiry of the history? A. A reddened or bruised are on the skull B. Poorly reactive pupils C. Retinal hemorrhage D. A linear skull fracture - ANSWER Retinal hemorrhage 1. A 1-month-old infant presents with poor feeding, vomiting and diarrhea since birth. The infant is lethargic and in mild respiratory distress. The mother reports having another infant with the same symptoms who died at 2 months of age. Which finding would cause the nurse to suspect an inborn error of metabolism? A. micrognathia B. microglossia C. petite facial features D. abnormal urine odor - ANSWER abnormal urine odor 2. Cardiac defects associated with increased pulmonary blood flow place the patient at greatest risk for A. heart failure. B. systemic air emboli. C. hypoxemia. D. syncope. - ANSWER heart failure 3. Which ventilator parameters would be weaned first in a patient with bronchopulmonary dysplasia (BPD)? A. VT and FiO2 B. peak inspiratory pressure and IMV C. FiO2 and IMV D. FiO2 and peak inspiratory pressure - ANSWER FiO2 and peak inspiratory pressure 4. Amrinone lactate (Inocor) produces which of the following effects? A. vasodilation B. phospholipid inhibition C. decreased myocardial contractility D. antagonism to other catecholamines - ANSWER vasodilation 5. Which of the following procedures would be most valuable in aiding management of a child requiring PEEP of 14 cm of water? A. ECMO therapy B. placement of a thoracostomy tube C. placement of a pulmonary artery catheter D. high-frequency ventilation - ANSWER high-frequency ventilation 6. A 15-year-old patient underwent a classic Fontan repair of tricuspid atresia 12 hours ago. The patient is cool, diaphoretic, restless, mottled peripherally, with no pedal pulses and faint femoral pulses. Vital signs are: HR 140 MAP 60 mm Hg CVP 20 mm Hg Cardiac Index 2.1 L/min/m2 SVR 2000 dynes/sec/cm-5 The nurse should suspect A. a pulmonary embolus. B. cardiac tamponade. C. cardiogenic shock. D. hypovolemic shock. - ANSWER cardiogenic shock. 7. The nurse is providing patient education for a family whose child has cerebral palsy and will be receiving a Baclofen (Lioresal) pump to control spasticity. Which of the following is most important for the nurse to include in the discussion? A. The drug acts to inhibit the neurotransmitter gamma-amniobutyric acid (GABA). B. Parents can be taught to regulate the dosage based on symptoms. C. The child will have a normal gait after insertion of the pump. D. Parents must bring the child back to the clinic to have the medicine added to the pump. - ANSWER Parents must bring the child back to the clinic to have the medicine added to the pump. 8. A nurse is interested in including other disciplines in the educational process of developmental care in the NICU. The best way to convince administration that this venture is financially worthwhile is to A. present a report summarizing research relating developmental care to decreased length of stay. B. request that the neonatologist present the plan. C. present case studies demonstrating favorable outcomes to developmental care. D. invite members of administration to attend the classes. - ANSWER present a report summarizing research relating developmental care to decreased length of stay. 9. PEEP is intended to do which of the following? A. increase functional residual capacity B. decrease functional residual capacity C. increase venous return to the heart D. increase cardiac output - ANSWER increase functional residual capacity An 8-month-old with bronchopulmonary dysplasia (BPD) is admitted with heart failure. Nursing interventions should be done to A. decrease preload. B. increase afterload. C. decrease heart rate. D. increase contractility. - ANSWER decrease preload 11. A 2-month-old with a history of unrepaired Tetralogy of Fallot begins to cry while intravenous access is attempted. Cyanosis, diaphoresis and tachypnea are noted. Nursing interventions are aimed at A. Increasing pulmonary flow and relaxing the infundibulum. B. Decreasing systemic flow and increasing pulmonary vascular resistance. C. Decreasing pulmonary flow and increasing systemic vascular resistance (SVR). D. Increasing systemic flow and relaxing the left ventricular outflow tract. - ANSWER Increasing pulmonary flow and relaxing the infundibulum. During surgery on a 2-month-old with Tetralogy of Fallot, a transthoracic PA catheter was placed. Upon removal of this line, the PA pressure is 29 mm Hg systolic. As the line is 'pulled back' into the right ventricle, the pressure measures 72 mm Hg systolic. RA Sat=72, PA Sat=72. This change in measurement may indicate a/an A. right bundle branch block. B. residual VSD. C. Child Protective Services D. residual right ventricular outflow obstruction - ANSWER residual right ventricular outflow obstruction A 4-year-old has been admitted twice in the past six months for status asthmaticus. The parents smell of smoke when they come to the hospital, but state they don't smoke in the house. The most appropriate discharge planning intervention would be to A. discuss with the parents how to avoid asthma triggers at home. B. give the parents literature about smoking cessation treatment and support groups. C. call Child Protective Services to report a medically unsafe home environment. D. remind parents they shouldn't smoke around the child. - ANSWER give the parents literature about smoking cessation treatment and support groups. A 4-year-old presents with a chief complaint of blood in her urine. A review of the medical records shows multiple admissions for the same symptom. No etiology has been found. The patient is symptomatic only when the mother is present. The most appropriate diagnosis for this patient would be A. Munchausen syndrome by proxy. B. non-accidental trauma. C. physical abuse D. sexual abuse. - ANSWER Munchausen syndrome by proxy