Pediatric CCRN AACN Questions with Correct
Solutions
An acutely ill infant is born to a Vietnamese family. The father asks a few questions about
the infant's condition, and the mother asks none. Both parents appear to be proficient in
English. Which is the MOST USEFUL resource for a nurse caring for this infant?
A. ongoing classes addressing the cultural needs of the community
B. classes conducted bu the primary nruse as the need arises
C. information about the cultural backgrounds represented in the community
D. an interpreter who is proficient in the parents' language
D
A neonate is admitted with gastroschisis. The mother did not receive prenatal care and
admits to recreational drug use. During the first unit visit, the mother expresses concern
that she is at fault for her infant's birth defect. The nurse should:
A. offer a counseling session with the social worker
B. refer the mother to the pediatric surgeon for further information
C. offer information regarding drug treatment programs
D. explain the anatomical basis for gastroschisis development
D
When caring for a 4 year old child with an acute case of idopathic thrombocytopenic
purpura (ITP) who presented with a low PLT count (20,000/mm3), the nurse should expect
initial orders to include:
A. child life specialist consult and physical therapy to support increased mobility and
,activity
B. placement of an IV for administration of anti-D antibody therapy after premedication
with acetaminophen (Tylenol)
C. alternation acetaminophen (Tylenol) with ibuprofen (Advil) every 4 hours for pain.
D. placement of an IV for administration of one unit cross match leuko-reduced platelets
B
A patient is admitted to the unit after a witnessed episode of seizure and vomiting. Initial
assessment reveals increased work of breathing, tachypnea, diminished breath sounds, and
increased O2 requirement. CXR report has evidence of bilateral pulmonary edema. What
should the nurse expect?
A. congestive heart failure
B. sepsis
C. ARDS
D. foreign body aspiration
C
A 2 month old born with spina bifida is admitted with dehydration and sepsis. Before the
patient was discharged from the hospital a month ago, the parents were instructed on the
proper technique and important of performing cateterization every 6 hours. While
interviewing the parents, the nurse learns this was not done consistently for the past 2
weeks. Interventions at this point should include:
A. eliminating parental visitation
B. involving social services
,C. notifying law enforcement
D. demonstrating the catherization technique
B
According to recommendations based on research findings, pain assessment should occur:
A. only when the presence of pain can be vaildated
B. only when the patient's movements indicate the patient is seeking attention
C. based on changes in vital signs
D. routinely, regardless of physical findings
D
Which of the following should be the INITIAL intervention when a toxicologic emergency
is suspected?
A. obtain a list of drugs and chemicals in the environment
B. conduct lab studies and diagnostic imaging
C. reverse the effects of the toxin (if possible)
D. detect life-threatening manifestations of the poisoning
D
Junctional rhythms are caused by a dysfunction of the sinoatrial (SA) node and typically
cause:
A. shortened PR interval
B. irregular ventricular rhythm
C. widened QRS complex
D. prolonged QT interval
, A
A child is admitted for colitis. 8 hours after admission the patient develops respiratory
distress, abdominal distention and capillary refill time greater than 4 seconds. The nurse
should suspect:
A. splenic rupture
B. intussusception
C. malrotation with volvulus
D. bowel perforation
D
Which action is BEST to help reduce the anxiety of a patient who has been hospitalized for
suspected peptic ulcer disease?
A. assign the patient to a room with a talkative, optimistic roommate
B. explain to the patient what to expect during hospitalization
C. ask all members of the team to reassure the patient about the quality of care provided
by the staff
D. visit the patient frequently and encourage discussion about pleasant future plans
B
A patient on mechanical ventilation remains hypoxic despite increased oxygen delivery.
The nurse has assessed endotracheal tube placement and the equipment. The nurse
anticipates the following ventilator changes:
A. increasing the PEEP
B. switching to volume control ventilation
Solutions
An acutely ill infant is born to a Vietnamese family. The father asks a few questions about
the infant's condition, and the mother asks none. Both parents appear to be proficient in
English. Which is the MOST USEFUL resource for a nurse caring for this infant?
A. ongoing classes addressing the cultural needs of the community
B. classes conducted bu the primary nruse as the need arises
C. information about the cultural backgrounds represented in the community
D. an interpreter who is proficient in the parents' language
D
A neonate is admitted with gastroschisis. The mother did not receive prenatal care and
admits to recreational drug use. During the first unit visit, the mother expresses concern
that she is at fault for her infant's birth defect. The nurse should:
A. offer a counseling session with the social worker
B. refer the mother to the pediatric surgeon for further information
C. offer information regarding drug treatment programs
D. explain the anatomical basis for gastroschisis development
D
When caring for a 4 year old child with an acute case of idopathic thrombocytopenic
purpura (ITP) who presented with a low PLT count (20,000/mm3), the nurse should expect
initial orders to include:
A. child life specialist consult and physical therapy to support increased mobility and
,activity
B. placement of an IV for administration of anti-D antibody therapy after premedication
with acetaminophen (Tylenol)
C. alternation acetaminophen (Tylenol) with ibuprofen (Advil) every 4 hours for pain.
D. placement of an IV for administration of one unit cross match leuko-reduced platelets
B
A patient is admitted to the unit after a witnessed episode of seizure and vomiting. Initial
assessment reveals increased work of breathing, tachypnea, diminished breath sounds, and
increased O2 requirement. CXR report has evidence of bilateral pulmonary edema. What
should the nurse expect?
A. congestive heart failure
B. sepsis
C. ARDS
D. foreign body aspiration
C
A 2 month old born with spina bifida is admitted with dehydration and sepsis. Before the
patient was discharged from the hospital a month ago, the parents were instructed on the
proper technique and important of performing cateterization every 6 hours. While
interviewing the parents, the nurse learns this was not done consistently for the past 2
weeks. Interventions at this point should include:
A. eliminating parental visitation
B. involving social services
,C. notifying law enforcement
D. demonstrating the catherization technique
B
According to recommendations based on research findings, pain assessment should occur:
A. only when the presence of pain can be vaildated
B. only when the patient's movements indicate the patient is seeking attention
C. based on changes in vital signs
D. routinely, regardless of physical findings
D
Which of the following should be the INITIAL intervention when a toxicologic emergency
is suspected?
A. obtain a list of drugs and chemicals in the environment
B. conduct lab studies and diagnostic imaging
C. reverse the effects of the toxin (if possible)
D. detect life-threatening manifestations of the poisoning
D
Junctional rhythms are caused by a dysfunction of the sinoatrial (SA) node and typically
cause:
A. shortened PR interval
B. irregular ventricular rhythm
C. widened QRS complex
D. prolonged QT interval
, A
A child is admitted for colitis. 8 hours after admission the patient develops respiratory
distress, abdominal distention and capillary refill time greater than 4 seconds. The nurse
should suspect:
A. splenic rupture
B. intussusception
C. malrotation with volvulus
D. bowel perforation
D
Which action is BEST to help reduce the anxiety of a patient who has been hospitalized for
suspected peptic ulcer disease?
A. assign the patient to a room with a talkative, optimistic roommate
B. explain to the patient what to expect during hospitalization
C. ask all members of the team to reassure the patient about the quality of care provided
by the staff
D. visit the patient frequently and encourage discussion about pleasant future plans
B
A patient on mechanical ventilation remains hypoxic despite increased oxygen delivery.
The nurse has assessed endotracheal tube placement and the equipment. The nurse
anticipates the following ventilator changes:
A. increasing the PEEP
B. switching to volume control ventilation
