CCRN neonatal EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

CCRN EXAM ms




Exam Solution ms




CCRN Pediatric Exam Questions from AACN Cartes 202
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6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VER
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IFIED ANSWERS (FB77E) ms ms




QUESTION 1 ms




An adolescent trauma patient is complaining of left upper quadrant abdominal pain ra
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diating to the left shoulder. Blood pressure has dropped to 80/50. Which condition is
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most likely? ms



A) Small Bowel Injury
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B) Cardiac Contusion
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C) Splenic Laceration
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D) Pulmonary Embolism
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ANSWER

Answer:
C) Splenic laceration: Kehr's sign, which is referred pain to the left shoulder during compression of t
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he left upper abdominal quadrant, is an indication of splenic injury. Additional symptoms include tac
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hycardia, hypotension, and leukocytosis
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A) Small bowel injury: Signs of small bowel injury may include progressive abdominal distension, no
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t referred left shoulder pain.
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B) Cardiac Contusion: Signs of cardiac contusion include chest pain, arrhythmias, and other indicator
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s of myocardial dysfunction, such as elevated cardiac isoenzymes. Upper quadrant abdominal pain wi
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th radiation to the left shoulder is not consistent with a cardiac contusion
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D) Pulmonary Embolism: Symptoms of pulmonary embolism include chest pain and dyspnea on exer
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tion, not left shoulder pain
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QUESTION 2 ms




The pediatric patient with suspected asphyxia from smoke inhalation will typically pr
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esent with: ms



A) Tachypnea
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B) Cyanosis
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C) Confusion
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D) Hypotension
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ANSWER

, Answer:
C) Confusion: The patient with asphyxia from smoke inhalation will experience cerebral hypoxemia a
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nd demonstrate symptoms of neurologic dysfunction, including confusion
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A) Tachypnea: While the patient with smoke inhalation may experience tachypnea as a result of da
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mage to the lung parenchyma, this symptoms is not specific to asphyxia
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B) Cyanosis: While the patient with smoke inhalation may experience cyanosis as a result of damage
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to the lung parenchyma, this symptoms is not specific to asphyxia
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D) Hypotension: While the patient with smoke inhalation and a burn injury may demonstrate hypote
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nsion from fluid shifts, this symptoms is not specific to asphyxia
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QUESTION 3 ms




A toddler with a history of unrepaired tetralogy of Fallot begins to cry while intraven
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ous access is attempted. Cyanosis, diaphoresis and tachypnea are noted. The most app
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ropriate nursing intervention would be to:
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A) Administer A pre-medication before attempting the IV
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B) Apply a face mask with oxygen
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C) Transfuse red blood cells
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D) Place the child in knee-chest position
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ANSWER

Answer:
D) Place the child in knee-
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chest position: This maneuver aids blood return to the heart, thus alleviating cyanotic spells
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A) Administer a pre-
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medication before attempting the IV: This may be appropriate if it helps the infant to experience mi
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nimal pain, and thus cry less during the IV start.
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B) Apply a face mask with oxygen: Administering oxygen is helpful to minimize the hypoxia, but the
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mask may cause even more distress.
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C) Transfuse red blood cells: If other measures do not alleviate the spells, volume in the form of pac
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ked red blood cells may be ordered to maintain the hematocrit greater than or equal to 45%
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QUESTION 4 ms




A 1- ms



month old infant presents with failure to thrive, frequent vomiting and irritability sinc
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e birth. The mother reports having another infant with the same symptoms who died
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at 2 months of age. Which additional assessment finding would cause the nurse to sus
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pect an inborn error of metabolism?
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A) Micrognathia
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B) Microglossia
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C) Petite Facial Features
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D) Musty Urine Odor
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ANSWER

Answer:
D) Musty urine odor: This is a common indicator of a metabolic disorder, especially with a family hi
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