CCRN PEDS AACN EXAM QUESTIONS WITH 100% CORRECT ANSWERS ALREADY PASSED

CCRN PEDS AACN EXAM QUESTIONS WITH 100% CORRECT ANSWERS ALREADY PASSED The pathophysiology of asthma can best be explained by A. Airway narrowing and T-lymphocyte activation B. Mast cell migration, V/Q mismatch and mucosal drying C. Bronchospasm, mucosal edema and tenacious secretions D. Cilliary paralysis and prolonged inspiratory phase - Answer-Bronchospasm, mucosal edema and tenacious secretions To verify a diagnosis of DIC, a significant laboratory findings is an elevation in A. Fibrin split products B. Prothrombin C. Fibrinogen D. Platelets - Answer-Fibrin split products Children with acute renal failure run the risk of developing acute uremic encephalopathy. The first sign of cerebral dysfunction is often A. Confusion B. Tetany C. Asterixis D. Hemiparesis - Answer-Confusion In a patient with herpes simplex encephalitis, anticipated findings would include normal serum glucose and which of the following CSF values? Protein Glucose A. 70 mg/dL 60 mg/dL B. 70 mg/dL 240 mg/dL C. 150 mg/dL 120 mg/dL D. 150 mg/dL 180 mg/dL - Answer-70 mg/dL 60 mg/dL Initially unconscious, post motor vehicle crash, a child is admitted awake and responsive. The child develops a severe localized headache and shows signs of rapid deterioration. The most likely cause would be A. Acute subdural hematoma B. Epidural hematoma C. Subacute subdural hematoma D. Cerebral contusion - Answer-Epidural hematoma A child is diagnosed with Guillain-Barre syndrome. It would be imperative for the nurse to inform the physician after observing which of the following? A. Increasing hoarseness B. Tingling in the hands C. Weak muscle tone in feet D. Weak muscle tone in legs - Answer-Increasing hoarseness The nurse is caring for a patient experiencing a fourth episode of heart failure. The patient states, "I cannot take it anymore. I wish I could end all of this." A priority when caring for this patient's response to stress is to A. Place the patient in a hospital gown or pajamas B. Explore suicidal intent with the patient C. Manage the patient in a restrictive environment for the first 48 hours D. Allow the patient to have only short periods alone in a safe environment - Answer-Explore suicidal intent with the patient A 12-year-old is admitted after being struck by a speeding car. During the initial evaluation, the nurse notes increasing respiratory distress and displacement of a segment of the chest wall inward during inspiration. The nurse should suspect A. Open pneumothorax B. Flail chest C. Traumatic asphyxia D. Cardiac tamponade - Answer-Flail chest A 17-year-old patient is received from the operating room following insertion of a ventriculoperitoneal shunt. The patient is receiving propofol (Diprivan) intravenously for assistance with ventilation and reduction of oxygen consumption. The nurse recognizes that the following lab values need to be reported immediately: pH PCO2 HCO3 PO2 A. 7.2 50 30 75 B. 7.2 35 19 95 C. 7.6 45 30 95 D. 7.6 30 19 95 - Answer-7.2 35 19 95 A 10-year-old is admitted after an accidental shooting to the femur and pelvis. Significant blood loss has occurred. Following adequate fluid resuscitation, perfusion remains poor, and oxygen requirements and work of breathing are increasing. The nurse should suspect A. Acute systemic inflammatory response syndrome (SIRS). B. Severe anemia related to blood loss C. Compartment syndrome D. Fat embolism syndrome - Answer-Acute systemic inflammatory response syndrome (SIRS). While performing an exchange transfusion for a sickle cell patient, which of the following electrolyte abnormalities should the nurse anticipate? A. Hypocalcemia B. Hypercalcemia C. Hypoglycemia D. Hyperglycemia - Answer-Hypocalcemia The nurse is caring for a 14-year-old patient who is day one status post resection of a brain tumor. The nurse would report the following assessment finding immediately: A. CPP 40 B. SBP 120-130 C. ETCO2 35 D. MAP 65 - Answer-CPP 40 An infant is admitted after unsuccessful reduction of an intussception. Further assessment reveals abdominal distention, fever and hypoactive bowel sounds. The nurse should immediately notify the surgeon if the patient has A. Abdominal erythema B. Hypertension C. Tachycardia D. White stools - Answer-Tachycardia A 6-year-old is admitted with a temporal lobe skull fracture. Which type of bleed is suspected? A. Chronic subdural hematoma B. Subarachnoid hematoma C. Acute subdural hematoma D. Acute epidural hematoma - Answer-Acute epidural hematoma A child is admitted with a tricyclic antidepressant overdose. The most common arrhythmias seen are A. Atrial B. Sinus C. Heart blocks D. Ventricular - Answer-Ventricular A 4-year-old with sickle cell disease is admitted with confusion, aphasia and complaints of "head hurting." An order for IVF and one unit of PRBCs is to be administered prior to MRI with contrast. The nurse explains to the mother that this is done because can A. Cause cerebral hemorrhage B. Increase sickling of hemoglobin C. Cause severe allergic reaction D. Decrease circulation to the brain - Answer-Increase sickling of hemoglobin