Key CCRN-Pediatric Concepts & Online CCRN-Pediatric Lab Simulation
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AACN Critical Care Nursing Exam Sample Questions (Q135-Q140):
NEW QUESTION # 135
Britney, a mother of a child who was diagnosed with Guillain-Barre syndrome, asks the nurse about the treatment plan for her child. The nurse is aware that:
Answer: C
Explanation:
Explanation: Currently, plasmapheresis and high-dose immunoglobulin therapy are used to lessen the severity of the illness and speed the recovery in most patients. Plasmapheresis is a method by which whole blood is removed from the body and processed so that the red and white blood cells are separated from the plasma, or liquid portion of the blood. The blood cells are then returned to the patient without the plasma, which the body quickly replaces. In high-dose immunoglobulin therapy, doctors give intravenous injections of the proteins that, in small quantities, the immune system uses naturally to attack invading organisms
NEW QUESTION # 136
Which of the following information would indicate that a pre-school has normal growth and development:
Answer: A
Explanation:
Explanation: Because Erik Erickson defines the developmental task of a preschool as learning Initiative vs. Guilt. Children can initiate motor activities of various sorts on their own and no longer responds to or imitate the actions of other children or of their parents.
NEW QUESTION # 137
The nurse is planning to give a 3 year-old child oral antibiotics. Which of the following is the best approach by the nurse?
Answer: A
Explanation:
Explanation: At 3 years of age, a child often feels a loss of control once hospitalized. Providing a choice about how to take the medicine allows the child to express an opinion and have some control.
NEW QUESTION # 138
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
Answer: A
Explanation:
In the post-resuscitation period of a near-drowning event, neurologic status is the primary determinant of prognosis. Flaccid paralysis is a sign ofsevere hypoxic-ischemic brain injury, reflectingglobal neuronal dysfunctionandpoor cerebral perfusion recovery.
FromCCRN (Pediatric) - Direct Care (Neurology Section):
"Signs of poor neurological outcome post-resuscitation include lack of purposeful movement, flaccidity, absence of motor responses to pain, and abnormal or absent brainstem reflexes. Flaccid paralysis, particularly when persistent after resuscitative efforts, strongly correlates with a poor neurologic prognosis in pediatric patients." In contrast:
* Pupil constrictionmay be benign or related to medication or light stimulus.
* Absent Babinski's reflexis not considered abnormal at 2 years.
* Absent Cushing's reflexis non-specific and may not manifest in all children with brain injury.
NEW QUESTION # 139
A 2-month-old previously healthy infant is admitted for seizures. Lab values include:
* Na: 119 mEq/L (low)
* K: 4.8 mEq/L (normal)
* Cl: 92 mEq/L (low)
* Glucose: 78 mg/dL (normal)
* Head CT: Normal
The nurse's most appropriate action is to:
Answer: D
Explanation:
This infant presents withhyponatremia and seizures, but without signs of structural neurologic abnormalities. In formula-fed infants,excessive water dilution of formulais a common cause of hyponatremia. The first step is toevaluate feeding practicesfor possible over-dilution leading to water intoxication.
"In infants with unexplained hyponatremia, especially formula-fed, assess for over-diluted formula. Water intoxication can cause seizures without infection or anatomical findings." (Referenced from CCRN Pediatric - Direct Care: Endocrine, Electrolyte Imbalances in Infants)
NEW QUESTION # 140
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