FREE Pediatric CCRN Critical Care Questions and Answers
A patient with heart failure who has bronchopulmonary dysplasia (BPD) is admitted. The nurse should prepare to administer interventions to ______.
For a patient with BPD, lowering the preload will alleviate right-sided heart failure brought on by chronic lung illness.
The parents of a 3-year-old hospitalized with hemophilia receive advice from the nurse on caring for their kid at home. Which of the following parent-made statements suggests the need for more instructions?
The nurse should emphasize the value of routine well-child care, dental hygiene, and vaccines. The parents are also given instructions on what to do during physical trauma, particularly joint trauma, and how to apply sustained pressure to superficial wounds until the bleeding stops.
Which age group of pediatric kids in hospitals is most prone to see illness as a consequence of misbehavior?
Preschoolers might put other people on the receiving end of their despair, rage, or guilt; they might see illness as a penalty for wrongdoing and/or bad behavior; they might also fail to see how their caregivers could not have shielded them from this disease.
Which of the following typical pacemaker modes should be used as an emergency treatment to establish ventricular activity when there is AV dissociation and maintain cardiac output (CO) without an atrial kick?
Patients with atrial fibrillation who have a slow ventricular response typically employ the ventricular demand pacing mode (VVI) in emergencies to establish ventricular activity and maintain CO. This mode prevents ventricular bradycardia. This pacemaker mode paces and senses the ventricle, and in response to a perceived ventricular event, the pulse generator inhibits pacing output.
Which daily routine should be included in the bundle to lower the frequency of central line-associated bloodstream infections?
The Central Line Bundle from the Institute for Healthcare Improvement includes hand washing before inserting the catheter, dressing the catheter insertion site, using the maximum barrier precautions, chlorhexidine skin antisepsis for kids older than two months, as well as a daily review of the line necessity. Daily contemplation of catheter removal needs to be recorded in the patient's medical file. Catheters that are not required must be taken out right away.
A school-aged youngster receives complete parental nutrition (TPN) from nurse Tammy through a peripheral I.V. line. What is the least quantity of glucose deemed safe, won't burn tiny veins, and yet delivers enough TPN?
10% of glucose is considered safe for peripheral veins while delivering enough nourishment for the entire parent. Any dosage more significant than 10% requires central venous access.
Which of the following conditions are more likely in patients with cardiac abnormalities linked to increased pulmonary blood flow?
A typical symptom linked to increased pulmonary blood flow is heart failure.
What is the most typical localized infection in a newborn that occurs preceding or as a result of sepsis?
Symptoms of meningitis in infants are sometimes vague or ambiguous. The symptoms may manifest gradually over a few days or more quickly, over a few hours. Up to 15% of newborns with bacteremia develop meningitis, which is typically a localized infection.
Metronidazole suspension, 200 mg per dosage, is being used to treat a 3-year-old child. The daily dosing range for the 30-pound youngster is 20–40 mg/kg of body weight given in three divided doses every eight hours. What should the nurse do knowing the safe drug administration principles?
The dosage range is 20–40 mg/kg/day, split every eight hours. 15 kg x 40 mg = 600 mg; 3 doses at 200 mg each. The recommended dosage is accurate and must be administered as directed.
The nurse intends to administer oral antibiotics to a 3-year-old child. Which of the following is the nurse's best course of action?
When a kid is hospitalized at 3, they frequently experience a loss of control. Giving the kid an option about how to take the medication gives them a voice and some control.
A young child may have pinworms because of how he described his initial sensations:
When an adult worm causes enterobiasis, she deposits her eggs close to the anal entrance, causing discomfort and ultimately an itch.
In a patient with bronchopulmonary dysplasia (BPD), which ventilatory parameters should be tapered down first?
As soon as oxygenation improves, FiO2 should be halt. As lung compliance improves, PIP is tapered.
Which of the following findings should a nurse disclose right away when examining a 3-week-old baby:
An unusual inhalatory grunt in this baby might indicate respiratory trouble.
A newborn with transposed great arteries is hospitalized. 46% is the SpO2 value. Which of the following medications should the nurse anticipate being given as a temporary solution until a balloon septostomy can be performed?
The first step in treating a patient with transposition of the great arteries is to maintain adequate arterial oxygen saturation through inter-circulatory blood mixing. Until a balloon septostomy can be performed, the ductus arteriosus is kept open with alprostadil (PGE1) infusion. It also reduces systemic and pulmonary vascular resistance.
A 2-year-old was brought in for a routine checkup at the pediatric clinic. The nurse would anticipate watching to evaluate the child's interactions with other kids.
The toddler age group typically engages in parallel play. They haven't yet mastered social interactions with other toddlers. Initiative play is not a recognized name for social play and does not designate any particular age range.
Which of the following variables will cause the oxyhemoglobin dissociation curve to shift to the right and have a negative effect?
Hyperthermia is one of the factors that can negatively impact the oxyhemoglobin. The oxyhemoglobin dissociation curve represents the relationship between the partial pressure of oxygen (PO2) and the saturation of hemoglobin with oxygen (SO2) in the blood. A shift to the right means that at any given partial pressure of oxygen, hemoglobin will have a lower affinity for oxygen, resulting in a higher tendency to release oxygen to the tissues.