FREE Pediatric CCRN from AACN Questions and Answers

Question 1

A newborn with transposed great arteries is hospitalized. 46% is the SpO2 value.
Nobody makes a murmur.
Which drugs should the nurse anticipate being given as a stopgap measure until a balloon septostomy can be performed?

Accepted Answer

Alprostadil (PGE1)

Answer

Indomethacin (Indocin)

Answer

Digoxin (Lanoxin)

Answer

Tolazoline (Priscoline)

Question 2

Esophageal varices that are bleeding may be treated acutely by:

Accepted Answer

Administration of octreotide (Sandostatin)

Answer

Placement of a large NGT to low intermittent suction

Answer

Placement of a central venous line for hyperalimentation (TPN)

Answer

Immediate surgical intervention

Question 3

Extreme dyspnea is being experienced by a 2-year-old with left-sided ventricular heart failure and pulmonary edema. Which of the following would the nurse advise doing to help the youngster breathe easier and feel less anxious and agitated?

Accepted Answer

Morphine (Duramorph)

Answer

Furosemide (Lasix)

Answer

Digoxin (Lanoxin)

Answer

Dobutamine (Dobutrex)

Question 4

Clinical indicators seen in a kid who has been given the diagnosis of failure to thrive include

Accepted Answer

Avoidance of eye contact and delayed motor development

Answer

Excessive crying and delayed language development

Answer

No interest in surroundings

Answer

Distress when held of left alone

Question 5

While patients are sleeping, a nursing unit must be able to put patients back on ventilator support as directed. The respiratory therapist is only sometimes present on the unit to put patients on the ventilator because of staffing patterns. The nurse should respond in the following ways:

Accepted Answer

Question the current policy that only respiratory therapists can manage the ventilator.

Answer

Ask the parent to be responsible for this task.

Answer

Place the patient on the ventilator when needed, despite current policy

Answer

Wait for the therapist to intervene.

Question 6

The ICU cares for an end-stage pituitary adenoma patient with diabetes insipidus and aspiration pneumonia. The mother is giving the patient water and soft beverages despite being aware that there is a plan for transpyloric tube feedings and nothing by mouth. What action should the nurse take in this circumstance?

Accepted Answer

Ask the mother to explain why she is giving fluids to her son

Answer

Notify the social worker that the mother is interfering with the medical plan.

Answer

Ask the resident physician to change the diet order to include oral fluids.

Answer

Ask security to restrict the mother's ability to visit the ICU

Question 7

Discharge instruction is the responsibility of respiratory, physical, and occupational therapists and nurses; each profession now keeps track of this information on a separate flow sheet. The following would be the ideal scenario for organizing teaching:

Accepted Answer

All disciplines document patient teaching on the same flow sheet.

Answer

Daily care conferences to review and discuss patient teaching and the flow sheets

Answer

Nurses review the flow sheets of all disciplines during shift change.

Answer

Each discipline distribute copies of its flow sheet to each team member.

Question 8

A nurse provides medical attention to a little child in the pediatric intensive care unit (PICU) who has had a cardiac catheterization to repair a ventricular septal defect (VSD). What kind of heart arrhythmia is the MOST typical to develop as a side effect of VSD repair?

Accepted Answer

Heart Block

Answer

Atrial fibrillation (A-fib)

Answer

Premature ventricular contractions (PVCs)

Answer

Supraventricular tachycardia (SVT)

Question 9

Which disease is frequently linked to pulmonary hypertension (PH) in most pediatric patients?

Accepted Answer

Congenital heart disease (CHD)

Answer

Asthma

Answer

Thoracic trauma

Answer

Bronchopulmonary dysplasia (BPD)

Question 10

A juvenile patient who has third-degree burns from an apartment fire and is in septic shock is being admitted by a nurse to the PICU. Which of the following treatments is the nurse planning to administer first?

Accepted Answer

Normal saline (NS) bolus

Answer

Intravenous (IV) antibiotics

Answer

Intravenous (IV) vasopressors

Answer

Intravenous (IV) corticosteroids

A newborn with transposed great arteries is hospitalized. 46% is the SpO2 value.Nobody makes a murmur.Which drugs should the nurse anticipate being given as a stopgap measure until a balloon septostomy can be performed?

A newborn with transposed great arteries is hospitalized. 46% is the SpO2 value.
Nobody makes a murmur.
Which drugs should the nurse anticipate being given as a stopgap measure until a balloon septostomy can be performed?