Pediatric CCRN Exam

FREE Pediatric CCRN Psychosocial Question and Answers

Which of the following comments made by staff would worry the nurse most who is leading the charge to reduce catheter-associated urinary tract infections (CAUTI) on his or her unit?

"It is so much easier to monitor hourly output with a catheter in place."

"I found the catheter disconnected from the collection device during my hourly assessment."

"The urinary catheter was placed last night in the emergency department during trauma resuscitation."

"The patient is transferring to the floor today. They can discontinue the urinary catheter once they get him settled."

Correct! Wrong!

Urinary catheter-related infections can be avoided by having catheters removed as soon as possible.

The amount of hemolyzed blood samples that have been recorded by the lab, from the perspective of a nurse it is overwhelming. The nurse's best course of action would be to:

Request a staff meeting to discuss the problem and ask for feedback

Create a poster and post-test demonstrating the proper method of drawing blood samples

Track the number of blood samples drawn, by what method and the number reported as hemolyzed

Develop an educational in-service on the proper blood-sampling technique for the staff

Correct! Wrong!

The nurse should start by documenting their observations regarding the reported hemolyzed blood samples. Keep track of the dates, times, and specific details about each incident to establish a pattern or identify potential factors contributing to the problem.

A bowel management program is established for a child with myelomeningocele. The nurse will acknowledge that additional knowledge is necessary when the mother states, My child:

will be unable to control his bowel movements.

tends to be more prone to diarrhea.

needs to have a bowel movement every day.

will require more activity to increase bowel movements.

Correct! Wrong!

The nurse can help this mother understand that people with myelomeningocele are more likely to experience constipation and impaction than diarrhea by using the facilitation of learning technique. The mother requires additional instruction to assist her comprehend the bowel management strategy.

Due to staffing patterns, the respiratory therapist is not always present on the unit to place patients on the ventilator, so a nursing unit needs to be able to put patients back on ventilator support as directed, when patients are napping. The nurse should respond in the following ways:

Ask the parent to be responsible for this task.

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

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

Wait for the therapist to intervene.

Correct! Wrong!

Clinical Inquiry challenges the suitability of rules, regulations, and customs in order to enhance patient care.

Each profession now keeps track of its discharge instruction on its own flow sheet, including respiratory therapists, physical therapists, occupational therapists, and nurses. In order to optimally coordinate instruction, there should be:

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

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

All disciplines document patient teaching on the same flow sheet.

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

Correct! Wrong!

This strategy adheres to collaboration. It provides chances for people from all fields to see how other team members contribute.

A family whose child has cerebral palsy and will be receiving a baclofen (Lioresal) pump to treat spasticity is receiving patient education from the nurse. Which of the following should the nurse emphasize in the conversation?

The child will have a normal gait after insertion of the pump.

Parents must bring the child back to the clinic to have medicine added to the pump.

Gamma-aminobutyric acid (GABA), a neurotransmitter, is inhibited by the drug.

Parents can be taught to regulate the dosage based on symptoms.

Correct! Wrong!

Every three to six months, the intrathecal dose of baclofen administered by the implanted pump is modified in the outpatient clinic using a telemetry wand.

The ICU is caring for a patient with an end-stage pituitary adenoma who also has 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?

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

Request a modification to the diet plan so that oral fluids are included.

Request that the mother's access to the ICU be limited by security

Report the mother's interference with the treatment plan to the social worker.

Correct! Wrong!

Before advocating for the requirements of the child and the mother's desires for her son's care, the nurse must comprehend the causes of the mother's behavior.

A 2-year-old who is on a ventilator has spent her entire life in a hospital. The patient will be sent home in a week with a gastrostomy and tracheostomy, according to the doctor. As a way to assess the discharge requirements of the patient, the nurse must arrange for:

An outreach educator to determine the learning needs of the family

Home nursing care for the first few days following discharge

A multidisciplinary care conference before discharge

A social worker to meet with the family and assess adequacy of the home environment

Correct! Wrong!

The first pre-discharge objective for a child who is dependent on technology is to evaluate how suitable the home environment is. The needs of the patient and family are then taken into account in further discharge planning.

A patient is admitted who is incapable of understanding English. Some recommendations for employing a translator include?

Having the translator ask questions that you don't feel comfortable asking.

Allowing time for the translator to decode the medical jargon used in the teaching.

Standing next to the translator and as close to the patient as possible.

Providing all of the information, then allowing translation and asking of questions

Correct! Wrong!

This response is in line with high levels of expertise in learning facilitation. It assists the patient while they speak with a professional and the translator to get the information they need.

A nurse is interested in integrating other academic fields into the NICU's educational program for developmental care. The best strategy to persuade management that this project is profitable is to:

Invite members of administration to attend the classes.

Present a report summarizing research relating developmental care to decrease length of stay.

Request that the neonatologist present the plan.

Present case studies demonstrating favorable outcomes for developmental care.

Correct! Wrong!

Utilizing available data to support care is known as evidence-based practice. A shortened stay is a motivator to continue the practice.

A new diagnosis of hypertrophic cardiomyopathy has been made in an adolescent who experienced cardiac arrest. The parents worry about what to do if their son passes out once more. The best response from the nurse would be:

"Would teaching you CPR help ease your anxieties?"

"Do you know how to access the EMS system?"

"I will have your son's cardiologist speak with you."

"Now that your son has been diagnosed and treated, you need not worry."

Correct! Wrong!

This claim is consistent with the facilitation of learning and caring behaviors. As an initial step in giving information, it identifies and explains the parents' concerns. It demonstrates sympathy for the worries of the parents.

A family meeting is scheduled to go over the family's ethical worries about keeping a child on life support who has terminal cancer. The nurse's duties should include:

Assist the parents in articulating their questions and concerns.

Provide the legal standpoint regarding end-of-life decisions for children.

Coordinate the meeting to ensure that everyone has the opportunity to speak

Articulate the reason for the child's poor prognosis and anticipated life expectancy

Correct! Wrong!

When deciding how to care for their child, the parents' opinions and comprehension are crucial. By helping the parents express their questions and concerns and giving them the confidence to stand up for both their kid and themselves, nurses play the role of advocates.

A patient with type 1 diabetes mellitus who has been hospitalized several times in the past year for diabetic ketoacidosis (DKA) is being cared for by a nurse. What certain setup should the nurse make before releasing the patient from this episode of DKA?

For the patient and family to join a diabetes support group.

To teach the patient how to administer sliding scale insulin when blood glucose levels are high.

To teach the patient to avoid sugar and foods high in carbohydrates.

For the patient and family to meet with social worker to discuss challenges they face with management of the disease.

Correct! Wrong!

After numerous hospitalizations, the most crucial intervention at this time is assisting the patient and family in navigating the system to find services that might be useful in overcoming the disease's challenges.

A school-aged autistic child who has a fractured femur and a suspected brain injury is admitted. Which of the following factors is crucial to encouraging hospital setting adjustment?

Initiate new activities to keep the patient occupied

Assign a child life therapist per shift

Encourage lots of visitors

Adhere to a home schedule

Correct! Wrong!

Adhering to a home routine is ideal for managing autism spectrum disorders, which are a complex neurodevelopmental disease of the brain function accompanied by a wide range and severity of intellectual and behavioral abnormalities. The schedule enables the family and kid to function at their best.

An adolescent who has previously been admitted for chronic status asthmaticus is getting ready to go home. Because taking his prescription "makes him feel too different" from his peers, the nurse concludes that the patient has not been taking his drugs as prescribed. The nurse needs to:

Refer the patient to a support group for adolescents with asthma

Arrange for the patient's school nurse to monitor compliance

Advise the parents to withhold privileges if the patient remains non-compliant.

Provide the patient with articles on the relationship of hospitalization and medication compliance.

Correct! Wrong!

This intervention will promote compliance by normalizing the experience.

Family members of a recently deceased patient are sobbing and wailing loudly. The outbursts are making the staff angry. The ideal response from the nurse is to acknowledge the loudness and:

Tell the family they must quiet down, or they will have to leave the unit

Ask a security officer to remove the family from the unit

Tell the other staff they are being insensitive to the family's expression of grief

Guide the family to a nearby room where they can express their emotions

Correct! Wrong!

People from different cultures have distinct ways of expressing their sadness and mourning. Loud, passionate reactions could be a part of this manifestation. The family can have privacy while causing the least amount of disruption to nearby patients and personnel when they are given a location close to the patient's room.

FREE Pediatric CCRN Psychosocial Question and Answers

Which of the following comments made by staff would worry the nurse most who is leading the charge to reduce catheter-associated urinary tract infections (CAUTI) on his or her unit?

The amount of hemolyzed blood samples that have been recorded by the lab, from the perspective of a nurse it is overwhelming. The nurse's best course of action would be to:

A bowel management program is established for a child with myelomeningocele. The nurse will acknowledge that additional knowledge is necessary when the mother states, My child:

Due to staffing patterns, the respiratory therapist is not always present on the unit to place patients on the ventilator, so a nursing unit needs to be able to put patients back on ventilator support as directed, when patients are napping. The nurse should respond in the following ways:

Each profession now keeps track of its discharge instruction on its own flow sheet, including respiratory therapists, physical therapists, occupational therapists, and nurses. In order to optimally coordinate instruction, there should be:

A family whose child has cerebral palsy and will be receiving a baclofen (Lioresal) pump to treat spasticity is receiving patient education from the nurse. Which of the following should the nurse emphasize in the conversation?

A 2-year-old who is on a ventilator has spent her entire life in a hospital. The patient will be sent home in a week with a gastrostomy and tracheostomy, according to the doctor. As a way to assess the discharge requirements of the patient, the nurse must arrange for:

A patient is admitted who is incapable of understanding English. Some recommendations for employing a translator include?

A nurse is interested in integrating other academic fields into the NICU's educational program for developmental care. The best strategy to persuade management that this project is profitable is to:

A new diagnosis of hypertrophic cardiomyopathy has been made in an adolescent who experienced cardiac arrest. The parents worry about what to do if their son passes out once more. The best response from the nurse would be:

A family meeting is scheduled to go over the family's ethical worries about keeping a child on life support who has terminal cancer. The nurse's duties should include:

A patient with type 1 diabetes mellitus who has been hospitalized several times in the past year for diabetic ketoacidosis (DKA) is being cared for by a nurse. What certain setup should the nurse make before releasing the patient from this episode of DKA?

A school-aged autistic child who has a fractured femur and a suspected brain injury is admitted. Which of the following factors is crucial to encouraging hospital setting adjustment?

An adolescent who has previously been admitted for chronic status asthmaticus is getting ready to go home. Because taking his prescription "makes him feel too different" from his peers, the nurse concludes that the patient has not been taking his drugs as prescribed. The nurse needs to:

Family members of a recently deceased patient are sobbing and wailing loudly. The outbursts are making the staff angry. The ideal response from the nurse is to acknowledge the loudness and:

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