AACN Critical Care Nursing - CCRN-Pediatric Exam Practice Test
A 17-year-old presents with history of progressive exercise intolerance. He is admitted with a diagnosis of hypertrophic cardiomyopathy. The vital signs are as follows:
* BP: 78/55
* HR: 110
* RR: 20
* T: 98.3°F (36.8°C)
* SpO#: 89% on room air
The patient's vital signs reflect:
* BP: 78/55
* HR: 110
* RR: 20
* T: 98.3°F (36.8°C)
* SpO#: 89% on room air
The patient's vital signs reflect:
Correct Answer: A
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A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:
Correct Answer: A
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A 16-year-old patient is unresponsive after a motor vehicle collision. The parents speak another language. While performing the secondary survey, what should the nurse do next?
Correct Answer: B
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An 8-year-old patient who sustained intracerebral hemorrhage after a traumatic incident was intubated in the field. Head CT scan showed a 5 mm midline shift. The patient is difficult to arouse but pulls away from noxious stimuli. The most concerning sign of clinical deterioration is:
Correct Answer: A
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A child with spinal muscular atrophy type I (SMA) is admitted with respiratory syncytial virus (RSV).
The child is hypotonic and tachypneic with moderate subcostal retractions and nasal flaring. After suctioning, the child's respiratory status does not improve. Arterial oxygen saturations are 93% with an FiO# of 50%. Which of the following interventions should the nurse anticipate next?
The child is hypotonic and tachypneic with moderate subcostal retractions and nasal flaring. After suctioning, the child's respiratory status does not improve. Arterial oxygen saturations are 93% with an FiO# of 50%. Which of the following interventions should the nurse anticipate next?
Correct Answer: B
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A child with a right pulmonary contusion is intubated and ventilated. When positioned with the affected side down, O# saturation drops. The most likely cause is:
Correct Answer: C
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A patient on prolonged mechanical ventilation and in an unresponsive state is showing no signs of progression toward recovery. The healthcare team suggested a comfort care approach. Family members are conflicted. Which of the following should the nurse suggest as the next course of action?
Correct Answer: A
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Early symptoms of carbon monoxide poisoning include:
Correct Answer: D
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