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CCRN-Pediatric CCRN (Pediatric) - Direct Care Eligibility Pathway Exam is now Stable and With Pass Result | Test Your Knowledge for Free

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CCRN-Pediatric Practice Questions

CCRN (Pediatric) - Direct Care Eligibility Pathway Exam

Last Update 2 days ago
Total Questions : 150

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Question # 21

A 6-year-old with WPW syndrome and SVT episodes is admitted. What intervention is anticipated?

Options:

A.  

Placement of an automatic internal cardioverter defibrillator

B.  

Cardiac catheterization for ablation

C.  

Administration of a digitalizing dose of digoxin

D.  

24-hour Holter monitoring

Discussion 0
Question # 22

Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?

Options:

A.  

PAOP monitoring and dobutamine

B.  

O₂ therapy and RBC transfusion

C.  

PAOP monitoring and sodium nitroprusside

D.  

O₂ therapy and alkalinization

Discussion 0
Question # 23

An infant in need of a transfusion of PRBCs has only one IV access site with maintenance fluids infusing. After receiving orders to hold the maintenance fluids and administer PRBCs, the nurse should be sure to monitor which of the following?

Options:

A.  

Creatinine clearance level

B.  

Serum sodium level

C.  

The mother’s interaction with the infant

D.  

Blood glucose level

Discussion 0
Question # 24

After arterial switch surgery, an infant shows ST elevation, low oxygen saturation, and frothy secretions. Most likely cause?

Options:

A.  

Left ventricular dysfunction

B.  

Endotracheal tube obstruction by secretions

C.  

Symptoms of bronchiolitis due to RSV

D.  

Right to left shunting through a residual VSD

Discussion 0
Question # 25

A patient exhibits acute hypervigilance, refusal of treatment, impulsive acts, and hallucinations alternating with lucidity. Family members argue about the hallucinations. The nurse should:

Options:

A.  

Encourage the family to go home until the behavior is resolved

B.  

Role-model patient support and reassurance

C.  

Reassure the family this behavior is expected in ICU

D.  

Validate the hallucinations and use distraction therapy

Discussion 0
Question # 26

Which of the following interventions is most effective in preventing pulmonary vasospasm in an infant with persistent pulmonary hypertension of the newborn (PPHN)?

Options:

A.  

Minimal stimulation

B.  

Aminophylline administration

C.  

O₂ weaning

D.  

Alprostadil (Caverject) administration

Discussion 0
Question # 27

Which of the following defines post-coarctectomy syndrome?

Options:

A.  

Higher blood flow to mesentery after years of normal flow

B.  

Upper extremities blood pressure lower than lower extremities

C.  

Higher blood flow to mesentery after years of low flow

D.  

Upper extremities blood pressure higher than lower extremities

Discussion 0
Question # 28

When preparing a 2-month-old with hypoplastic left heart syndrome for a cardiac transplant, which of the following findings is most alarming?

Options:

A.  

O₂ saturation of 75%

B.  

Temperature of 102.2° F (39° C)

C.  

Increased RV pressure

D.  

BP of 72/48

Discussion 0
Question # 29

A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited. Which of the following should a nurse anticipate as the initial treatment?

Options:

A.  

Incisional fasciotomy

B.  

X-ray of the right forearm

C.  

Application of an immobilizing device

D.  

Fluid bolus and antibiotic administration

Discussion 0
Question # 30

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O₂ saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO₂. The nurse should suspect:

Options:

A.  

Respiratory distress syndrome (RDS)

B.  

ET tube displacement

C.  

Aspiration pneumonitis

D.  

Pneumothorax

Discussion 0
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