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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 # 31

A pediatric patient with a complex, chronic condition has a multidisciplinary care team. The patient’s family expresses frustration with receiving conflicting information from different team members. Which of the following is the most appropriate action for a nurse to take?

Options:

A.  

Arrange a team meeting to clarify the treatment plan prior to meeting with the family

B.  

Reassure the family this is common with complex cases and encourage them to focus on the goal

C.  

Provide the family with written information summarizing the key points from each specialist

D.  

Recommend the family direct all of their questions to the attending physician to minimize confusion

Discussion 0
Question # 32

The most beneficial nursing action to minimize avoidable patient safety incidents is:

Options:

A.  

Providing an effective hand-off report using closed-loop communication

B.  

Sharing patient safety concerns with nursing leadership and other staff

C.  

Reviewing findings from interdisciplinary debriefings from previous patient incidents

D.  

Completing an incident report for potential patient care problems

Discussion 0
Question # 33

Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:

Options:

A.  

Begin a literature search on family visitation practices

B.  

Consult with medical staff to change visiting hours

C.  

Draft a new policy regarding visitation practices for the unit

D.  

Schedule an interdisciplinary team meeting to discuss visiting hours

Discussion 0
Question # 34

A patient has been declared brain dead. A nurse would like the family to consider organ donation but has never requested this from a family before. The best initial action by the nurse is to:

Options:

A.  

Directly ask the patient's family members if they would consider organ donation

B.  

Request that the physician discuss the issue with the family

C.  

Consult the organ donation liaison

D.  

Find out if the patient has an organ donor card

Discussion 0
Question # 35

A transgender adolescent requests to be addressed by preferred name/pronouns, different from medical record. What is the best response?

Options:

A.  

Document the patient’s preferred name and pronouns, and use them in all interactions

B.  

Inform the patient only legal names can be used in hospitals

C.  

Use the medical record name/pronouns for consistency

D.  

Avoid pronouns to prevent misunderstanding

Discussion 0
Question # 36

Multiple blood transfusions have been given to a patient with massive blood loss following a motor vehicle crash. Which of the following electrolyte abnormalities should a nurse anticipate?

Options:

A.  

Hyperglycemia

B.  

Hypercalcemia

C.  

Hypocalcemia

D.  

Hypoglycemia

Discussion 0
Question # 37

While ventilating with 100% FiO₂ via Ambu bag, an intubated child desaturates. Breath sounds are decreased in all fields. What is the best action?

Options:

A.  

Continue ventilating with Ambu bag

B.  

Administer a bronchodilator

C.  

Extubate and bag-mask ventilate

D.  

Obtain a chest x-ray and ABG

Discussion 0
Question # 38

A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea. A nurse should suspect:

Options:

A.  

Hepatorenal syndrome

B.  

Hemolytic uremic syndrome

C.  

Nephrotic syndrome

D.  

Acute glomerulonephritis

Discussion 0
Question # 39

A patient has visitors whose loud talking and laughing disrupts other patients and visitors in the ICU. Which of the following is the most effective way for a nurse to address this situation?

Options:

A.  

Initiate discussions about a visiting plan that includes behavioral limits

B.  

Consult the social worker to create a visiting contract

C.  

Create a visiting contract that includes behavioral limits and present it to the family

D.  

Discuss the developmental needs of the patient with the family

Discussion 0
Question # 40

For a patient with pulmonary aspiration, PEEP is used to:

Options:

A.  

Decrease PIP

B.  

Decrease airway obstruction

C.  

Decrease functional residual capacity

D.  

Improve oxygenation

Discussion 0
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