AACN Critical Care Nursing CCRN-Pediatric Prüfungsfragen mit Lösungen:
1. A 2-month-old with a VP shunt has a fever, irritability, and a bulging fontanel. Blood and urine cultures are negative. The most likely cause is:
A) Shunt infection
B) Intracranial hemorrhage
C) A faulty valve
D) Perforation of the small bowel
2. In a 3-year-old diagnosed with hemolytic uremic syndrome, which of the following findings requires immediate intervention?
A) Weight gain of 2 kg in 24 hours
B) ECG showing PR interval of 0.12 sec
C) ECG showing peaked, tented T waves
D) Positive guaiac test and 3+ protein in the urine
3. A 4-day-old infant presents with lethargy, vomiting, acidosis, and has a seizure upon arrival. What is the most likely diagnosis?
A) Gastroesophageal reflux
B) Congenital heart disease
C) Biliary atresia
D) Inborn errors of metabolism
4. 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?
A) Inhaled beta-agonist administration
B) Administration of antibiotics
C) Non-invasive positive pressure ventilation
D) Intubation and mechanical ventilation
5. A school-aged patient who was admitted with an acute asthma exacerbation has improved and is now ready for transfer to the floor. In preparation for discharge, the nurse should evaluate:
A) The need for home health oxygen services
B) Family's access to safe food and shelter
C) Adherence to follow-up appointments
D) The patient's readiness to self-administer inhaler
Fragen und Antworten:
| 1. Frage Antwort: A | 2. Frage Antwort: C | 3. Frage Antwort: D | 4. Frage Antwort: D | 5. Frage Antwort: D |
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