AACN CCRN-Pediatric Reliable Test Preparation - Exam Dumps CCRN-Pediatric Provider
AACN CCRN-Pediatric Reliable Test Preparation - Exam Dumps CCRN-Pediatric Provider
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Tags: CCRN-Pediatric Reliable Test Preparation, Exam Dumps CCRN-Pediatric Provider, CCRN-Pediatric Original Questions, CCRN-Pediatric Brain Dumps, New CCRN-Pediatric Test Pdf
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AACN Critical Care Nursing Exam Sample Questions (Q19-Q24):
NEW QUESTION # 19
After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death:
- A. "He will accept his death as caused by his disease."
- B. "He will understand how much his siblings will miss him."
- C. "He might think he can cause his death because he has misbehaved."
- D. "He is too young to understand what is happening to him."
Answer: C
Explanation:
Explanation: A 5-year-old child is in the preoperational stage of cognitive development and thinks of death as temporary. Also, for a child this age, thinking about behavior often is believed to be magical; thus, the child may think that his behavior can cause death. Generally, children under 3 years of age are unable to differentiate death from temporary separation and are unable to understand what is happening.
NEW QUESTION # 20
In diabetic ketoacidosis (DKA), gluconeogenesis is a compensatory mechanism for a perceived deficiency in:
- A. Proteins
- B. Glucose
- C. Ketones
- D. Fatty acids
Answer: B
Explanation:
In DKA, despite high blood glucose levels, thelack of insulinprevents glucose from entering cells. The body perceives this ascellular glucose deficiencyand responds by stimulatinggluconeogenesis(production of glucose from non-carbohydrate sources) andketogenesis, worsening hyperglycemia and acidosis.
"The insulin-deficient state in DKA leads to a cellular energy crisis, triggering gluconeogenesis due to a perceived intracellular glucose deficiency." (Referenced from CCRN Pediatric - Direct Care: Endocrine, Diabetic Ketoacidosis Pathophysiology)
NEW QUESTION # 21
Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride:
- A. Guthrie Test
- B. Coomb's test
- C. Beutler's test
- D. Phenestix test
Answer: D
Explanation:
Explanation: Phenestix test is a diagnostic test for Phenylketonuria which uses a fresh urine sample (diapers) and mixed with ferric chloride. If positive, there will be a presence of green spots at the diapers. Guthrie test is another test for PKU and is the one that mostly used. The specimen used is the blood and it tests if CHON is converted to amino acid.
NEW QUESTION # 22
A 15-year-old patient with a history of anxiety is experiencing palpitations, dizziness, nausea, diaphoresis, and tachypnea. This is most likely:
- A. An asthma exacerbation
- B. Due to caffeine consumption
- C. Supraventricular tachycardia
- D. A panic attack
Answer: D
Explanation:
Panic attacksare common in adolescents and present withsympathetic overdrivesymptoms-palpitations, dyspnea, dizziness, chest discomfort, nausea, and diaphoresis. A history of anxiety strongly supports this diagnosis, especially in the absence of objective cardiac or respiratory findings.
"Panic attacks in adolescents can mimic cardiopulmonary emergencies. The presence of a prior anxiety disorder and resolution of symptoms without intervention support the diagnosis." (Referenced from CCRN Pediatric - Direct Care: Psychosocial, Mental Health Emergencies)
NEW QUESTION # 23
A 2 year old was brought to the pediatric clinic for a routine check up. When assessing the child's relationship with other children, the nurse would expect to observe.
- A. parallel play
- B. team play
- C. initiative play
- D. cooperative play
Answer: A
Explanation:
Explanation: Parallel play is typical of the toddler age group. They have not yet learned to interact with other toddler in a social situation. Initiative play does not identify any age group; moreover, it is not a recognized term for social play.
NEW QUESTION # 24
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