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AACN Critical Care Nursing Exam Sample Questions (Q11-Q16):
NEW QUESTION # 11
A pediatric client was returned to the unit after a heart surgery. Contraptions are: Left chest tube drainage attached to a bottle system; an IVF of D5 NSS at 32 gtts/min; and an NGT to gravity. The client was then attached to a cardiac monitor. What would be the priority nursing intervention:
Answer: A
Explanation:
Explanation: Vital signs should be the priority to determine the child's status and compare it with the data obtained during the pre-operative period.
NEW QUESTION # 12
An infant has hypovolemic shock from severe diarrhea. Which of the following assessments demonstrates adequate tissue perfusion following fluid resuscitation?
Capillary Refill
Urine Output
CVP
BP
a. 2 sec
0.5 ml/kg/hr
2 mm Hg
84/50
b. 3 sec
0.5 ml/kg/hr
6 mm Hg
72/44
c. 3 sec
1.2 ml/kg/hr
4 mm Hg
72/48
d. 2 sec
1.2 ml/kg/hr
8 mm Hg
80/54
Answer: D
Explanation:
Indicators ofadequate tissue perfusionfollowing fluid resuscitation include:
* Capillary refill #2 seconds
* Urine output #1 mL/kg/hr
* Normal CVP(4-10 mm Hg in infants)
* Age-appropriate blood pressure
Option D is the only one whereall parameters are within normal ranges, reflecting effective volume resuscitation and adequate perfusion.
"Capillary refill <2 sec, urine output >1 mL/kg/hr, and CVP in the normal range indicate improved perfusion in shock management." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Shock States and Resuscitation Targets)
NEW QUESTION # 13
Twenty-four hours after a severe burn and inhalation injury, a child develops increased tachypnea and desaturation. The most likely cause is:
Answer: B
Explanation:
Upper airway edemais a common and life-threatening complication in children followingthermal inhalation injury. Swelling usually peaks12-24 hours post-injury, leading toairway obstruction, tachypnea, and hypoxemia. It is aprimary concernin the post-burn period.
"Upper airway edema due to inhalation injury develops within 24 hours and can cause airwaycompromise.
Stridor, tachypnea, and desaturation are warning signs."
(Referenced from CCRN Pediatric - Direct Care: Pulmonary, Inhalation Injuries and Airway Management)
NEW QUESTION # 14
For a child with disseminated intravascular coagulation (DIC), administration of fresh frozen plasma (FFP) will replace:
Answer: A
Explanation:
Fresh frozen plasma (FFP)containsall coagulation factorsand is used in the treatment ofDIC, where widespread clotting consumes clotting factors and leads to bleeding. FFP replenishesmultiple depleted clotting factors, thereby stabilizing coagulation.
"FFP provides all clotting factors and is indicated in DIC to replace consumed factors and improve hemostasis. It is essential in active bleeding with prolonged PT, PTT, or low fibrinogen." (Referenced from CCRN Pediatric - Direct Care: Hematology, Coagulopathies and Transfusion Management)
NEW QUESTION # 15
Following placement of a central venous catheter, a mechanically ventilated child develops acute tachycardia, hypotension, and arterial desaturation. A nurse should evaluate the need for:
Answer: A
Explanation:
Central venous catheter placementcan lead toiatrogenic pneumothorax, particularly on the side of the subclavian or internal jugular access. Signs of sudden desaturation, hypotension, and tachycardia suggest tension pneumothorax, which requiresemergent chest tube insertion.
"Following central line placement, sudden cardiorespiratory compromise should prompt evaluation for pneumothorax. Treatment is immediate decompression and chest tube placement." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Air Leak Syndromes and Ventilator Complications)
NEW QUESTION # 16
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