TOP Reliable CCRN-Pediatric Test Tutorial - High-quality AACN New CCRN-Pediatric Test Guide: Critical Care Nursing Exam

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AACN Critical Care Nursing Exam Sample Questions (Q37-Q42):

NEW QUESTION # 37
In a patient with status asthmaticus on a terbutaline drip, serum electrolytes are ordered because frequent administration of a beta-agonist can cause:

A. Hypoglycemia and mild hypermagnesemia
B. Hypernatremia and hypocalcemia
C. Hyperglycemia and hypochloremia
D. Hypokalemia and hypophosphatemia

Answer: D

Explanation:
Beta-agonists such asterbutalineare frequently used in severe asthma to promote bronchodilation. However, these agents stimulate beta-2 receptors, which drivepotassium and phosphate into cells, leading to hypokalemia and hypophosphatemia-a well-documented side effect in patients receiving frequent or continuous beta-agonist therapy.
"Beta-adrenergic medications can cause intracellular shifting of potassium and phosphorus, especially when administered in high doses or for prolonged periods, as in status asthmaticus. This results in hypokalemia and hypophosphatemia, necessitating close electrolyte monitoring." (Referenced from CCRN Pediatric - Direct Care: Endocrine Disorders and Critical Pharmacologic Management)

NEW QUESTION # 38
A mother of a child with heart failure questions the necessity of weighing the baby everyday. The nurse's best response should be guided by the fact that the daily weight is essential in determining:

A. dosage of medication
B. success of treatment
C. fluid retention
D. nutritional status

Answer: C

Explanation:
Explanation: Retention of fluid is reflected by excessive weight gain in just a short period of time.
Insufficient cardiac output lowers flow to the kidneys that leads to intracellular fluid increase and hypervolemia. Weight gain or loss due to nutrition is gradual. Dosage of medication is not recalculated everyday based on weight gain.

NEW QUESTION # 39
An IV solution of 10% glucose and mannitol are administered to an infant with Reye's syndrome. The client's vital signs should be monitored by the nurse to prevent the occurrence of:

A. seizure episodes.
B. heart failure
C. hypovolemic shock
D. fluid volume excess

Answer: C

Explanation:
Explanation: The therapy causes diuresis therefore the infant should be monitored for excessive fluid loss. Options B and C are related to fluid gain. Any changes in vital signs are not indicative of impending seizure.

NEW QUESTION # 40
When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following:

A. Symmetrical gluteal folds
B. Ortolani's sign
C. Characteristic limp
D. Trendelemburg sign

Answer: B

Explanation:
Explanation: It is the abnormal clicking sound when the hips are abducted. The sound is produced when the femoral head enters the acetabulum. Letter A is wrong because it should be "asymmetrical gluteal fold". Letter B and C are not applicable for newborns because they are seen in older children.

NEW QUESTION # 41
A mother asks the nurse how she can prevent her child from developing recurrent otitis media. The nurse's best response is which of the following?

A. "Increase the child's fluid intake if she's experiencing common colds."
B. "Cover the child's ear when bathing."
C. "Feed the child on his back."
D. "Administer nose drops before bedtime"

Answer: A

Explanation:
Explanation: Respiratory infections are appropriately and immediately treated to prevent recurrent ear infections. Increasing the child's fluid intake is an effective way of treating respiratory infections.
Respiratory secretions are good breeding sites for bacterial growth. The child is fed in the upright position. The other options are inappropriate.

NEW QUESTION # 42
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TOP Reliable CCRN-Pediatric Test Tutorial - High-quality AACN New CCRN-Pediatric Test Guide: Critical Care Nursing Exam

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AACN Critical Care Nursing Exam Sample Questions (Q37-Q42):

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