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AACN Critical Care Nursing Exam Sample Questions (Q97-Q102):

NEW QUESTION # 97
What medication instruction would a nurse give to a parent whose child will receive prednisone as a home medication for Asthma:

A. it can cause early growth spurt
B. it protects the child against infection
C. it causes moon-shaped face
D. avoid halting the medication abruptly

Answer: D

Explanation:
Explanation: During Asthma, it is necessary to wean the child gradually to prevent adrenal insufficiency or adrenal crisis.

NEW QUESTION # 98
When assessing the fluid and electrolyte balance in an infant, which of the following would be important to remember:

A. The metabolic rate of an infant is slower than in adults
B. Infant has greater body surface area than adults
C. Infant can concentrate urine at an adult level
D. Infants have more intracellular water that adult do

Answer: B

Explanation:
Explanation: Infants have greater body surface area than adult, increasing their risk to F&E imbalances.
Also infants can't concentrate a urine at an adult level and their metabolic rate, also called water turnover, is 2 to 3 times higher than adult. Plus more fluids of the infants are at the ECF spaces not in the ICF spaces.

NEW QUESTION # 99
A 12-year-old patient with severe developmental delay underwent a video-assisted thoracentesis and chest tube placement for an empyema. The patient remained intubated after the procedure. The nurse is assessing for postoperative pain. Which of the following pain assessment tools should the nurse select?

A. FLACC pain scale
B. Numeric scale
C. Visual analog scale
D. Faces pain rating scale

Answer: A

Explanation:
TheFLACC scale(Face, Legs, Activity, Cry, Consolability) is abehavioral pain assessment tool validated for use in non-verbal or cognitively impaired children, as well as those who are intubated or developmentally delayed.
"For non-verbal children or those with developmental delay, the FLACC scale is most appropriate. It assesses behavioral cues and is validated for use in ICU and post-op settings." (Referenced from CCRN Pediatric - Direct Care: Neurological, Pain and Sedation Assessment Tools)

NEW QUESTION # 100
Which of the following would be an indicative of impending heart failure among infants:

A. shallow and grunting respirations
B. notable increased in urinary output
C. distended jugular vein
D. Dyspnea and tachycardia

Answer: D

Explanation:
Explanation: Dyspnea and tachycardia are signs that occur in infants if there's an impaired myocardial function. It is directly related to sympathetic stimulation. Note that the pulse is elevated even when the infant is at rest. There will be a decreased urinary output; abdominal respirations would be a late sign that occurs when pulmonary congestion sits in; neck vein distention is only seen in adult clients.

NEW QUESTION # 101
A 3 year-old child is being treated with Metronidazole suspension, 200 mg per dose. The child weighs 30 lbs. and the daily dose range is 20-40 mg/kg of body weight, in three divided doses every 8 hours.
Knowing the principles os safe drug administration, what should the nurse do?

A. Administer the medicine as ordered
B. Get the attention of the doctor to clarify the dose
C. Recognize that the medicine were over-prescribed
D. Hold the medicine as the dosage is way too low

Answer: A

Explanation:
Explanation: The dose range is 20-40 mg/kg/day divided every 8 hours. 15kg x 40mg = 600mg, divided by
3 = 200 mg per dose. The prescribed dose is correct and should be given as ordered.

NEW QUESTION # 102
......

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Charlotte Rivera Charlotte Rivera

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