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AACN Critical Care Nursing Exam Sample Questions (Q28-Q33):

NEW QUESTION # 28
An infant with heart failure was fed and burped, after burping; he was repositioned in semi-fowler then had a bowel movement. Afterwards, the infant became diaphoretic and cyanotic. The nurse is aware that these were most likely caused by:

A. changing of position
B. feeding
C. burping
D. defecating

Answer: D

Explanation:
Explanation: This is caused by defecating and the valsalva maneuver during bowel movement. The maneuver occasionally causes tet spell or blue spell that results in increased intrathoracic pressure, decreased blood return to the heart, increased venous pressure, and decreased pulse rate.

NEW QUESTION # 29
Which of the following would a nurse expect to observe in a pediatric client who has a tentative diagnosis of Acute lymphocytic Leukemia:

A. Alopecia and Petechiae
B. Anorexia and Petechiae
C. Anorexia and Insomnia
D. Alopecia and swollen gums

Answer: B

NEW QUESTION # 30
A nurse assigned at the ER admits a 4 week-old infant with a diagnosis of bronchopulmonary dysplasi a. As the nurse reviews the medical history, which information would be most consistent with this diagnosis?

A. The client swallowed a meconium when he was delivered
B. A retarded growth
C. The client had a mechanical ventilation before
D. The client had a phototherapy before

Answer: C

Explanation:
Explanation: Bronchopulmonary dysplasia is an iatrogenic disease caused by therapies such as use of positive-pressure ventilation used to treat lung disease.

NEW QUESTION # 31
Twenty-four hours after a severe burn and inhalation injury, a child develops increased tachypnea and desaturation. The most likely cause is:

A. Pneumonia
B. Pleural effusion
C. Pulmonary edema
D. Upper airway edema

Answer: D

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 # 32
A 5year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour.
Which sign or symptom suggests excessive I.V. fluid intake:

A. Temperature of 102°F
B. Gastric distension
C. Worsening Dyspnea
D. Nausea and vomiting

Answer: C

Explanation:
Explanation: Dyspnea and other signs of respiratory distress signify fluid volume excess (overload), which can occur quickly in a child as fluid shifts rapidly between the intracellular and extracellular compartments. Gastric distention may suggest excessive oral fluid intake or infection. Nausea and vomiting or an elevated temperature may indicate a fluid volume deficit.

NEW QUESTION # 33
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Mark Bell Mark Bell

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