Authentic CCRN-Pediatric Exam Hub | Certification CCRN-Pediatric Cost
Authentic CCRN-Pediatric Exam Hub | Certification CCRN-Pediatric Cost
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Tags: Authentic CCRN-Pediatric Exam Hub, Certification CCRN-Pediatric Cost, CCRN-Pediatric Valid Exam Registration, CCRN-Pediatric Certified Questions, CCRN-Pediatric Valid Exam Topics
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AACN Critical Care Nursing Exam Sample Questions (Q19-Q24):
NEW QUESTION # 19
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following:
- A. Hydrocele
- B. Epispadias
- C. Phimosis
- D. Hypospadias
Answer: D
Explanation:
Explanation: Hypospadias is a condition in which the urethral opening is located below the glans penis or anywhere along the ventral surface of the penile shaft. Epispadias, the urethral meatus is located at the dorsal surface of the penile shaft.
NEW QUESTION # 20
Which of the following is true about Mongolian Spots?
- A. Are indicative of parental abuse
- B. Disappears in about a year
- C. Are linked to pathologic conditions
- D. Are managed by tropical steroids
Answer: B
Explanation:
Explanation: Mongolian spots are stale grey or bluish patches of discoloration commonly seen across the sacrum or buttocks due to accumulation of melanocytes and they disappear in 1 year. They are not linked to steroid use and pathologic conditions.
NEW QUESTION # 21
A mother brings her 26 month-old to the well-child clinic. She expresses frustration due to her baby's constantly saying "NO" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need:
- A. initiative
- B. self-esteem
- C. independence
- D. role confusion
Answer: C
Explanation:
Explanation: According to Erick Erikson's developmental theory, toddlers struggle to assert independence. They often use the word "no" even when they mean yes. This stage is called autonomy vs. shame and doubt.
NEW QUESTION # 22
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. Trendelemburg sign
- C. Characteristic limp
- D. Ortolani's sign
Answer: D
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 # 23
For a 20-kg child experiencing abdominal hemorrhaging, a nurse should expect to administer a fluid bolus of:
- A. 200 mL of lactated Ringer's
- B. 400 mL of 0.9% NS
- C. 500 mL of 5% albumin
- D. 600 mL of PRBCs
Answer: B
Explanation:
In pediatric hemorrhagic shock, theinitial fluid bolus is 20 mL/kgofisotonic crystalloid(e.g.,normal saline or lactated Ringer's). For a 20-kg child, this equals400 mL of 0.9% NS. Albumin and PRBCs are considered after fluid responsiveness is evaluated or if ongoing blood loss is confirmed.
"The initial step in pediatric fluid resuscitation for hemorrhagic or hypovolemic shock is 20 mL/kg isotonic fluid bolus. Normal saline is the preferred initial fluid." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Shock Management)
NEW QUESTION # 24
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