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Quiz 2025 CCRN-Pediatric: The Best Valid Critical Care Nursing Exam Exam Notes

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AACN Critical Care Nursing Exam Sample Questions (Q40-Q45):

NEW QUESTION # 40
While planning care for a preschool aged child, a nurse understands developmental needs. Which of the following would be of the highest concern?

A. Exploring a playroom
B. Family identification
C. Expression of shame
D. Imaginary play

Answer: C

Explanation:
Explanation: Erikson describes the stage of the preschool child as being the time when there is normally an increase in initiative. The child should have resolved the sense of shame and doubt in the toddler stage

NEW QUESTION # 41
A nurse is caring for a Daniel, a 7 year-old client, who receives chest physiotherapy (CPT). Which of the following action by the nurse would be appropriate?

A. Place the child in a prone position for the therapy
B. Teach the child not to cough during the treatment
C. Schedule the therapy thirty minutes after meals
D. percuss on to the rib cage area

Answer: D

Explanation:
Explanation: Percussion (clapping) should only be done in the area of the rib cage.

NEW QUESTION # 42
Early symptoms of carbon monoxide poisoning include:

A. Tachycardia and wheezing
B. Bradycardia and headache
C. Tachycardia and confusion
D. Bradycardia and apnea

Answer: C

Explanation:
Carbon monoxide (CO) poisoningresults in tissue hypoxia by binding to hemoglobin with greater affinity than oxygen, forming carboxyhemoglobin. The mostcommon early symptomsin children include:
* Tachycardia(due to hypoxic compensatory response)
* Confusion, dizziness, and headache(due to cerebral hypoxia)
Wheezing and bradycardia arenot typically early signs.
"Early signs of CO poisoning are neurologic (e.g., confusion) and cardiovascular (e.g., tachycardia) due to hypoxia, even when SpO# may appear falsely normal." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Inhalation Injury and Environmental Exposure)

NEW QUESTION # 43
A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:

A. low back rest
B. moderate back rest
C. Lying semi flat
D. Sitting up

Answer: D

Explanation:
Explanation: This position will minimize the amount of blood pressure in nasal vessels and keep blood moving forward not back into the nasopharynx, which will have the choking sensation and increase risk of aspiration. Other options are inappropriate because they can cause blood to enter the nasopharynx.

NEW QUESTION # 44
A mother brings her 18-month-old child to the clinic because the child "eats ashes, crayons, and paper." Which of the following information would be most important to obtain first about this toddler?

A. currently cutting large teeth
B. experiencing changes in the home environment
C. eating a soft, low-roughage diet
D. experiencing a growth spurt

Answer: B

Explanation:
Explanation: It is important to determine if the child is experiencing any change in the home environment that could cause anxiety that is relieved through oral gratification. A craving to eat nonfood substances is known Aspica.

NEW QUESTION # 45
......

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