CCRN PEDS AACN
1. A patient admitted following an acute asthma attack has been givenmultiple albuterol
(Proventil) inhalation treatments. The following measurements are obtained:
BP 130/78HR 160
RR 48
FiO2 60% (by non-rebreather mask)O2 Sat 88%
Physical findings could include which of the following?
A. wheezing and agitation
B. coughing and grunting
C. pleural rub and wheezing
D. stridor and bronchospasm: wheezing and agitation
2. Respiratory therapists, physical therapists, occupational therapistsand
nurses are all responsible for discharge teaching, with each discipline currently documenting
on its own flow sheet. The best way to coordinateteaching would be to have
A. daily care conferences to review and discuss patient teaching and theflow sheets.
B. each discipline distribute copies of its flow sheets to each team member.
C. nurses review the flow sheets of all disciplines during shift change.
D. all disciplines document patient teaching on the same flow sheet.: all disciplines document
patient teaching on the same flow sheet
3. A 10-day-old infant is admitted with a suspected congenital heart defect,a
history of poor feeding, and sudden onset of respiratory distress andcyanosis. Initial
assessment shows:
HR 180
pH 7.28
RR 72
pCO2 30
BP 48/DopplerpO2 48
CRT greater than 5 sec.HCO3 16
The patient is intubated and placed on mechanical ventilation at a rate of 20;PIP/PEEP=24/4
cm water; FiO2=100%. Subsequent ABG results show:
pH 7.27
pCO2 28
pO2 50
HCO3 15
The most probable etiology of the patient's cardiopulmonary status is
,A. Tetralogy of Fallot.
B. hypoplastic left heart syndrome.
C. persistent pulmonary hypertension.
D. diaphragmatic hernia.: hypoplastic left heart syndrome
4. A teenager post cardiac arrest has a new diagnosis of hypertrophic cardiomyopathy. The
parents are concerned about what to do if their soncollapses again. The nurse's best response
would be
A. "Now that your son has been diagnosed and treated, you need notworry."
B. "Would teaching you CPR help ease your anxieties?"
C. "Do you know how to access the EMS system?"
D. "I will have your son's cardiologist talk to you.": "Would teaching you CPRhelp ease your
anxieties?"
5. A child is admitted after sustaining a head injury. The most importantaspect of the nurse's
continuing neurological assessment is
A. level of consciousness.
B. papillary response.
C. motor response.
D. assessment of the cranial nerves.: level of consciousness
6. A survey reveals that all of a hospital's nurses feel that the routine 4 a.m.chest x-rays
cause an interruption in children's sleep patterns. The best strategy for addressing this issue
would be to
A. Assemble a work group to discuss the current hospital policy.
B. Reschedule all non-emergent 4 a.m. chest x-rays during daytime hours.
C. Request an in-service for the radiology department on the effects ofsleep deprivation in
children.
D. Send the results of the survey to the hospital administrator.: Assemble awork group to
discuss the current hospital policy
7. The chest x-ray of a patient with status asthmaticus will reveal
A. hyperinflation.
B. foreign-body aspiration.
C. perihilar infiltrations.
D. an elevated diaphragm: hyperinflation
, 8. Which of the following rhythms is expected one day post cardiaccatheterization for repair
of an arterial septal defect (ASD)?
A. premature atrial contraction
B. junctional ectopic tachycardia
C. sinus bradycardia
D. sinus tachycardia: premature atrial contraction
9. A patient who does not speak or understand English is admitted.Guidelines for using a
translator may include
A. having the translator ask questions that you don't feel comfortable asking.
B. standing next to the translator and as close to the patient as possible.
C. providing all of the information, then allowing for translation and asking ofquestions.
D. allowing time for the translator to decode the medical jargon used in theteaching.: standing
next to the translator and as close to the patient as possible
10. An infant post cardiac surgery is displaying signs of hypovolemia. Thenurse suspects
there is an increased insensible fluid loss due to
A. decreased activity.
B. hypothermia.
C. the radiant warmer.
D. sedation.: the radiant warmer
11. The primary objective in the treatment of an infant with persistentpulmonary
hypertension is to
A. maintain the pH level at less than 7.40.
B. dilate the pulmonary vascular bed.
C. dilate the systemic vascular bed.
D. constrict the pulmonary vascular bed.: dilate the pulmonary vascular bed
12. A 26-week-gestation infant with multiple congenital abnormalities diesshortly after
admission to the NICU. The parents saw the infant briefly in the delivery room, but decline
to come to the NICU. The nurse should first
A. Take the infant to the parents.
B. Refer the parents to a genetic counselor.
C. Prepare a memory box for the parents.
D. Take an instant photo of the infant to the parents.: Take an instant photo ofthe infant to the
parents.
1. A patient admitted following an acute asthma attack has been givenmultiple albuterol
(Proventil) inhalation treatments. The following measurements are obtained:
BP 130/78HR 160
RR 48
FiO2 60% (by non-rebreather mask)O2 Sat 88%
Physical findings could include which of the following?
A. wheezing and agitation
B. coughing and grunting
C. pleural rub and wheezing
D. stridor and bronchospasm: wheezing and agitation
2. Respiratory therapists, physical therapists, occupational therapistsand
nurses are all responsible for discharge teaching, with each discipline currently documenting
on its own flow sheet. The best way to coordinateteaching would be to have
A. daily care conferences to review and discuss patient teaching and theflow sheets.
B. each discipline distribute copies of its flow sheets to each team member.
C. nurses review the flow sheets of all disciplines during shift change.
D. all disciplines document patient teaching on the same flow sheet.: all disciplines document
patient teaching on the same flow sheet
3. A 10-day-old infant is admitted with a suspected congenital heart defect,a
history of poor feeding, and sudden onset of respiratory distress andcyanosis. Initial
assessment shows:
HR 180
pH 7.28
RR 72
pCO2 30
BP 48/DopplerpO2 48
CRT greater than 5 sec.HCO3 16
The patient is intubated and placed on mechanical ventilation at a rate of 20;PIP/PEEP=24/4
cm water; FiO2=100%. Subsequent ABG results show:
pH 7.27
pCO2 28
pO2 50
HCO3 15
The most probable etiology of the patient's cardiopulmonary status is
,A. Tetralogy of Fallot.
B. hypoplastic left heart syndrome.
C. persistent pulmonary hypertension.
D. diaphragmatic hernia.: hypoplastic left heart syndrome
4. A teenager post cardiac arrest has a new diagnosis of hypertrophic cardiomyopathy. The
parents are concerned about what to do if their soncollapses again. The nurse's best response
would be
A. "Now that your son has been diagnosed and treated, you need notworry."
B. "Would teaching you CPR help ease your anxieties?"
C. "Do you know how to access the EMS system?"
D. "I will have your son's cardiologist talk to you.": "Would teaching you CPRhelp ease your
anxieties?"
5. A child is admitted after sustaining a head injury. The most importantaspect of the nurse's
continuing neurological assessment is
A. level of consciousness.
B. papillary response.
C. motor response.
D. assessment of the cranial nerves.: level of consciousness
6. A survey reveals that all of a hospital's nurses feel that the routine 4 a.m.chest x-rays
cause an interruption in children's sleep patterns. The best strategy for addressing this issue
would be to
A. Assemble a work group to discuss the current hospital policy.
B. Reschedule all non-emergent 4 a.m. chest x-rays during daytime hours.
C. Request an in-service for the radiology department on the effects ofsleep deprivation in
children.
D. Send the results of the survey to the hospital administrator.: Assemble awork group to
discuss the current hospital policy
7. The chest x-ray of a patient with status asthmaticus will reveal
A. hyperinflation.
B. foreign-body aspiration.
C. perihilar infiltrations.
D. an elevated diaphragm: hyperinflation
, 8. Which of the following rhythms is expected one day post cardiaccatheterization for repair
of an arterial septal defect (ASD)?
A. premature atrial contraction
B. junctional ectopic tachycardia
C. sinus bradycardia
D. sinus tachycardia: premature atrial contraction
9. A patient who does not speak or understand English is admitted.Guidelines for using a
translator may include
A. having the translator ask questions that you don't feel comfortable asking.
B. standing next to the translator and as close to the patient as possible.
C. providing all of the information, then allowing for translation and asking ofquestions.
D. allowing time for the translator to decode the medical jargon used in theteaching.: standing
next to the translator and as close to the patient as possible
10. An infant post cardiac surgery is displaying signs of hypovolemia. Thenurse suspects
there is an increased insensible fluid loss due to
A. decreased activity.
B. hypothermia.
C. the radiant warmer.
D. sedation.: the radiant warmer
11. The primary objective in the treatment of an infant with persistentpulmonary
hypertension is to
A. maintain the pH level at less than 7.40.
B. dilate the pulmonary vascular bed.
C. dilate the systemic vascular bed.
D. constrict the pulmonary vascular bed.: dilate the pulmonary vascular bed
12. A 26-week-gestation infant with multiple congenital abnormalities diesshortly after
admission to the NICU. The parents saw the infant briefly in the delivery room, but decline
to come to the NICU. The nurse should first
A. Take the infant to the parents.
B. Refer the parents to a genetic counselor.
C. Prepare a memory box for the parents.
D. Take an instant photo of the infant to the parents.: Take an instant photo ofthe infant to the
parents.
