CCRN Exam - Pediatric Critical Care Sample Questions
Q 1. A medical caretaker is checking a 18-month-old youngster. The nurse might anticipate that the youngster will do which of the accompanying activities?
A. stack 2 squares
B. run and hop set up
C. open doors by turning doorknobs
D. climbs the stairs alone, with both feet on the same step at the same time
Q 2. A mother of a 12-month-old young lady asks the medical attendant what toys she ought to purchase her child at this stage. In light of her seeing about the ordinary development and improvement of a child, the attendant might infer which of the following toys?
A. Rubber ring
B. Rattles
C. Pots and pans
D. Bright-shaded mobiles
Q 3. A mother is disturbed because of the fact that her 8-year-old little girl created a right breast mass. She asks the attendant what she ought to do. The medical attendant builds her reaction with respect to knowing that the breast mass is in all probability because of which of the accompanying:
A. Gynecomastia
B. Precocious pseudo puberty
C. Precocious thelarche
D. The onset of puberty
Q 4. A medical attendant is aware that the most widely recognized site for bleeding to create in a kid with hemophilia is:
A. Gums
B. Stomach
C. Joints
D. Nose and ears
Q 5. Nurse Wendy is taking her lunch at the hospital canteen when a little child at an adjacent table stifles on a bit of nourishment and shows up somewhat blue. Medical attendant Wendy ought to at first:
A. Alert the crisis response
B. Give water to help him swallow
C. Do something like 5 stomach thrusts
D. Start mouth to mouth resuscitation
Q 6. A 2 year old was brought to the pediatric facility for a routine examination. The point when surveying the youngster's association with other kids, the medical attendant might hope to watch.
A. Team play
B. Cooperative play
C. Initiative play
D. Parallel play
Q 7. Included in the arrangement of care of a 7 year old child with diabetes is glucose screening. As a medical attendant, we must be alert that the most correct approach to assess the adequacy of child and insulin help over the long time is the test that measures:
A. Glycosylated Hemoglobin
B. Urine ketones
C. Serum glucose level
D. Serum protein levels
Q 8. Nurse Debbie is taking care of a 3 year-old youngster after restorative surgery for Tetralogy of Fallot. The mother reports that the child has abruptly started seizing. Debbie distinguishes this issue is likely because of:
A. Cerebral vascular accident
B. Meningitis occure postoperatively
C. Reaction because of medications
D. Metabolic Alkalosis
Q 9. While surveying a 3 week old baby, which finding ought to a medical caretaker report quickly:
A. Abdominal respiration
B. Irregular breathing pattern
C. Increased heart rate the point when crying
D. Inspiratory grunting
Q 10. A mother of a baby who recently diagnosed with diabetes sort 1 asks the attendant for what reason her kid can't be given oral antidiabetics rather than insulin. The medical attendant might illustrate that oral medicine might not work for the child on the grounds that they:
A. Enhance the arrival of glycogen from the liver.
B. Stimulate the beta cells of the pancreas to process insulin.
C. Stimulate the arrival of glucagons from the pancreas to prepare insulin.
D. Enhance the transport of glucose into the cell.
Correct Answers for CCRN Exam Pediatric Critical Care with Explanation
Answer 1. (B) A child at year and a half ought to have the capacity to run and hop set up. Stacking 2 pieces ought to be seen at 15 months, opening doors by turning doorknobs at 36 months, and climbing stairs alone with both feet on the same step at the same time at 24 months.
Answer 2. (C) At 12-months old, newborn children like placing things in and taking things out of holders. It is recommended for the mother to give pots and skillet, pieces, what's more cardboard boxes that fit inside each one in turn. Rattles are suggested at 4 months, an elastic ring at 6 months, and splendid shaded mobiles at 2 months.
Answer 3. (D) The onset of puberty may begin as promptly as age 8, with advancement perhaps starting singularly. Gynecomastia is the advancement of breast tissue in guys. Bright pseudo pubescence is a giftedness that creates with no early emission of gonadotropin. Precocious thelarche happens before the onset of the pubertal period, which can begin as youthful as age 8.
Answer 4. (C) The most widely recognized locales for bleeding to create in a kid with hemophilia are the joints. It is most likely identified with weight bearing and their persistent development.
Answer 5.(C) At this point, the best approach to clear the aviation route of nourishment is to perform stomach pushes.
Answer 6.(D) Parallel play is normal of the baby age group. They have not yet figured out how to collaborate with other baby in a social circumstance. Activity play does not recognize any age group; also, it is not a distinguished term for social play.
Answer 7. (A) Ghb test gives an exact long term record of the customers normal blood glucose level for the 100-120 day period before the test. The more glucose the RBC was presented to, the more stupendous the Ghb percent.
Answer 8. (A) Polycythemia happens as a physiological response to unending hypoxemia which generally happens in children with Tetralogy of Fallot. Polycythemia and the resultant expanded thickness of the blood expand the danger of thromboembolic occasions. Cerebrovascular mischances may happen. Signs and side effects incorporate sudden loss of motion, modified discourse, amazing crabbiness or exhaustion, and seizures.
Answer 9. (D) Inspiratory grunt is abnormal and could be an indication of respiratory misery in this baby.
Answer 10. (B) Oral antidiabetics fortify the pancreatic beta cells to blend and discharge insulin; these useful beta units are truant in kids with sort 1 diabetes so they depend on exogenous insulin.
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