Critical Care Nursing Exam (CCRN-Pediatric) Free Practice Test

Question 1

Which of the following is a major indication for peritoneal dialysis?

A. Alkalosis

B. Hypokalemia

C. Hypovolemia

D. Hypervolemia

Correct Answer: D

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Question 2

A 6-year-old child is admitted following ingestion of an unidentified substance. Assessment reveals:
* BP: 120/84
* HR: 190
* RR: 44
* ECG: Sinus rhythm with occasional PVCs
* Dilated pupils
* Dry mucous membranes
* Disorientation
* Urinary retention
These findings are consistent with ingestion of:

A. Chlorpromazine (Thorazine)

B. Amitriptyline (Elavil)

C. Digoxin (Lanoxin)

D. Acetaminophen (Tylenol)

Correct Answer: B

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Question 3

The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:

A. Rotate assignments among staff members

B. Arrange a patient care conference with the family

C. Discuss the issue with the physician

D. Suggest the family discuss their concerns with the nurse manager

Correct Answer: B

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Question 4

A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited.
Which of the following should a nurse anticipate as the initial treatment?

A. Fluid bolus and antibiotic administration

B. Application of an immobilizing device

C. Incisional fasciotomy

D. X-ray of the right forearm

Correct Answer: C

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Question 5

The primary function of an institutional ethics committee in the critical care area is to:

A. Advise patients, families, physicians, and staff when ethical situations arise

B. Monitor questionable physician or staff actions or practices

C. Provide direction to the administrative team for institutional decision-making

D. Establish community partnerships to reduce potential institutional liability

Correct Answer: A

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Question 6

An adolescent is admitted with toxic shock syndrome. In addition to blood cultures, which of the following lab orders should a nurse anticipate?

A. Liver function test and lactate

B. Procalcitonin and teg citrate

C. Liver function test and teg citrate

D. Lactate and procalcitonin

Correct Answer: D

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Question 7

When evaluating the effectiveness of a new skin care protocol, a nurse should assess the:

A. Change in nursing care hours

B. Presence of lesions, ulcers, or erythema

C. Documentation of nursing interventions

D. Preventive measures implemented

Correct Answer: B

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Question 8

Ventricular septal defect is a congenital heart condition that:

A. Decreases pulmonary flow

B. Decreases systemic flow

C. Increases pulmonary flow

D. Increases systemic flow

Correct Answer: C

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Question 9

A patient is admitted with severe anemia requiring urgent intervention. The parents refuse the transfusion due to religious beliefs. The most appropriate action by the nurse is to:

A. Immediately administer the transfusion to save the patient's life, regardless of the parents' wishes

B. Consult the hospital's ethics committee and legal team while providing alternative treatments

C. Convince the parents to change their mind by emphasizing the severity and potential for fatality

D. Respect the family's wishes to withhold the blood transfusion, and document their refusal

Correct Answer: B

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AACN Critical Care Nursing (CCRN-Pediatric) Free Practice Test