CCRN Exam Prep - Pediatric Critical Care - Question List

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16. An infant was diagnosed of Tetralogy of Fallot. The nurse assessed that the infant is underweight. What could be the reason behind this problem:
  1. recurrent respiratory infections due to pulmonary hypertension.
  2. Polycythemia brought by a decreased in the level of arterial PO2.
  3. deficient caloric intake due to activity intolerance.
  4. Cerebral changes due to cyanosis.
17. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following:
  1. Symmetrical gluteal folds
  2. Trendelemburg sign
  3. Ortolani’s sign
  4. Characteristic limp
18. What explanation would a nurse give to a parent of a pediatric client who will undergo a cardiac catheterization:
  1. it will confirm if there is a pansystolic murmur.
  2. it will establish the presence of heart muscle hypertrophy.
  3. it will determine the degree of heart muscle problem
  4. it will identify specific location of the defect.
19. Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time is the test that measures:
  1. Serum protein levels
  2. Urine ketones
  3. Serum glucose level
  4. Glycosylated Hemoglobin
20. An IV solution of 10% glucose and mannitol are administered to an infant with Reye’s syndrome. The client’s vital signs should be monitored by the nurse to prevent the occurrence of:
  1. hypovolemic shock
  2. fluid volume excess
  3. heart failure
  4. seizure episodes.

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