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AACN Critical Care Nursing Exam Sample Questions (Q93-Q98):
NEW QUESTION # 93
One hour after starting a continuous IV insulin, a patient's glucose drops by 145 mg/dL. What should the nurse monitor for?
Answer: C
Explanation:
Arapid drop in blood glucose, especially duringDKA treatment, can result incerebral edema-a life- threatening complication. Symptoms includebradycardia, irregular respirations, altered mental status, and widened pulse pressuredue to increased intracranial pressure.
"A drop in serum glucose >100 mg/dL/hr in DKA increases risk for cerebral edema. Monitor for bradycardia, abnormal breathing, and neurologic decline." (Referenced from CCRN Pediatric - Direct Care: Endocrine, DKA and Cerebral Edema Monitoring)
NEW QUESTION # 94
The nurse scans the laboratory values of a pediatric client with rheumatic fever. Which data should be treated as insignificant:
Answer: A
Explanation:
Explanation: This is related to anemia. There would be a positive titer as a result of previous exposure to streptococcal infection; possitive C-reactive protein and elevated ESR are indicative of inflammatory process.
NEW QUESTION # 95
The positive inotropic effects of dobutamine (Dobutrex) at 7 mcg/kg/min will produce an increase in which of the following hemodynamic parameters?
Answer: D
Explanation:
Dobutamine is abeta-1 agonistthat increases myocardial contractility. Its primary action isincreasing stroke volume and cardiac output, withminimal effect on systemic vascular resistance, making it ideal for patients with low-output states.
"Dobutamine enhances myocardial contractility and increases cardiac output without significantly increasing systemic vascular resistance, making it effective in heart failure with preserved perfusion." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular Pharmacology and Hemodynamic Support)
NEW QUESTION # 96
A 2-day-old infant develops a tachycardia of 300. A 12-lead ECG reveals narrow complexes and prominent delta waves. The patient most likely has:
Answer: D
Explanation:
Wolff-Parkinson-White (WPW) syndromeis characterized by anaccessory conduction pathway, resulting inshort PR interval, narrow QRS complexes, and delta waves. Tachycardia in neonates with WPW is often paroxysmal supraventricular tachycardia (PSVT).
"WPW is a pre-excitation syndrome seen in neonates and children, diagnosed by ECG findings of delta waves, and is associated with recurrent tachyarrhythmias." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Pediatric Arrhythmias)
NEW QUESTION # 97
A mother of an 18-month-old toddler asks the nurse about the diet of her baby. The nurse learned that the baby has iron deficiency anemia. The nurse should suggest:
Answer: B
Explanation:
Explanation: The nurse should suggest bread pudding with raisins. This provides iron and protein; in addition, it can be eaten with spoon which encourages mastery of fine motor muscle. Pumpkin has iron but has spicy taste. A cup of grapes will be difficult to finish for such a young individual.
NEW QUESTION # 98
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