CCRN Exam Questions and Answers (Solved Papers) Which of the following statements regarding the use of inotropic agents in the critically I'll pediatric patient is most accurate - Correct Answers ✅Inotropic agents such as dopamine and norepinephrine with vasoconstictive effects may be indicated in patients with septic shock A 4 year old girl with type 1 diabetes Mel lotus is treated with intravenous fluids and continuous insulin administration for diabetic ketoacidosis. Four hours after admission she is alert and her serum electrolytes and glucose are normalizing. Eight hours after admission she begins to complain of headache and seems tired. Two hours later she develops bradycardia and extremity posturing on the basis of this information the critical care nurse suspects tbag the patient has developed - Correct Answers ✅Cerebral edema The father of a 13 year old patient who is brain dead after submersion injury tells the medical staff that he is certain his child will recover fully despite what they have told him about the prognosis. The nurses best action in this case is to - Correct Answers ✅Maintain an ongoing relationship with the father to assist him in coming to terms with the expected outcome.When caring for a bone marrow transplant patient who develops fever and hypotension the critical care nurse administers which if the following - Correct Answers ✅Broad spectrum multi agent antibacterial therapy 1 / 2
CCRN Exam Questions and Answers (Solved Papers) The critical care nurse is taking care of a 10 year old patient who sustained an accidental crash injury and has developed renal failure secondary to severe rhabdomyolysis. As his condition worsens the medical team prepares to institute continuous renal replacement therapy. All of the following are statements about CRRT are true except - Correct Answers ✅CRRT allows for less dramatic fluid shifts in the hemodynamically unstable patient A 2 year old child is admitted to the critical care unit after an accidental submersion injury. Eight hours after the submersion chest x-ray reveals diffuse bilateral patchy pulmonary infiltrates and the child's ventilator settings reveal markedly impaired pulmonary compliance with a significant oxygen requirement. Given this clinical information the most likely explanation for this child's pulmonary status is - Correct Answers ✅Acute respiratory distress syndrome In the symptomatic hyperkalemic patient the critical care nurse expects the initial treatment to include all of the following except - Correct Answers ✅Hemodialysis A 7 year old previously healthy patient presents with a 1 day history of fever cough poor oral intake and shortness of breath. Examination reveals a fatigued child in respiratory distress with a distal capillary refill time of 3 seconds. The results of an arterial blood gas are - Correct Answers ✅Acute respiratory acidosis without metabolic compensation
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