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AACN Critical Care Nursing Exam Sample Questions (Q19-Q24):

NEW QUESTION # 19
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. X-ray of the right forearm
B. Application of an immobilizing device
C. Incisional fasciotomy
D. Fluid bolus and antibiotic administration

Answer: C

Explanation:
This clinical picture is classic forcompartment syndrome: a surgical emergency. Symptoms includecool extremity, prolonged capillary refill, pain, paresthesia, and loss of motor function.Fasciotomyis the definitive treatment torelieve pressure and prevent permanent damage.
"Compartment syndrome requires immediate fasciotomy. Delay in intervention may lead to muscle necrosis and permanent disability." (Referenced from CCRN Pediatric - Direct Care: Musculoskeletal, Orthopedic Trauma and Emergencies)

NEW QUESTION # 20
An infant with a sternal wound infection has a negative-pressure wound therapy device in place. A nurse should recognize that the primary purpose of the device is to speed healing of the wound through:

A. Maintenance of a seal around the wound
B. Removal of exudate and stimulation of vascular growth
C. Maintenance of a clean, moist wound environment
D. The use of subatmospheric pressure through suction

Answer: B

Explanation:
Negative-pressure wound therapy (NPWT), also known as wound VAC, accelerates wound healing by removing exudate, reducing bacterial burden, andstimulating angiogenesis and granulation tissue formationthroughmechanical microstrain. This is essential in deep, complex wounds such as post-sternal infections.
"Negative pressure wound therapy promotes wound healing through the removal of infectious material and exudate and by increasing local blood flow and granulation tissue." (Referenced from CCRN Pediatric - Direct Care: Integumentary, Advanced Wound Management)

NEW QUESTION # 21
An infant with tetralogy of fallot was admitted at the unit. Which of the following is indicative of physiologic adaptation of a client with tetralogy of fallot:

A. ecchymoses
B. digital clubbing
C. decrease platelet count
D. shallow and irregular respirations.

Answer: B

Explanation:
Explanation: There will be a poor peripheral circulation due to Hypoxia. Clubbing of fingers occur as a result of capillary development and tissue hypertrophy of the fingertips. There will be a rapid breathing.

NEW QUESTION # 22
A 15-year-old girl was recently diagnosed of idiopathic scoliosis. She is worried about being different form her friends and upset about the treatment regimen. How would the nurse help her to develop a positive self-image:

A. remind her that her back would be crooked if she doesn't adhere to the treatment
B. refer her to a psychiatrist for consult.
C. be focus on her positive rather her negative attributes
D. assist her in selecting clothes to improve her appearance

Answer: D

Explanation:
Explanation: The nurse would help her by selecting appropriate clothing that will help minimize the appearance of a brace, especially if an effort is made to wear the current style.

NEW QUESTION # 23
A 16-year-old patient is unresponsive after a motor vehicle collision. The parents speak another language. While performing the secondary survey, what should the nurse do next?

A. Continue performing the physical assessment
B. Request a translator from the patient services department
C. Ask if either of the parents speak English
D. Ask a colleague who is bilingual to question the parents

Answer: A

Explanation:
In a trauma situation, theprimary and secondary surveys take precedenceto assess life-threatening injuries and prioritize interventions. While a certified interpreter should be used for communicationas soon as possible
, thenurse should not delay the physical assessmentduring a critical time.
"The priority in trauma is completion of the primary and secondary assessments. While interpreter use is standard, care must not be delayed in critical evaluations." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Cultural Competence and Emergency Protocols)

NEW QUESTION # 24
......

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Efficient CCRN-Pediatric Reliable Exam Answers Offers Candidates High-quality Actual AACN Critical Care Nursing Exam Exam Products

AACN CCRN-Pediatric Dumps - A Surefire Way To Achieve Success

AACN Critical Care Nursing Exam Sample Questions (Q19-Q24):

Realistic AACN CCRN-Pediatric Exam Questions with Accurate Answers

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