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CCRN-Pediatric證照資訊 & CCRN-Pediatric考題寶典
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AACN CCRN-Pediatric(重症護理)認證考試是專門為在兒科重症監護單元工作的護士設計的專業認證考試。 該認證考試旨在衡量註冊護士在急診科,新生兒單元和兒科重症監護單元等環境中直接照顧急性病兒科患者的知識和技能。
CCRN-Pediatric考題寶典 - CCRN-Pediatric考題免費下載
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最新的 AACN CCRN CCRN-Pediatric 免費考試真題 (Q27-Q32):
問題 #27
An infant is 2 hours post median sternotomy closure after cardiac surgery. Assessment:
* BP:82/56
* HR:170
* Temp:101.8°F (38.8°C)
* CVP:3 mmHg
* Cap refill:2 seconds
* Skin color:Bright
Which type of shock is most likely developing?
- A. Neurogenic
- B. Cardiogenic
- C. Septic
- D. Hypovolemic
答案:C
解題說明:
This infant displays signs ofearly septic shock, includingtachycardia,fever,normal cap refill, andlow CVP.
In thehyperdynamic early phase of septic shock, patients may initially havewarm, flushed skinand bounding pulses, with preserved perfusion before progressing to a decompensated state.
"Septic shock may present with increased HR, fever, and warm extremities in its compensated phase. CVP may be low due to vasodilation and capillary leakage." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Types of Shock and Sepsis Pathophysiology)
問題 #28
Which of the following is the reason a patient with dilated cardiomyopathy is administered Digoxin (Lanoxin)?
- A. Positive inotropic effects
- B. Decreased AV node rate
- C. Increased sinus atrial node rate
- D. Negative inotropic effects
答案:A
解題說明:
Digoxinenhancescontractilityof the heart throughpositive inotropic effects, which is beneficial indilated cardiomyopathy, where the ventricles are weakened and unable to pump efficiently. It improves cardiac output and reduces symptoms of heart failure.
"Positive inotropic agents like digoxin are used in dilated cardiomyopathy to improve myocardial contractility and cardiac output." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Heart Failure Management)
問題 #29
A mother wants to switch her 10 month-old infant from an iron-fortified formula to whole milk because of the price. Upon assessment, the nurse finds that the baby eats well, but drinks less milk than before.
What is the best advice by the nurse?
- A. Continue with the current formula
- B. Give fruit juice (especially apple juice) frequently
- C. Change the formula to whole milk
- D. Add chocolate and candies on the bottle
答案:A
解題說明:
Explanation: The recommended age for switching from formula to whole milk is at 1 year of age.
Switching to cow''s milk before the recommended age can predispose an infant to allergies and lactose intolerance.
問題 #30
Why are unit admission and discharge criteria developed?
- A. Provide ethical decision-making guidelines
- B. Identify criteria for withholding treatment
- C. Address triage decisions
- D. Secure managed care contracts
答案:A
解題說明:
Establishingadmission and discharge criteriaensures that care decisions areconsistent, justifiable, and ethically grounded. These criteria guide clinicians inresource allocation, promotingfair accessand minimizing bias in treatment decisions.
"Admission/discharge policies support ethical care delivery by ensuring objective, equitable decision-making, especially in high-acuity environments like ICUs." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Ethical Resource Management and Clinical Guidelines)
問題 #31
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following:
- A. Hydrocele
- B. Phimosis
- C. Epispadias
- D. Hypospadias
答案:D
解題說明:
Explanation: Hypospadias is a condition in which the urethral opening is located below the glans penis or anywhere along the ventral surface of the penile shaft. Epispadias, the urethral meatus is located at the dorsal surface of the penile shaft.
問題 #32
......
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