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2025 CCRN-Pediatric–100% Free Valid Test Practice | Professional Critical Care Nursing Exam Vce Test Simulator

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AACN Critical Care Nursing Exam Sample Questions (Q32-Q37):

NEW QUESTION # 32
A 12-year-old presents with behavior changes and new-onset tonic-clonic seizures. Likely brain tumor location?

A. Frontal lobe
B. Occipital lobe
C. Brainstem
D. Cerebellar

Answer: A

Explanation:
Thefrontal lobeis responsible forexecutive function, behavior, and personality. Tumors in this area often causebehavioral changes, mood instability, andseizures-particularlygeneralized seizureslike tonic-clonic.
"Frontal lobe tumors are commonly associated with personality and behavioral changes and are a common site for seizure onset in pediatric brain tumors." (Referenced from CCRN Pediatric - Direct Care: Neurological, Brain Tumors and Seizure Presentation)

NEW QUESTION # 33
A 1-month-old presents with a 3-day history of fever, nausea, and vomiting. On assessment:
* Pink, warm, dry skin
* Slightly sunken fontanel
* BP: 80/40
* HR: 120
* RR: 42
Which of the following changes indicate deterioration?

A. Hypoventilation and increased BP
B. Hyperventilation and decreased level of consciousness
C. Hyperventilation and increased BP
D. Hypoventilation and decreased level of consciousness

Answer: D

Explanation:
In neonates and young infants,hypoventilationanddecreased level of consciousness (LOC)are late and critical signs ofdecompensationin systemic infection or shock. A progression from normal respiratory rate to hypoventilation, especially with altered LOC, indicatesimpending respiratory failure or septic shock.
"Hypoventilation and changes in mental status (such as lethargy or decreased LOC) are indicators of deterioration in infants with sepsis or dehydration. Immediate intervention is required to prevent arrest." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Pediatric Sepsis and Deterioration Cues)

NEW QUESTION # 34
A mother of a child with heart failure questions the necessity of weighing the baby everyday. The nurse's best response should be guided by the fact that the daily weight is essential in determining:

A. success of treatment
B. fluid retention
C. dosage of medication
D. nutritional status

Answer: B

Explanation:
Explanation: Retention of fluid is reflected by excessive weight gain in just a short period of time.
Insufficient cardiac output lowers flow to the kidneys that leads to intracellular fluid increase and hypervolemia. Weight gain or loss due to nutrition is gradual. Dosage of medication is not recalculated everyday based on weight gain.

NEW QUESTION # 35
A 6 year old child with sickle cell anemia is admitted to the pediatric unit with a pain episode.
Splenomegaly was identified. The nurse is aware that Splenomegaly is usually:

A. difficult to palpate in pediatric client
B. common during infancy
C. most seen during late childhood
D. initiated by a vaso-occlusive crisis

Answer: D

Explanation:
Explanation: Vaso-occlusive crisis often precipitates a pooling of blood in the liver and in the spleen that results to spleen enlargement.

NEW QUESTION # 36
The nurse is caring for a 16 year-old boy with Hemophilia A, who was admitted after falling from a tree.
In understanding his behavior and in planning care for this client, what must the nurse understand about adolescents with hemophilia A?

A. Avoid any risk after bleeding episodes
B. Often take part in active sports
C. Explain limitations to peers
D. Should have well planned activities

Answer: B

Explanation:
Explanation: Adolescent hemophiliacs should be aware that contact sports may trigger bleeding.
However, developmental characteristics of this age group such as impulsivity, inexperience and peer pressure, place adolescents in unsafe environments.

NEW QUESTION # 37
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