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AACN Critical Care Nursing Exam Sample Questions (Q72-Q77):

NEW QUESTION # 72
A 15-year-old patient with a history of anxiety is experiencing palpitations, dizziness, nausea, diaphoresis, and tachypnea. This is most likely:

A. An asthma exacerbation
B. Due to caffeine consumption
C. A panic attack
D. Supraventricular tachycardia

Answer: C

Explanation:
Panic attacksare common in adolescents and present withsympathetic overdrivesymptoms-palpitations, dyspnea, dizziness, chest discomfort, nausea, and diaphoresis. A history of anxiety strongly supports this diagnosis, especially in the absence of objective cardiac or respiratory findings.
"Panic attacks in adolescents can mimic cardiopulmonary emergencies. The presence of a prior anxiety disorder and resolution of symptoms without intervention support the diagnosis." (Referenced from CCRN Pediatric - Direct Care: Psychosocial, Mental Health Emergencies)

NEW QUESTION # 73
What medication instruction would a nurse give to a parent whose child will receive prednisone as a home medication for Asthma:

A. it protects the child against infection
B. avoid halting the medication abruptly
C. it causes moon-shaped face
D. it can cause early growth spurt

Answer: B

Explanation:
Explanation: During Asthma, it is necessary to wean the child gradually to prevent adrenal insufficiency or adrenal crisis.

NEW QUESTION # 74
Which of the following nursing diagnosis would the nurse identify as the priority for a 4-month-old infant with heart failure and congenital heart disease:

A. ineffective health maintenance
B. risk for infection
C. activity intolerance
D. impaired mobility

Answer: C

Explanation:
Explanation: An infant with congenital heart disease and congestive heart failure tires very easily, leading to a priority nursing diagnosis of Activity Intolerance. Nursing care needs to focus on allowing the infant to have frequent rest periods. Infants with congenital heart disease and congestive heart failure are not necessarily at risk for more infections than other infants. Impaired Mobility usually is not a problem because an infant with congenital heart disease usually exhibits normal physical mobility.
Ineffective Health Maintenance usually is not a problem because these infants still need regular and routine health check-ups

NEW QUESTION # 75
A school age child is admitted with cancer. The doctor ordered Fentanyl (lollipop) if there is a breakthrough pain. During the teaching on how to use the lollipop, the nurse should state that the client should:

A. Place it in the mouth and suck on it until it dissolves.
B. suck on it for an hour at a time, every 8 hours
C. suck it and swallow once pain is relieved.
D. hold it in the cheek area until the pain is relieved then remove it.

Answer: D

Explanation:
Explanation: A Fentanyl lozenge or lollipop is absorbed through the buccal mucosa. When pain is relieved, it should be removed and kept until needed again. Remember that there's no specific time to suck on the lozenge

NEW QUESTION # 76
The nurse is caring for a 10 year-old with an acute illness. Which of the following indicates that the nurse understands common sibling reactions to hospitalization?

A. Visitation is useful for both
B. Siblings enjoy privacy
C. The one that was cared most at home will adapt better
D. Younger sibling adapts very well

Answer: A

Explanation:
Explanation: Contact with the hospitalized child helps siblings understand the reasons for hospitalization and maintain their relationship.

NEW QUESTION # 77
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