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AACN Critical Care Nursing Exam Sample Questions (Q124-Q129):

NEW QUESTION # 124
Barbie is suspected with developmental dysplasia of the hip. During an assessment, the nurse expects that:

A. there is inability to adduct the affected leg.
B. there is inability to palpate movement of the femoral head.
C. there is shortening of one leg.
D. there is a narrowing of the perineum

Answer: C

Explanation:
Explanation: A developmental dysplasia of the hip would reveal that the affected leg appears shorter due to the femoral head being displaced upward.

NEW QUESTION # 125
Which of the following would require careful monitoring in the child with ADHD who is receiving Methylphenidate (Ritalin):

A. Height and weight
B. Excessive appetite
C. Dental health
D. Mouth dryness

Answer: A

Explanation:
Explanation: Ritalin can affect the child's Growth and development. Dental problems are more likely to occur in children under going TCA therapy. Mouth dryness is an expected side effect of Ritalin since it activates the SNS. Also loss of appetite is more likely to happen, not increase in appetite.

NEW QUESTION # 126
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:

A. Draft a new policy regarding visitation practices for the unit
B. Schedule an interdisciplinary team meeting to discuss visiting hours
C. Consult with medical staff to change visiting hours
D. Begin a literature search on family visitation practices

Answer: D

Explanation:
Before initiating policy changes, the nurse must conduct anevidence-based literature reviewto assess the benefits and risks associated with altering visitation policies. This aligns with professional nursing standards that promoteevidence-informed practiceandfamily-centered care.
"In professional practice, initiating a literature review is the first step in evidence-based change. This supports the rationale for modifying clinical practices and promotes interdisciplinary consensus." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Evidence-Based Practice and Family-Centered Care)

NEW QUESTION # 127
A nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which symptom of this disorder documented:

A. ribbon-like stools
B. watery diarrhea
C. profuse projectile vomiting
D. bright red blood and mucus in the stools

Answer: D

Explanation:
Explanation: The child with intussusception typically has severe abdominal pain that is crampy and intermittent, causing the child to draw in the knees to the chest. Vomiting may be present but is not projectile. Bright red blood and mucus are passed through the rectum and commonly are described as currant jelly-like stools. Watery diarrhea and ribbon-like stools are not manifestations of this disorder.

NEW QUESTION # 128
Angela, a school age girl, was bitten by a rabid dog. She is scheduled to receive antirabies vaccine/inoculations. The nurse is aware that rabies is a:

A. a viral infection characterized by Opisthotonus
B. bacterial infection that causes encephalopathy
C. viral infection characterized by difficulty in swallowing and seizure
D. a bacterial infection characterized by Opisthotonus

Answer: C

Explanation:
Explanation: These are characteristics of rabies infection that affects the nervous system. It is not a bacterial infection

NEW QUESTION # 129
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