Exam (elaborations)
Pediatric CCRN -CCRN EXAM ACTUAL EXAM QUESTIONS EXPERT VERIFIED SOLUTIONS ALREADY GRADED A+
- Course
- Institution
Pediatric CCRN -CCRN EXAM ACTUAL EXAM QUESTIONS EXPERT VERIFIED SOLUTIONS ALREADY GRADED A+
[Show more]
Content preview
Pediatric CCRN -CCRN EXAM 2024-2025ACTUAL EXAM QUESTIONS EXPERT
VERIFIED SOLUTIONS ALREADY GRADED
A+
Name 3 causes of Chronic Heart Failure in Children Correct
Answer 1. Structural Abnormalities
2. Failure of the heart muscle
3. excessive demands on normal heart muscle
List Manifestations of Impaired Myocardial function Correct
Answer 1. tachycardia
2. Sweating
2. Decreased UOP
3. fatigue
4. anorexia
5. decrease interest in activities
6. cardiomegaly
7. pale/cool extremities
8. decreased BP
List manifestations of Right Sided Heart Failure Correct Answer 1.
weight gain
2. edema
3. hepatomegaly
4. ascites
5. distended neck veins
List manifestations of Left Sided Heart Failure Correct Answer 1.
Tachycardia
2. dyspnia
3. Activity intolerance
,4. persistent cough
5. cyanosis
6. wheezing/grunting
7. orthopnea
What are treatment goals for heart failure Correct Answer 1.
remove excess fluid
2. improve cardiac function
3. reduce respiratory distress
4. decrease cardiac demand
What is the difference between Hypoxemia and hypoxia Correct
Answer Hypoxemia is a measurable lab value in which the arterial
oxygen tension is below normal and can be measured by arterial
O2 sats or Pa02, while hypoxia is the decrease in tissue
oxygenation resulting from low saturation levels
Clinical manifestations of hypoxemia Correct Answer -clubbing
-polycythemia
-fatigue w/ feeding
-poor weight gain
-squatting
-dyspnea
-tachypnea
What are measures to manage Hypoxemia? Correct Answer -O2
-prevent dehydration and monitor fluid status
-daily weights
-assess resp. status closely
-prevent infection
List the 4 main manifestations of Shock Correct Answer 1.
circulatory failure
2. Metabolic acidosis
3. hypotension
,4. hypoxemia
Describe the picture of Compensated Shock Correct Answer 1.
Shunting occurs due to sympathetic activation
2. BP is normal initially
3. cool clammy skin/poor perfusion to periphery
4. decreased bowel sounds
5. decreased urine output
6. lactic acid build-up
Describe the picture of Uncompensated Shock Correct Answer 1.
Body is unable to compensate and supply blood to
microvasculature
2. hypotension
3. tacypnea
4. tachycardia
5. mental status change
6. increased BUN and Creatinine
7. Liver enzymes increase
8. DIC
Define Cardiogenic shock Correct Answer A decrease in cardiac
output and in increase in systemic vascular resistance caused by
in increase in afterload and an decrease in contractility
What is the most common cause of cardiogenic shock in
pediatrics? Correct Answer Chronic Heart Failure
What is the most common type of shock in pediatric populations
Correct Answer hypovolemic shock
What is the main difference between cardiogenic shock and
hypovolemic shock? Correct Answer There is no change in
contractility with hypovolemic shock like there is with cardiogenic
shock and hypovolemic shock also has a decrease in preload
, What percent of intravascular body is lost with hypovolemic
shock? Correct Answer 15-25%
Give two causes of obstructuve shock Correct Answer tension
pneumo or pulmonary emboli
Define obstructive shock Correct Answer Severe obstructive to
filling or outflow of ventricles
Describe Distributive Shock Correct Answer decrease in SVR or
blood shunting past capillary beds
Name the main mediators in Anaphylactic shock Correct Answer
IgE
histamine
seratonin
bradykinin
PGE
Define Neurogenic Shoick Correct Answer Vascular muscle tone
controlled by sympathetic vasomotor system is lost, and extreme
vasodilation occurs
Most common cause of sudden cardiac death in young healthy
athletes Correct Answer hypertrophic cardiomyopathy
Describe Hypertrophic Cardiomyopathy Correct Answer
Thickening of the LV and mostly septum without dilation. Mitral
valve regurg. occurs and atypical filling pressure and LV outflow
tract obstruction
What is the most common sign of Hypertrophic Cardiomyopathy?
Correct Answer Syncope due to arrhythmias
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller wachiraMaureen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now