AACN Updated CCRN-Pediatric Exam Questions and Answers by kaiden

In asthma management, patient education andself-management skills, including proper use of an inhaler, are crucial to preventing readmission. School-aged children are often capable of learning and demonstrating proper technique, which should be assessed prior to discharge.

“Before discharge following asthma exacerbation, nurses should assess the child’s ability to self-administer inhaled medications, understand controller vs. rescue medications, and demonstrate correct technique.”

(Referenced from CCRN Pediatric – Direct Care: Pulmonary, Asthma Management and Discharge Planning)

Thearterial switch procedureinvolves reimplantation of thecoronary arteries. The most serious complication iskinking or malposition of the coronaries, leading tomyocardial ischemia, which can be fatal if not corrected promptly.

“Coronary artery compromise is the most critical postoperative complication following arterial switch, presenting with ischemia or infarction. Kinking or torsion during reimplantation is a known risk.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Congenital Heart Surgery Complications)

The described symptoms indicateanticholinergic toxicity, which is classically associated with tricyclic antidepressant (TCA) overdose.Amitriptyline, a TCA, causesanticholinergic symptoms: tachycardia, dilated pupils, dry mucosa, urinary retention, altered mental status, and PVCs on ECG.

“TCA toxicity presents with anticholinergic signs—dry mouth, mydriasis, tachycardia, neurologic changes, and cardiac conduction abnormalities. Amitriptyline overdose is life-threatening and requires immediate supportive care and cardiac monitoring.”

(Referenced from CCRN Pediatric – Direct Care: Neurological Emergencies and Toxicology)

The first step in any evidence-based practice (EBP) or quality improvement (QI) process is toclearly define the clinical problem or question. Before outcomes or interventions are addressed, the council mustdetermine the exact issue to be studied.

“In quality improvement and evidence-based practice, step one is always problem identification. A well-defined problem leads to targeted and effective research.”

(Referenced from CCRN Pediatric – Professional Caring and Ethical Practice: Evidence-Based Practice and QI Models)