2026 Multisystem CCRN Quiz (45 Questions And Complete Answers)
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The nurse is caring for a child with septicemia. while reviewing the orders, he notes that 2 antibiotics are ordered, on treats gram - organisms and one treats gram + organisms. The cultures have been obtained and the IV has been established, which antibiotic should be given first?
1. the antibiotic that treats gram - organisms
2. the antibiotic that treats gram + organisms
3. they should be given simultaneously
4. it does not matter which one is given first as they both need to be administered
1. the antibiotic that treats gram - organisms
2. the antibiotic that treats gram + organisms
3. they should be given simultaneously
4. it does not matter which one is given first as they both need to be administered
the antibiotic that treats gram - organisms
Whic of the following has th emost negative effect on the prognosis of a drowning patient?
1. a child that was submerged in cool water for 9 minutes
2. a child that received cpr within 8 minutes of drowning
3. a child that was submerged in a pool in the summer for 8 minutes
4. a child who's initial pH was 7.2
1. a child that was submerged in cool water for 9 minutes
2. a child that received cpr within 8 minutes of drowning
3. a child that was submerged in a pool in the summer for 8 minutes
4. a child who's initial pH was 7.2
a child that was submerged in a pool in the summer for 8 minutes
All of the following are potential complications of near drowning except:
1. coagulopathy
2. pulmonary edema
3. HUS.
4. seizures
1. coagulopathy
2. pulmonary edema
3. HUS.
4. seizures
HUS.
The nurse is caring for Cassie, a 3 year old admitted due to drowning. Cassie fell through the ice of the neighborhood pond and required CPR at the scene. Which of the following should be included in Cassie's care?
1. anticipate the ventilatory rate to be slightly lower than expected to allow slightly elevated Co2 levels.
2. anticipate the use of PEEP with the ventilator settings
3. Ensure that o2 delivery is cool and moist
4. avoidance of the use of inotropes.
1. anticipate the ventilatory rate to be slightly lower than expected to allow slightly elevated Co2 levels.
2. anticipate the use of PEEP with the ventilator settings
3. Ensure that o2 delivery is cool and moist
4. avoidance of the use of inotropes.
anticipate the use of PEEP with the ventilator settings
Adult supervision is the most important measure to prevent drowning in children. Of the following which is the most effective preventative measure against back yard drowning?
1. pool alarms
2. retractable pool covers
3. fencing around the pool
4. keeping flotation devices on the arms of children when outside
1. pool alarms
2. retractable pool covers
3. fencing around the pool
4. keeping flotation devices on the arms of children when outside
fencing around the pool
Which of the following is not how the body responds to sympathetic nervous system activation?
1. constiction of blood vessels in kidney
2. dilation of blood vessels in skeletal muscle
3. dilation of coronary arteries.
4. constriction of pupils
1. constiction of blood vessels in kidney
2. dilation of blood vessels in skeletal muscle
3. dilation of coronary arteries.
4. constriction of pupils
constriction of pupils
Which type of shock is most common in the pediatric population?
1. distributive
2. septic
3. hypovolemic
4. anaphylacitic
1. distributive
2. septic
3. hypovolemic
4. anaphylacitic
hypovolemic
which of the following is true of distributive shock?
1. it is a shock where excessive fluid is trapped in the vascular bed
2. b, the pumping function of the heart is abnormal
3. there is a massive constriction of blood vessels
4. inadequate intravascular volume leads to relative hypovolemia
1. it is a shock where excessive fluid is trapped in the vascular bed
2. b, the pumping function of the heart is abnormal
3. there is a massive constriction of blood vessels
4. inadequate intravascular volume leads to relative hypovolemia
inadequate intravascular volume leads to relative hypovolemia
Samantha is a 3 year old who has a 3 day history of vmoiting and diarrhea. All of the following indicate that Samantha is in compensated shock except:
1. narrowed pulse pressure
2. heart rate 135
3. slight skinn mottling
4. irritibility
1. narrowed pulse pressure
2. heart rate 135
3. slight skinn mottling
4. irritibility
irritibility
Which of the following is true of hemolytic uremic syndrome?
1. the anemia is due to the shearing of red blood cells passing through the narrowed blood cells
2. it is a microvascular disease of the kidneys, GI system and endocrine system
3. it typically affects school age children
4. it tends to occur in early spring.
1. the anemia is due to the shearing of red blood cells passing through the narrowed blood cells
2. it is a microvascular disease of the kidneys, GI system and endocrine system
3. it typically affects school age children
4. it tends to occur in early spring.
the anemia is due to the shearing of red blood cells passing through the narrowed blood cells
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