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AACN Critical Care Nursing Exam Sample Questions (Q53-Q58):

NEW QUESTION # 53
What would cause the closure of the Foramen ovale after the baby had been delivered?

A. Decreased blood flow
B. Increased in oxygen saturation
C. Shifting of pressures from right side to the left side of the heart
D. Increased PO2

Answer: C

Explanation:
Explanation: During feto-placental circulation, the pressure in the heart is much higher in the right side, but once breathing/crying is established, the pressure will shift from the R to the L side, and will facilitate the closure of Foramen Ovale.

NEW QUESTION # 54
An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?

A. Maintaining a consistent, structured environment
B. Encouraging the infant to hold a bottle
C. Keeping the infant on bed rest to prevent energy loss
D. Rotating caregivers to provide more stimulation

Answer: A

Explanation:
Explanation: A nurse caring for an infant with nonorganic failure to thrive should maintain a consistent, structured environment that provides interaction with the infant to promote growth and development.
Encouraging the infant to hold a bottle would reinforce an uncaring feeding environment. The infant should receive social stimulation rather than be confined to bed rest. The number of caregivers should be minimized to promote consistency of care.

NEW QUESTION # 55
At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out "who they are," and discussion often focuses on which directions they want to take in school and life, as well as in the peer relationships. According to Erikson, this stage is known as:

A. relationship testing
B. identity vs. role confusion.
C. adolescent rebellion.
D. autonomy

Answer: B

Explanation:
Explanation: During this period, which lasts up to the age of 18-21 years, the individual develops a sense of "self." Peers have a major big influence over behavior, and the major decision is to determine a vocational goal.

NEW QUESTION # 56
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following:

A. Hypospadias
B. Phimosis
C. Epispadias
D. Hydrocele

Answer: A

Explanation:
Explanation: Hypospadias is a condition in which the urethral opening is located below the glans penis or anywhere along the ventral surface of the penile shaft. Epispadias, the urethral meatus is located at the dorsal surface of the penile shaft.

NEW QUESTION # 57
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. impaired mobility
B. ineffective health maintenance
C. risk for infection
D. activity intolerance

Answer: D

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 # 58
......

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