CCRN PEDS AACN 2024 POSSIBLE QUESTIONS AND ANSWERS (100% Verified), Exams of Pediatrics

Download CCRN PEDS AACN 2024 POSSIBLE QUESTIONS AND ANSWERS (100% Verified) and more Exams Pediatrics in PDF only on Docsity! CCRN PEDS AACN 2024 POSSIBLE QUESTIONS AND ANSWERS (100% Verified) 1. In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the following as a primary treatment measure? A. Administration of protamine sulfate B. Administration of glucose C. Transfusion of packed RBCs D. Replacement of fluid and electrolytes D. Replacement of fluid and electrolytes 2.An adolescent with the developmental age of a 4-year-old requires placement of a chest tube. The best way to prepare the patient for this procedure is to A. Use short simple sentences and limit descriptions to concrete explanations. B. Show the patient a chest tube and explain how it will feel. C. Explain in detail why a chest tube is needed and how it works. D. Tell the parents what will be done so they can explain it to their child. Use short simple sentences and limit descriptions to concrete explanations. 3.A child admitted with a gunshot wound to the head, accidentally inflicted by an older sibling. The parents are overcome with grief and appear to be ignoring the following statements made by the older sibling: "It was an accident; I didn't mean to do it; I'm sorry!" Which of the following actions by the nurse would be most appropriate? A. Discuss the importance of gun safety with the older sibling while the parents are at the bedside. B. Seek additional support for the parents for ways they can assist the older sibling C. Tell the parents that they need to provide support for the older sibling D. Tell the older sibling, "Accidents happen; I know you didn't mean to do it." Seek additional support for the parents for ways they can assist the older sibling 4. Which of the following laboratory findings is indicative of the syndrome of inappropriate ADH secretion (SIADH)? A. Serum sodium = 148 mEq/L B. Decreased serum osmolality C. Blood urea nitrogen (BUN) = 28 mg/dl D. Serum potassium = 5.1 mEq/L Decreased serum osmolality 5.A 3-year-old is admitted to the ICU with a 10-hour history of an acute- onset asthma attack. Initial assessment reveals the following HR 160 pH 7.25 RR 48 pCO2 35 abnormal urine odor 2. Cardiac defects associated with increased pulmonary blood flow place the patient at greatest risk for A. heart failure. B. systemic air emboli. C. hypoxemia. D. syncop e. heart failure 3. Which ventilator parameters would be weaned first in a patient with bronchopulmonary dysplasia (BPD)? A. VT and FiO2 B. peak inspiratory pressure and IMV C. FiO2 and IMV D. FiO2 and peak inspiratory pressure FiO2 and peak inspiratory pressure 4.Amrinone lactate (Inocor) produces which of the following effects? A. vasodilation B. phospholipid inhibition C. decreased myocardial contractility D. antagonism to other catecholamines vasodilation 5. Which of the following procedures would be most valuable in aiding management of a child requiring PEEP of 14 cm of water? A. ECMO therapy B. placement of a thoracostomy tube C. placement of a pulmonary artery catheter D. high-frequency ventilation high- frequency ventilation 6.A 15-year-old patient underwent a classic Fontan repair of tricuspid atresia 12 hours ago. The patient is cool, diaphoretic, restless, mottled peripherally, with no pedal pulses and faint femoral pulses. Vital signs are: HR 140 MAP 60 mm Hg CVP 20 mm Hg Cardiac Index 2.1 L/min/m2 SVR 2000 dynes/sec/cm-5 The nurse should suspect A. a pulmonary embolus. B. cardiac tamponade. C. cardiogenic shock. D. hypovolemic shock. cardiogenic shock. 7.The nurse is providing patient education for a family whose child has cerebral palsy and will be receiving a Baclofen (Lioresal) pump to control spasticity. Which of the following is most important for the nurse to include in the discussion? A. The drug acts to inhibit the neurotransmitter gamma-amniobutyric acid (GABA). B. Parents can be taught to regulate the dosage based on symptoms. C. The child will have a normal gait after insertion of the pump. D. Parents must bring the child back to the clinic to have the medicine added to the pump. Parents must bring the child back to the clinic to have the medicine added to the pump. 8.A nurse is interested in including other disciplines in the educational process of developmental care in the NICU. The best way to convince administration that this venture is financially worthwhile is to A. present a report summarizing research relating developmental care to decreased length of stay. B. request that the neonatologist present the plan. C. present case studies demonstrating favorable outcomes to developmental care. D. invite members of administration to attend the classes. present a report summarizing research relating developmental care to decreased length of stay. 9. PEEP is intended to do which of the following? A. increase functional residual capacity B. decrease functional residual capacity C. increase venous return to the heart D. increase cardiac output increase functional residual capacity An 8-month-old with bronchopulmonary dysplasia (BPD) is admitted with heart failure. Nursing interventions should be done to A. decrease preload. B. increase afterload. C. decrease heart rate. D. increase contractility. decrease preload 11. A 2-month-old with a history of unrepaired Tetralogy of Fallot begins to cry while intravenous access is attempted. Cyanosis, diaphoresis and tachypnea are noted. Nursing interventions are aimed at A. Increasing pulmonary flow and relaxing the infundibulum. B. Decreasing systemic flow and increasing pulmonary C. 50% dextrose IV. D. regular insulin SQ. 50% dextrose IV. The initial therapy for children at risk for pulmonary embolus related to venous thromboembolism from a central venous line (CVL) is A. placement of an inferior vena cava filter. B. administration of anticoagulants. C. immediate removal of the CVL. D. thrombectomy by a surgeon. administration of anticoagulants In an infant with bronchopulmonary dysplasia (BPD), factors that impair the release of oxygen by negatively affecting oxyhemoglobin dissociation include A. hyperthermia. B. metabolic acidosis C. respiratory acidosis D. hypotherm ia hypothermia When inhaled nitric oxide (iNO) is administered to infants with congenital heart disease complicated by pulmonary artery hypertension, the desired result is A. smooth muscle relaxation. B. pulmonary vasoconstriction. C. pulmonary vasodilation. D. systemic vasodilation. pulmonary vasodilation 19.A patient with hypovolemic shock is receiving fluid resuscitation. Dopamine (Intropin) is started at 3 mcg/kg/min for A. hypotension. B. decreased cardiac contractility. C. decreased heart rate. D. renal perfusion. renal perfusion 20.A patient admitted following an acute asthma attack has been given multiple albuterol (Proventil) inhalation treatments. The following measurements are obtained: BP 130/78 HR 160 RR 48 FiO2 60% (by non-rebreather mask) O2 Sat 88% Physical findings could include which of the following? worry." B. "Would teaching you CPR help ease your anxieties?" C. "Do you know how to access the EMS system?" D. "I will have your son's cardiologist talk to you." "Would teaching you CPR help ease your anxieties?" A child is admitted after sustaining a head injury. The most important aspect of the nurse's continuing neurological assessment is A. level of consciousness. B. papillary response. C. motor response. D. assessment of the cranial nerves. level of consciousness A survey reveals that all of a hospital's nurses feel that the routine 4 a.m. chest x-rays cause an interruption in children's sleep patterns. The best strategy for addressing this issue would be to A. Assemble a work group to discuss the current hospital policy. B. Reschedule all non-emergent 4 a.m. chest x-rays during daytime hours. C. Request an in-service for the radiology department on the effects of sleep deprivation in children. D. Send the results of the survey to the hospital administrator. Assemble a work group to discuss the current hospital policy The chest x-ray of a patient with status asthmaticus will reveal A. hyperinflation. B. foreign-body aspiration. C. perihilar infiltrations. D. an elevated diaphragm hyperinflation Which of the following rhythms is expected one day post cardiac catheterization for repair of an arterial septal defect (ASD)? A. premature atrial contraction B. junctional ectopic tachycardia C. sinus bradycardia D. sinus tachycardia premature atrial contraction A patient who does not speak or understand English is admitted. Guidelines for using a translator may include A. having the translator ask questions that you don't feel comfortable asking. B. standing next to the translator and as close to the patient as possible. C. providing all of the information, then allowing for translation and asking of questions. D. allowing time for the translator to decode the medical jargon used in the teaching. standing next to the translator and as close to the patient as possible An infant post cardiac surgery is displaying signs of hypovolemia. The nurse suspects there is an increased insensible fluid loss due to A. decreased activity. B. hypothermia. C. the radiant warmer. D. sedation. the radiant warmer The primary objective in the treatment of an infant with persistent pulmonary hypertension is to A. maintain the pH level at less than 7.40. B. dilate the pulmonary vascular bed. C. dilate the systemic vascular bed. D. constrict the pulmonary vascular bed. dilate the pulmonary vascular bed 31. A 26-week-gestation infant with multiple congenital abnormalities dies shortly after admission to the NICU. The parents saw the infant briefly in the delivery room, but decline to come to the NICU. The nurse should first A. Take the infant to the parents. B. Refer the parents to a genetic counselor. C. Prepare a memory box for the parents. D. Take an instant photo of the infant to the parents. Take an instant photo of the infant to the parents. For an acetaminophen level of 140 mcg/mL, the treatment choice is A. activated charcoal. B. N-acetylcysteine (Acetadote). C. deferoxamine (Desferal). D. pralidoxime chloride (Protopam). N-acetylcysteine (Acetadote). 33.Which of the following actions would be appropriate after the administration of desmopressin (DDAVP) to a patient with diabetes insipidus? A. Decreasing IV fluid rate B. Maintaining current fluid rate C. Increasing sodium intake D. Decreasing glucose intake Decreasing IV fluid rate A. Home nursing care for the first few days following discharge B. A social worker to meet with the family and assess the adequacy of the home environment C. An outreach educator to determine the learning needs of the family D.A multidisciplinary care conference prior to discharge A multidisciplinary care conference prior to discharge 40.A 10-year old patient is intubated due to a sudden deterioration in respiratory status. ABGs post intubation are as follows: pH 7.31 pCO2 50 pO2 80 HCO3 22 O2 Sat 95% The blood gases reflect A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic alkalosis D. Metabolic acidosis Respiratory acidosis 41.A 4-year-old has been admitted following repair of coarctation of the aorta. The child's vital signs are: HR 80 BP 150/80 RR 20 CVP 10 The arterial blood gas results are: pH 7.32 pCO2 42 pO2 96 HCO3 23 The child is comfortable and resting quietly. The most likely cause of the hypertension is A. Expected physiologic response to an aortic incision B. Excessive volume expansion during the surgical period C. Diminished baroreflex sensitivity to changes in arterial pressure D. Inadequate pain control following a thoracotomy Diminished baroreflex sensitivity to changes in arterial pressure 42.A 10-year-old is admitted for colitis. Eight hours after admission the patient develops respiratory distress, abdominal distension and capillary refill time greater than 4 seconds. The nurse should suspect A. Aspiration pneumonia B. Malabsorption syndrome C. Adhesions D. Bowel perforation Bowel perforation 43.A hospital's current policy states that medication drips should be changed within 24 hours after surgery. Nurses note that many postoperative cardiac patients develop A. Serum calcium level and QRS duration B. Serum potassium level and PR interval C. Serum calcium level and QT interval D. Serum potassium level and ST segment Serum potassium level and PR interval 54.Medications used in the medical management of a closure of a PDA include A. Prostaglandin (PGE1) B. Digoxin (Lanoxin) C. Indomethacin (Indocin) D. Lasix (Furosemide) Indomethacin (Indocin) 55.A patient with receptive aphasia and dementia is to be enrolled in a clinical trial. How should the nurse proceed to ensure informed consent is ethically obtained? A. Involve the patient's legal guardian in the consent process B. Ensure that the investigator is aware of the patient's condition C. Inform the institutional review board (IRB) of the potential risk to the patient D. Obtain a copy of the consent form to place in the patient's chart Involve the patient's legal guardian in the consent process 56.A 5-year-old with a history of congenital hydrocephalus and VP shunt placement at 4 weeks of age is admitted. Over the last two days the child has been sleeping more, appetite has decreased and complains of a headache. This morning the child vomited twice. The nurse should anticipate A. The physician ordering lumbar puncture and blood and urine cultures B. The patient getting a CT scan followed by possible shunt revision C. Administering mannitol or hypertonic saline D.Administering a loading dose of phenytoin (Dilantin) The patient getting a CT scan followed by possible shunt revision 57.A 2-month-old is admitted to the PICU status post surgical repair of a malrotation. Twenty-four hours later the patient has absent bowel sounds and increased drainage from the nasogastric tube. The most likely cause is A. Intestinal ileus B. Recurrent malrotation C. Postoperative infection D. Small bowel obstruction Intestinal ileus 58.Signs and symptoms that indicate occlusion of the blalock-Taussig shunt are decreased oxygen saturation, as well as A. Decreased capillary refill and respiratory alkalosis B. Decreased capillary refill and metabolic alkalosis C. Increased cyanosis and respiratory acidosis D. Decreased cyanosis and metabolic acidosis Increased cyanosis and respiratory acidosis D. Initiate new activities to keep occupied Adhere to a home schedule 69.A long-term complication for a child with bronchopulmonary dysplasia (BPD) is A. Cor-pulmonale B. Barotraumas C. Cystic fibrosis D. Cardiomyopat hy Cor- pulmonale 70.Which one of the following cerebrospinal fluid results is indicative of bacterial neningitis? A. WBCs 200/mm3 B. RBCs 3/mm3 C. Protein 120 mg/dL D. Glucose 90 mg/dL Protein 120 mg/dL 71.A patient transferring out of the ICU says, "Why can't I just stay a few days longer? I don't feel strong enough." Which of the following is the most appropriate response? A. "There's a very sick patient who needs the bed." B. "You sound concerned about leaving the ICU." C. "Most people do just fine after transfer." D. "Your insurance limits the time you can stay in the ICU." "You sound concerned about leaving the ICU." 72.A 9-month-old born at 26-weeks has grunting, tachypnea and cool extremities. The following ABG findings are obtained on room air: pH 7.07 PO2 50 PCO2 80 HCO3 7 These blood gas results indicate A. Uncompensated respiratory acidosis B. Compensated metabolic acidosis C. Alveolar hypoventilation D.Alveolar hyperventilation Alveolar hypoventilation 73.Which of the following conditions occurs at the renal tubular cell to initiate acute tubular necrosis? A. Azotemia B. Hyperphosphatemia C. Ischemia D. Hyperkalem ia Ischemia 74.A 2-year-old is admitted with a diagnosis of hemolytic uremic syndrome. The child presents with petechial rash, bloody stools and oliguria. In addition to an increased BUN and creatinine, expected laboratory values should be Hgb HCT Platelets K+ C. Demonstrating catheterization technique D. Eliminating parental visitation Involving social services 80.In patients with dilated cardiomyopathy, which of the following intracardiac pressure changes would be seen? Left Atrial Pressure Right Atrial Pressure A. Increased Increased B. Decreased Decreased C. Decreased Increased D. Increased Decreased Increased Increased 81.A patient with a closed-head injury has developed SIADH. Which of the following laboratory results would this patient exhibit? Serum Na+ Serum Osmolality A. 122 262 B. 134 280 C. 144 282 D. 158 295 122 262 82.An infant with respiratory distress syndrome (RDS) requiring mechanical ventilation (PIP=34 cm water, PEEP=10 cm water) suddenly desaturates and becomes bradycardic. The most likely explanation is which of the following? A. Pneumomediastinum B. Hemothorax C. Pleural effusions D. Pneumothor ax Pneumothorax 83.The ECG of a child requiring VVI pacing demonstrates pacer spikes and ventricular depolarization. The patient's intrinsic rate is greater than the demand rate set on the pulse generator. This discrepancy is due to A. Understanding B. Loss of capture C. Excessive capture D. Oversensin g Understandin g 84.A child being treated for diabetic ketoacidosis (DKA) becomes lethargic, is difficult to arouse and has vomited twice in the past hour. These occurrences could be interpreted as indications of A. Exhaustion due to lack of sleep B. The development of hypoglycemia C. Decreased intestinal motility D. Increased ICP Increased ICP 85.When planning care for an infant who presents in status epilepticus, it is important for the nurse to understand that A. Most seizures are a symptom of a problem, not a disease entity B. A focal seizure cannot progress to a generalized tonic-clonic seizure. C. Child abuse should be considered a causative factor of seizures only if no obvious signs of trauma are noted D. Prolonged seizures do not result in brain damage Most seizures are a symptom of a problem, not a disease entity 86.A patient's family expresses anxiety regarding the meaning of numbers on the patient's monitor and asks the nurse for clarification. The nurse's most appropriate response should be A. "The numbers indicate when the patient is having problems." B. "The numbers help us determine the best treatment." C. "Which numbers on the monitor concern you?" D. "What don't you understand about the monitor?" "Which numbers on the monitor concern you?" 87.A child presents with fever, tachycardia, BP 60/42, weak pulses, warm and flushed skin. The first intervention should be A. 20 mL/kg normal saline fluid bolus B. Epinephrine infusion at 0.05 mcg/kg/min C. Oxygen via endotracheal tube D. Dopamine (Inotrope) infusion at 3 mcg/kg/min 20 mL/kg normal saline fluid bolus 88.A neutropenic patient is admitted showing signs of respiratory infection. Blood and sputum cultures are obtained. The nurse should anticipated A. Beginning antibiotics immediately B. Immediate placement in strict isolation C. No intervention until the causative organism is identified D. Transbronchial biopsy Beginning antibiotics immediately 89.A child weighing 15 kg is admitted with chronic renal failure. Which of the following assessment findings should be reported immediately? A. Urine output of 2-5 mL/hr B. Elevated BUN, elevated creatinine C. Hyperalbuminemia D. Headache, nausea and A. Leukemic relapse B. Viral infection C. Bacterial infection D. Normal count Bacterial infection 93.The pathophysiology of asthma can best be explained by A. Airway narrowing and T-lymphocyte activation B. Mast cell migration, V/Q mismatch and mucosal drying C. Bronchospasm, mucosal edema and tenacious secretions D. Cilliary paralysis and prolonged inspiratory phase Bronchospasm, mucosal edema and tenacious secretions 94.To verify a diagnosis of DIC, a significant laboratory findings is an elevation in A. Fibrin split products B. Prothrombin C. Fibrinogen D. Platelets Fibrin split products 95.Children with acute renal failure run the risk of developing acute uremic encephalopathy. The first sign of cerebral dysfunction is often A. Confusion B. Tetany C. Asterixis D. Hemipares is Confusion 96.In a patient with herpes simplex encephalitis, anticipated findings would include normal serum glucose and which of the following CSF values? Protein Glucose A. 70 mg/dL 60 mg/dL B. 70 mg/dL 240 mg/dL C. 150 mg/dL 120 mg/dL D. 150 mg/dL 180 mg/dL 70 mg/dL 60 mg/dL 97.Initially unconscious, post motor vehicle crash, a child is admitted awake and responsive. The child develops a severe localized headache and shows signs of rapid deterioration. The most likely cause would be A. Acute subdural hematoma B. Epidural hematoma C. Subacute subdural hematoma D. Cerebral contusion Epidural hematoma C. Compartment syndrome D. Fat embolism syndrome Acute systemic inflammatory response syndrome (SIRS). 103.While performing an exchange transfusion for a sickle cell patient, which of the following electrolyte abnormalities should the nurse anticipate? A. Hypocalcemia B. Hypercalcemia C. Hypoglycemia D. Hyperglycem ia Hypocalcemia 104. The nurse is caring for a 14-year-old patient who is day one status post resection of a brain tumor. The nurse would report the following assessment finding immediately: A. CPP 40 B. SBP 120-130 C. ETCO2 35 D. MAP 65 CPP 40 105. An infant is admitted after unsuccessful reduction of an intussception. Further assessment reveals abdominal distention, fever and hypoactive bowel sounds. The nurse should immediately notify the surgeon if the patient has A. Abdominal erythema B. Hypertension C. Tachycardia D. White stools Tachycardia 106. A 6-year-old is admitted with a temporal lobe skull fracture. Which type of bleed is suspected? A. Chronic subdural hematoma B. Subarachnoid hematoma C. Acute subdural hematoma D.Acute epidural hematoma Acute epidural hematoma 107. A child is admitted with a tricyclic antidepressant overdose. The most common arrhythmias seen are A. Atrial B. Sinus C. Heart blocks D. Ventricul ar Ventricular 108. A 4-year-old with sickle cell disease is admitted with confusion, aphasia and complaints of "head hurting." An order for IVF and one unit of PRBCs is to be administered prior to MRI with contrast. The nurse explains to the mother that this is done because can A. Cause cerebral hemorrhage B. Increase sickling of hemoglobin C. Cause severe allergic reaction D. Decrease circulation to the brain Increase sickling of hemoglobin 109.Which one of the following is the first action to take in the case of a patient with a suspected tension pneumothorax? A. Administer a NaCl fluid bolus B. Assist with intubation C. Call for a chest radiograph D. Prepare for a needle thoracostomy Prepare for a needle thoracostomy 110. A 3-year-old is admitted after being found in the family swimming pool. The family does not know how long he was in the pool before they found him. He is intubated on mechanical ventilation with no spontaneous respirations and does not respond to painful stimuli. The most likely reason for this is A. Temporary depletion of ATP B. Reversible failure of the sodium potassium C. Concurrent head injury when he fell into the pool D. Sever cerebral injury with neuronal death due to hypoxemia Sever cerebral injury with neuronal death due to hypoxemia 111. A 1-month-old is admitted with failure to thrive. The mother states that the baby has been taking Similac with iron, 4 ounces about every four hours. Bright red blood is noted in the stool. The nurse should suspect A. Parental neglect B. Vitamin K deficiency C. Milk protein allergy D. Gastritis Milk protein allergy 112. A child has the following physical findings: decrease in tissue perfusion, lethargy, acidosis and oliguria. The patient's hemodynamic status remains unstable after three fluid boluses. The next intervention should be A. Use of inotropic agents to increase myocardial contractility B. Administration of diuretics for vascular congestion C. Use of vasodilators to decrease afterload D.Administration of NaHCO3 Use of inotropic agents to increase myocardial contractility 113. A 9.6 kg toddler is admitted after vomiting 250 mL of frank blood in 118.Which of the following clinical manifestations is an indication of the need for an artificial airway in a 2-year-old with laryngotracheo- bronchitis? A. Respiratory alkalosis B. Increased production of mucus C. Metabolic acidosis D. Persistent agitation/lethargy Persistent agitation/lethargy 119.Medical management of Phenobarbital (Luminal) overdose includes A. Forced dieresis B. Fluid restriction C. Nitroprusside (Nitropress) infusion D. Naloxone (Narcan) administration Forced dieresis 120. An adolescent with a history of admissions for chronic status asthmaticus is being prepared for discharge. The nurse determines that the patient has not been compliant with medications because doing so "makes him feel too different" from his peers. The nurse should A. Arrange for the patient's school nurse to monitor compliance B. Provide the patient with articles on the relationship of hospitalization and medication compliance C. Refer the patient to a support group for adolescents with asthma D.Advise the parents to withhold privileges if the patient remains non-compliant Refer the patient to a support group for adolescents with asthma 121. A 5-year-old with a new diagnosis of status asthmaticus is admitted. Initial assessment reveals severe wheezing and use of accessory muscles. Initial management of this patient should be A. Administration of inhaled corticosteroid B. Administration of nebulized albuterol C. Intubation and mechanical ventilation D. Observation and administration of oxygen to keep O2 concentration at 90% Administration of nebulized albuterol 122. To determine whether a child is hypocalcemic, it is important to obtain not only a total Ca++ serum level, but also an ionized Ca++ serum level, because ionized Ca++ is A. Approximately 80% of the total plasma calcium B. The biologically active form of calcium C. Not filtered into the glomerular filtrate D. Deposited in bone The biologically active form of calcium 123. A 22-month-old is admitted with meningococcemia. Which of the following is associated with this diagnosis? A. Purpura fulminans B. Gram-positive bacteria C. Hypertension D. CBC count 20,000 mm3 Purpura fulminans 124. A 7-year-old is admitted following a bike versus motor vehicle crash. The patient complains of LUQ abdominal pain. The child has positive Kehr's sign and ecchymosis in the left upper quadrant. Amylase is 60 units/L, AST is 22 units/L, and PT is 12 seconds. Injury to which of the following organs is suspected? A. Spleen B. Liver C. Pancreas D. Kidne y Spleen 125. The most important objective in caring for the patient with epiglottitis is to A. Keep the child quiet and comfortable B. Administer racemic epinephrine C. Place the child in a supine position D.Administer antibiotics Keep the child quiet and comfortable 126. A 5-year-old with a history of frequent urinary tract infections is admitted with influenza type A sepsis. On admission blood pressure was 70/30 and capillary refill was greater than 4 seconds with weak central pulses. On day two the patient develops oliguria. BUN is 54 and creatinine is 2.1. Which type of renal failure is this patient experiencing? A. Intrarenal B. Pre-renal C. Post-renal D. Chronic renal Pre- renal 127. A patient is admitted to the PICU with nausea, vomiting and diarrhea. The nurse would call the physician immediately with which of the following venous lab results? K+ Na+ Cl- A. 5.4 132 100 B. 6.5 125 95 C. 3.0 160 90 D. 3.5 145 92 6.5 125 95 128. A 6-month-old cries with diaper changes and does not interact with the mother or staff. The infant appears thin for height and has bruises on the lower arms. X-ray reveals a tibial fracture. The nurse suspects maltreatment. The most important portion of the workup and documentation would be the A. CT scan B. History given by the mother