Cardiac
Respiratory
Renal/Endocrine
Neuro
Multisystem CCRN
100

This medication is given to maintain a ductal patency in ductus-dependent lesions

What is Prostaglandin E1 (PGE)

100
This condition presents with a barking cough, inspiratory stridor, and a steeple sign on X-ray.
What is Croup
100
This is the best clinical indicator of renal perfusion in children

What is urine output

100

An increase in blood pressure with a decrease in heart rate and irregular respirations describes this triad

What is Cushing's Triad

100

Cardiac tamponade is considered to be which of the following types of shock?

What is Obstructive Shock?

200

What is your priority intervention for your patient who is experiencing a tet spell

What is place the child in knee-to-chest position

200

Your ABG reads as the following:

pH 7.15, CO2 70, HCO3 25, PaO2 70

what ventilator changes do you anticipate being made?

What is increase PEEP or increase respiratory rate

200

Chvostek's and Trousseau's signs are seen with this electrolyte imbalance

What is hypocalcemia 

200
True or False: changes in a patient's heart rate should be considered a late sign of increased ICP
What is True
200

Low platelet count, prolonged PT/PTT, and bleeding from IV sites suggest this critical disorder

What is Disseminated Intravascular Coagulation (DIC)

300

A child is placed on milrinone. The nurse knows that milrinone has what kind of effect regarding contraction of the heart?

What is Milrinone increases contraction of the heart

300

Interpret this ABG:

pH 7.49, PaCO2 26, HCO3 23, PaO2 100

What is respiratory alkalosis

300

A patient with this syndrome will present with hemolytic anemia, thrombocytopenia, and renal failure. 

What is Hemolytic Uremic Syndrome (HUS)
300

This autoimmune condition causes demyelination of peripheral nerves and can lead to ascending paralysis

What is Guillain-Barre syndrome

300

SIRS is defined by abnormal temperature, WBC count, and at least one of these two vital sign changes

What is tachycardia or tachypnea 

400

This is known as the leading cause of acquired heart disease in children. 

What is Kawasaki disease

400

This type of gas decreases intrapulmonary shunting and improves VQ matching. 

What is Inhaled Nitric Oxide (iNO)

400

This is the likely diagnosis with the following lab results: serum osmolality 331mosm/L, serum sodium 158mEq/L, urine osmolality 262mosm/L

What is Diabetes Insipidus
400

A child with hypotonia, absent reflexes, and tongue fasciculations likely has this neuromuscular disorder

What is Spinal Muscular Atrophy (SMA)
400
True or False: a patient with rhabdomyolysis would develop a metabolic alkalosis

What is False

500

Muffled heart sounds, decreased chest tube output, and rising CVP after cardiac surgery indicate this emergency.

What is Cardiac Tamponade

500

Your patient with asthma who was previously wheezing suddenly stops wheezing and continues to show signs of respiratory distress. Your assessment findings indicate that this is a sign of what?

What is impending respiratory failure/imminent danger of respiratory collapse

500

True or False: extreme muscle weakness is seen in patients with hyperphosphatemia and hypocalcemia

What is False

500

When caring for a toddler with meningitis, the nurse notes that there is resistance when the child's lower legs are extended. She also cries when her legs are raised to change her diaper. What is this known as?

What is Kernig's sign

500

Name that type of shock: a 7yo with gastroenteritis presents with tachycardia, cool extremities, normal BP, and a lactate of 3.0.

What is Hypovolemic Shock

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