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AACN Critical Care Nursing Exam Sample Questions (Q11-Q16):
NEW QUESTION # 11
The family member of a patient who is receiving mechanical ventilation is to be taught suctioning.
When developing a teaching plan, the nurse should first:
Answer: B
Explanation:
Assessment of learner needsis the foundational step in developing a teaching plan. Understanding what the caregiver knows or is anxious about allows for a tailored, effective education approach.
"Before implementing education, the nurse should assess the family member's baseline knowledge and learning needs to guide teaching and ensure competence in complex care procedures." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Teaching and Learning)
NEW QUESTION # 12
A 5year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour.
Which sign or symptom suggests excessive I.V. fluid intake:
Answer: D
Explanation:
Explanation: Dyspnea and other signs of respiratory distress signify fluid volume excess (overload), which can occur quickly in a child as fluid shifts rapidly between the intracellular and extracellular compartments. Gastric distention may suggest excessive oral fluid intake or infection. Nausea and vomiting or an elevated temperature may indicate a fluid volume deficit.
NEW QUESTION # 13
What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?
Answer: B
Explanation:
Education must beindividualizedbased on theparent's learning style and comprehension.Combining demonstration, return demonstration, written materials, and verbal teaching-as preferred by the family-ensures the greatestretention and competence.Ongoing evaluationof skills is essential before discharge.
"Use of preferred teaching methods, with return demonstration and skill validation, ensures family readiness for complex care like tracheostomy management." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Teaching and Discharge Readiness)
NEW QUESTION # 14
A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:
Answer: C
Explanation:
Family-centered care involvesbalancing patient needs, safety, and visitation flexibility. If past behaviors have been disruptive, the best approach is toallow the visit conditionally, whilesetting clear behavioral expectations. This respects family involvement while maintaining therapeutic boundaries.
"In situations of previously disruptive visitors, staff may limit visitation based on behavior. Visitors may be permitted under behavioral agreements to promote a safe environment." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Care and Behavioral Limits)
NEW QUESTION # 15
A father of a 16 year old who has sickle cell anemia tells a nurse that his family is scheduled to go camping this summer. He asks what activity would be appropriate for his child. The nurse would suggest:
Answer: B
Explanation:
Explanation: The activity doesn't require high amount of oxygen. The goal is to prevent sickling, therefore activities which may lead to increased cellular metabolism and increased tissue hypoxia should be avoided.
NEW QUESTION # 16
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