CCRN-Pediatric Exam Questions - Real & Updated Questions PDF
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How to Prepare for AACN CCRN-Pediatric: Critical Care Nursing Exam
Preparation Guide for AACN CCRN-Pediatric: Critical Care Nursing Exam
Introduction
The AACN CCRN-Pediatric Critical Care Nursing Exam Company provides a comprehensive identification of acute and vital nurses registered to advance the regular technique with excellence standards. CCRN-Pediatric AACN accreditation: the Critical Care Nursing Exam Programs are issued by either the ABSNC or the National Certification Board (NCC). In 1975, AACN Corporation was founded as an international venture which promotes and enhances consumer health and well-being through the establishment and preservation of high demands for expert method excellence through licensing and certifying registered nurses in the care of both really and critically caregivers. It offers nursing services with a place that clearly explains what we are doing for patients and enables us to start connecting and identifying ourselves within the context of the results of groups of patients. The health care providers provide unique contributions to high quality customer and family care, scientific proof approaches and a complete and nutritious workplace. Critical Care Nursing Exam results indicate the importance of an element of Clinical Judgement as well as a section of hospital treatment and honest technology which reflect the registered characteristics of nursing of the Harmony version including Advocacy/Moral Company, Caring Practices, Medical Issues, Partnership, Knowledge Assistance, Variety Action and also Solution Rationalization. Guided by 9-member board of directors, AACN Corporation is developing and providing specialized certifications examinations. AACN Certification Company facilitate clinical safety and health via the complete identification of working in healthcare providers, promoting practice in accordance with outstanding requirements. This guide explains all the aspects of AACN CCRN Pediatric exam dumps.
The American Association of Critical-Care Nurses (AACN) Certification Corporation offers certifications in various nursing specialties, and one of their most prestigious certifications is the CCRN-Pediatric exam. Critical Care Nursing Exam certification is specifically designed for nurses who work in pediatric critical care settings, such as intensive care units, cardiac care units, and emergency departments. Nurses who pass the CCRN-Pediatric exam demonstrate their expertise in providing care for critically ill pediatric patients.
For more info read reference
AACN CCRN-Pediatric: Critical Care Nursing Exam Reference
NEW QUESTION # 48
An adolescent patient presents with altered mental status following ingestion of unknown substances at a party. Lab values include an elevated serum ammonia. The nurse should anticipate an order for which of the following?
- A. Ipecac syrup
- B. Lactulose
- C. Acetylcysteine
- D. Vitamin K
Answer: B
Explanation:
Elevated serum ammoniais often associated withhepatic encephalopathyor metabolic disturbances.
Lactuloseis the standard treatment to reduce ammonia levels by promoting ammonia excretion via the GI tract.
"Lactulose lowers serum ammonia levels by converting ammonia into ammonium, which is then excreted in stool. It is a cornerstone in the treatment of encephalopathy caused by hyperammonemia." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Hepatic Failure and Encephalopathy)
NEW QUESTION # 49
A pre-schooler is being prepared for an ear surgery in an ambulatory care facility. When the child is called to go to the operating room, the nurse should:
- A. Ask the parents to leave the room and wait outside.
- B. Remove the child's toy.
- C. Allow the parents to accompany the child until he is sedated.
- D. Allow the child to walk from the unit.
Answer: C
Explanation:
Explanation: Most health institutions allow the parents accompany the child until he is sedated and to stay with the child as long as possible. This minimizes the stress related to fearful events. Also, current theory is consistent that parents should remain during the induction of anesthesia due to parent's positive feedback.
NEW QUESTION # 50
Failure of the Foramen Ovale to close will cause what Congenital Heart Disease?
- A. Total anomalous Pulmunary Artery
- B. Pulmunary Stenosis
- C. Atrial Septal defect
- D. Transposition of great arteries
Answer: C
Explanation:
Explanation: Foramen ovale is the opening between two Atria so, if its will not close Atrial Septal defect can occur.
NEW QUESTION # 51
A school age girl with rubella should be isolated from an unimmunized:
- A. 21 year old brother living at home.
- B. 14 year old brother who had rubella as a child.
- C. 18 year old sister who has recently married.
- D. 4 year old child who lives next door.
Answer: C
Explanation:
Explanation: An unimmunized woman like 18 year old sister who has recently got married and is exposed to rubella virus is at a higher risk. If she contracts the disease it may be transmitted to her fetus once she got pregnant. Option b has a lesser effect as it would probably be mild and confer immunity.
NEW QUESTION # 52
Systemic Inflammatory Response Syndrome (SIRS) is characterized by:
- A. Vasodilation and increased capillary permeability
- B. Vasoconstriction and decreased capillary permeability
- C. Vasoconstriction and increased capillary permeability
- D. Vasodilation and decreased capillary permeability
Answer: A
Explanation:
SIRS leads towidespread vasodilation and increased capillary permeability, which causesfluid shifting, hypotension, and potential multi-organ dysfunction. This systemic response is part of the pathophysiology of sepsis and MODS.
"SIRS involves a cytokine-mediated vasodilatory response with increased capillary permeability, leading to third-spacing, hypoperfusion, and potential organ dysfunction." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Inflammatory Cascade in Sepsis)
NEW QUESTION # 53
When is the best time to do a corrective surgery for an infant with hypospadias:
- A. Anytime during pre school age
- B. 72 hours after birth
- C. Within few months after birth
- D. 6-18 months of age.
Answer: D
Explanation:
Explanation: 6-18 months is the preferred age to do a corrective surgery for an infant with hypospadias because fear of castration and body image is not yet developed. It can't be performed shortly after birth because the phallus is not developed enough. Fear of bodily mutilation is present during pre school age.
NEW QUESTION # 54
The primary pulmonary pathophysiological change leading to respiratory distress syndrome (RDS) is:
- A. Thinning of alveolar membrane
- B. Pulmonary vascular hypertension
- C. Increased alveolar-capillary membrane permeability
- D. Increased surfactant production
Answer: C
Explanation:
Neonatal Respiratory Distress Syndrome (RDS) is primarily caused by surfactant deficiency, which results in alveolar collapse and increased permeability of the alveolar-capillary membrane. This leads to pulmonary edema, impaired gas exchange, and hypoxemia.
"The hallmark of RDS is increased permeability of the alveolar-capillary membrane, which allows fluid to leak into alveoli, contributing to atelectasis and reduced oxygenation. Surfactant deficiency is the initiating factor." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Neonatal RDS Pathophysiology) Increased surfactant production would be protective, not pathological. Pulmonary vascular hypertension can occur secondarily but is not the initiating pathophysiology.
NEW QUESTION # 55
An infant with a sternal wound infection has a negative-pressure wound therapy device in place. A nurse should recognize that the primary purpose of the device is to speed healing of the wound through:
- A. Removal of exudate and stimulation of vascular growth
- B. The use of subatmospheric pressure through suction
- C. Maintenance of a clean, moist wound environment
- D. Maintenance of a seal around the wound
Answer: A
Explanation:
Negative-pressure wound therapy (NPWT), also known as wound VAC, accelerates wound healing by removing exudate, reducing bacterial burden, andstimulating angiogenesis and granulation tissue formationthroughmechanical microstrain. This is essential in deep, complex wounds such as post-sternal infections.
"Negative pressure wound therapy promotes wound healing through the removal of infectious material and exudate and by increasing local blood flow and granulation tissue." (Referenced from CCRN Pediatric - Direct Care: Integumentary, Advanced Wound Management)
NEW QUESTION # 56
A 17-year-old presents with history of progressive exercise intolerance. He is admitted with a diagnosis of hypertrophic cardiomyopathy. The vital signs are as follows:
* BP: 78/55
* HR: 110
* RR: 20
* T: 98.3°F (36.8°C)
* SpO#: 89% on room air
The patient's vital signs reflect:
- A. Ventricular dysfunction
- B. Inflammatory process of the myocardium
- C. Myocardial ischemia
- D. Decreased splanchnic perfusion
Answer: A
Explanation:
Hypertrophic cardiomyopathy (HCM)causesleft ventricular outflow tract obstruction, impairing cardiac output. The low blood pressure, tachycardia, and hypoxemia are classic signs ofventricular dysfunction- specificallydiastolic dysfunctiondue to a thickened, stiff left ventricle.
"HCM may lead to ventricular dysfunction due to impaired relaxation and outflow obstruction, especially during increased demand. Symptoms include hypotension, tachycardia, and hypoxia." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Cardiomyopathies and Shock States)
NEW QUESTION # 57
A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?
- A. Decreased PIP
- B. Decreased RA pressure
- C. Polyuria
- D. Oliguria
Answer: D
Explanation:
Abdominal compartment syndrome (ACS)occurs whenintra-abdominal pressure increases, impairing organ function.Oliguriais a key early sign due to decreased renal perfusion. Other signs may include increased ventilator pressures (PIP), hypotension, and a tense/distended abdomen.
"Oliguria and increased abdominal girth following trauma or transfusion suggest early abdominal compartment syndrome." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Abdominal Trauma and Compartment Syndrome)
NEW QUESTION # 58
A child is postoperative day 2 following a heart transplant. Which of the following suggests that the complications are likely related to prolonged clamping of the aorta?
- A. Increased heart rate
- B. Decreased blood pressure
- C. Increased central venous pressure
- D. Decreased urine output
Answer: D
Explanation:
Prolonged aortic cross-clampingcan impairrenal perfusion, especially during cardiac surgery.Decreased urine outputpostoperatively may be a sign ofacute kidney injury (AKI)secondary to hypoperfusion during the clamping phase.
"Renal hypoperfusion during prolonged aortic cross-clamping may manifest postoperatively as oliguria or anuria, indicating renal compromise." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Postoperative Transplant Complications)
NEW QUESTION # 59
An infant with Myelomeningocoele underwent a surgical repair. Suddenly, the client developed metabolic acidosis, notable decreased urinary output and diarrhe a. The nurse at the unit anticipates that the doctor will order:
- A. Hypertonic saline
- B. Potassium chloride
- C. Isotonic saline
- D. Sodium Lactate
Answer: D
Explanation:
Explanation: T o correct the sodium deficit and metabolic acidosis, the client needs Sodium Lactate.
Sodium Lactate is converted to sodium bicarbonate. Saline intensifies acidosis. Potassium will only be given once kidney function was restored.
NEW QUESTION # 60
The mother called the attention of the community nurse because her toddler develops high grade fever for 3 days and red rash almost on the child's entire body. The nurse found out that the fever already subsided. The child had a case of:
- A. Roseola
- B. Varicella
- C. Lyme disease
- D. Hypersensitivity reactions
Answer: A
Explanation:
Explanation: It is a usually harmless illness caused by a virus. It occurs almost only in children age 3 months to 3 years, most often between 9-12 months. It is probably the most common cause of fever in this age group. The virus generally causes 3 days of high fever then subsides, and the child breaks out in a flat or bumpy red rash, usually starting around the neck, back and chest, then spreading out.
NEW QUESTION # 61
While assessing a 3 week old infant, which finding should a nurse report immediately:
- A. Increased cardiac rate when crying
- B. Irregular breathing pattern
- C. Inspiratory grunting
- D. Abdominal respiration
Answer: C
Explanation:
Explanation: Inspiratory grunt is abnormal and could be a sign of respiratory distress in this infant.
NEW QUESTION # 62
The nurse notes that a 10-month-old infant had a fever, runny nose, cough, and white spots in the mouth for almost 3 days. Rash started on his face and spread to the whole body. The nurse suspected a case of:
- A. Herpes
- B. Varicella
- C. Rubella
- D. Rubella
Answer: C
Explanation:
Explanation: Signs and symptoms of Rubella include Koplik's spots and rash accompanied by coryza.
NEW QUESTION # 63
An infant with acute exacerbation of bronchopulmonary dysplasia (BPD) is placed on mechanical ventilation. The most appropriate ventilator strategy is:
- A. An adequate FiO# to maintain oxygen saturation greater than 95%
- B. A normal PaCO#
- C. A tidal volume of 10-15 mL/kg
- D. Permissive hypercapnia
Answer: D
Explanation:
In BPD, the lungs are already injured and prone tovolutrauma and barotrauma. Ventilator strategies often include"gentle ventilation"withlower tidal volumesandpermissive hypercapniato reduce lung injury. This accepts slightly elevated CO# levels to avoid high pressures.
"Permissive hypercapnia is a lung-protective strategy used in infants with BPD to minimize ventilator- induced injury. Target PaCO# levels are allowed to be mildly elevated as long as pH is maintained." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Chronic Lung Disease Management)
NEW QUESTION # 64
When preparing a 2-month-old with hypoplastic left heart syndrome for a cardiac transplant, which of the following findings is most alarming?
- A. Increased RV pressure
- B. Temperature of 102.2° F (39° C)
- C. O# saturation of 75%
- D. BP of 72/48
Answer: B
Explanation:
While patients with hypoplastic left heart syndrome (HLHS) typically have lower baseline oxygen saturations due to mixing of systemic and pulmonary blood flow,feverin this population is especially concerning due to theirimmunocompromised and pre-transplant status. Fever may signalinfection or sepsis, both of which can jeopardize transplant eligibility and lead to rapid decompensation.
"In patients awaiting heart transplantation, fever is a red flag for infection or systemic inflammatory response, both of which significantly increase mortality risk and complicate transplant candidacy. Prompt evaluation is required." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Pre-Transplant Management)
NEW QUESTION # 65
A nurse is caring for a child who has Trisomy 13. During a morning rounds, the mother asks how her child acquired the syndrome. The nurse's response will be based from the fact that:
- A. it is a complication of previous exposure to streptococcus
- B. it is an inherited condition.
- C. it is a chromosomal anomaly.
- D. it is caused by microorganism.
Answer: C
Explanation:
Explanation: Trisomy 13 is a genetic disorder in which a person has three copies of genetic material from chromosome 13, instead of the usual two copies.
NEW QUESTION # 66
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