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AACN CCRN-Pediatric PDF Questions-Turn Your Exam Fear Into Confidence

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AACN CCRN-Pediatric exam consists of 125 multiple-choice questions that cover a wide range of topics related to pediatric critical care nursing. These topics include cardiovascular, pulmonary, neurology, gastrointestinal, renal, endocrine, hematologic, immunologic, and multisystem issues. CCRN-Pediatric exam is computer-based and can be taken at any Prometric testing center across the United States.

To be eligible to take the AACN CCRN-Pediatric Exam, nurses must meet certain requirements, including holding a current, unrestricted nursing license and having a minimum of two years of experience working in pediatric critical care. Nurses who pass the exam are awarded the prestigious CCRN-Pediatric credential, which demonstrates their commitment to patient care and their expertise in pediatric critical care nursing.

AACN CCRN-Pediatric (Critical Care Nursing) Certification Exam is a comprehensive exam designed to assess the knowledge and skills of registered nurses who provide direct care to acutely and critically ill pediatric patients. Critical Care Nursing Exam certification is recognized as a benchmark for excellence in pediatric critical care nursing, and obtaining it demonstrates a high level of commitment to patient care and professional development.

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AACN Critical Care Nursing Exam Sample Questions (Q104-Q109):

NEW QUESTION # 104
A 2 year old boy was scheduled for an emergency surgery. It as noted that the mother is 16 year old and the father is 17 year old. The child's father and paternal grandfather, who care for the baby, are at the bedside. Informed consent should be signed by:

A. the 17 year old father
B. the 16 year old mother
C. Surgeon and attending physician
D. Paternal grandfather

Answer: A

Explanation:
Explanation: The child's father should be the one to sign the consent regardless of his age. In this case, parenthood confers the rights of an adult to the teenager. Informed consent can also signed by the mother if she is present. Option D is valid only if there's no relative that is present or if there's not enough time to obtain consent considering the condition of the patient.

NEW QUESTION # 105
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:

A. Consult with medical staff to change visiting hours
B. Schedule an interdisciplinary team meeting to discuss visiting hours
C. Begin a literature search on family visitation practices
D. Draft a new policy regarding visitation practices for the unit

Answer: C

Explanation:
Before initiating policy changes, the nurse must conduct anevidence-based literature reviewto assess the benefits and risks associated with altering visitation policies. This aligns with professional nursing standards that promoteevidence-informed practiceandfamily-centered care.
"In professional practice, initiating a literature review is the first step in evidence-based change. This supports the rationale for modifying clinical practices and promotes interdisciplinary consensus." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Evidence-Based Practice and Family-Centered Care)

NEW QUESTION # 106
A child with hepatic failure received volume replacement. Following this therapy, laboratory tests reveal:
* PT: 14 sec
* PTT: 40 sec
* Hct: 36%
* Albumin: 3.5 g/dL
Before the patient undergoes a closed liver biopsy, further replacement should include:

A. PRBCs
B. 5% albumin
C. Fresh frozen plasma
D. Cryoprecipitate

Answer: C

Explanation:
APT of 14 seconds and PTT of 40 secondsare at the upper limit of normal, and the patient hashepatic failure
, which can lead tocoagulopathy. Prior to liver biopsy-a high-risk procedure forbleeding-FFP is administered to replace all clotting factorsand reduce bleeding risk.
"Patients with liver dysfunction undergoing procedures should receive FFP if coagulopathy is present, as it replaces multiple clotting factors synthesized in the liver." (Referenced from CCRN Pediatric - Direct Care: Hematology, Coagulation and Transfusion Support)

NEW QUESTION # 107
Which of the following would a nurse expect to observe in a pediatric client who has a tentative diagnosis of Acute lymphocytic Leukemia:

A. Alopecia and swollen gums
B. Alopecia and Petechiae
C. Anorexia and Petechiae
D. Anorexia and Insomnia

Answer: C

NEW QUESTION # 108
For a 20-kg child experiencing abdominal hemorrhaging, a nurse should expect to administer a fluid bolus of:

A. 500 mL of 5% albumin
B. 200 mL of lactated Ringer's
C. 400 mL of 0.9% NS
D. 600 mL of PRBCs

Answer: C

Explanation:
In pediatric hemorrhagic shock, theinitial fluid bolus is 20 mL/kgofisotonic crystalloid(e.g.,normal saline or lactated Ringer's). For a 20-kg child, this equals400 mL of 0.9% NS. Albumin and PRBCs are considered after fluid responsiveness is evaluated or if ongoing blood loss is confirmed.
"The initial step in pediatric fluid resuscitation for hemorrhagic or hypovolemic shock is 20 mL/kg isotonic fluid bolus. Normal saline is the preferred initial fluid." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Shock Management)

NEW QUESTION # 109
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