Brilliant CCRN-Pediatric Exam Dumps Get CCRN-Pediatric Dumps PDF
CCRN-Pediatric Dumps PDF - CCRN-Pediatric Real Exam Questions Answers
The American Association of Critical-Care Nurses (AACN) established the CCRN-Pediatric certification exam to recognize nurses who possess advanced knowledge and skills in providing care to critically ill pediatric patients. Critical Care Nursing Exam certification exam is designed for experienced nurses who work in pediatric intensive care units (PICUs), cardiac care units, and emergency departments. It evaluates the nurse's knowledge and expertise in areas such as cardiovascular, respiratory, neurological, and gastrointestinal systems, among others.
AACN CCRN-Pediatric exam is a computer-based test that consists of 150 multiple-choice questions. CCRN-Pediatric exam covers a wide range of topics related to pediatric critical care nursing, including cardiovascular, respiratory, neurological, gastrointestinal, renal, endocrine, and hematological systems. In addition to these topics, the exam also includes questions on psychosocial and ethical issues, as well as patient and family education.
NEW QUESTION # 54
Baby James weighs 6.2 lbs at birth, after 3 days he weighs 5% less than 6.2 lbs. The nurse is aware that the weight loss is a result of:
- A. imbalance between intake and fluid loss
- B. gastrointestinal obstruction
- C. a generalized muscle response to stimulation
- D. infection caused by virus or bacteria
Answer: A
Explanation:
Explanation: The intake of milk is gradual and small, at the same time, there is a loss of extracellular fluid primarily in the form of stool and urine.
NEW QUESTION # 55
Which of the following reflects the child's level of moral development when a 2 1/2-year-old child states that the nurse is "a bad girl" after she administers an injection:
- A. Conventional/interpersonal concordance
- B. Preconventional/punishment-obedience
- C. Conventional/"law and order"
- D. Preconventional/naive instrumentation
Answer: B
Explanation:
Explanation: Children between ages 1 and 3 are at the Preconventional/punishment-obedience stage and determine the goodness or badness of an action in terms of its consequences.
NEW QUESTION # 56
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following:
- A. Epispadias
- B. Hydrocele
- C. Phimosis
- D. Hypospadias
Answer: D
Explanation:
Explanation: Hypospadias is a condition in which the urethral opening is located below the glans penis or anywhere along the ventral surface of the penile shaft. Epispadias, the urethral meatus is located at the dorsal surface of the penile shaft.
NEW QUESTION # 57
A 5-month-old was diagnosed with intussusception. What assessment would be a priority to assist in confirming the diagnosis?
- A. assess characteristics of stool
- B. measure the intake and output
- C. observe for high-pitch cry
- D. auscultate the bowel sounds.
Answer: A
Explanation:
Explanation: intussusception creates intestinal obstruction because the intestine "telescopes" and becomes trapped. Stools are red and currant jelly-like from the mixing of stoll with blood and mucus.
NEW QUESTION # 58
The nurse is caring for a pediatric client who has pink eye. The mother asks the nurse if her child can resume playing with her friends at the park after 48 hours. The nurse responds correctly based on her understanding that pink eye?
- A. Not to worry if the eyes are still red after a week
- B. It is safe even if the eyes are red since it was caused by a virus.
- C. Pink eye due to allergies is contagious
- D. Bacterial is no longer contagious after 48 hours of antibiotic drops.
Answer: D
Explanation:
Explanation: Conjuntivitis caused by a bacterium is no longer contagious after 36 to 48 hours of antibiotic drops. A doctor should be contacted if it doesn't improve after 5 days.
NEW QUESTION # 59
After a cleft lip repair, it is important to preserve the integrity of suture line. What is the best position for an infant who had this type of surgery:
- A. on his abdomen
- B. side-lying
- C. mother's shoulder
- D. on his back
Answer: D
Explanation:
Explanation: This position prevents incisional contact with the mattress. This is also the best position for infants who are not able to turn.
NEW QUESTION # 60
A child is admitted following chest trauma, and a small pneumothorax (less than 10%) is noted. A nurse should anticipate which of the following?
- A. Incentive spirometry
- B. Chest percussion
- C. Observation
- D. Chest tube insertion
Answer: C
Explanation:
Small pneumothoraces (<10%) are oftenmanaged conservativelyin hemodynamically stable pediatric patients. The body's natural reabsorption of intrapleural air typically resolves the conditionwithout invasive intervention, provided that the patient is monitored closely.
"Observation is appropriate for small pneumothoraces (less than 10%) in stable pediatric patients. Serial chest radiographs and clinical assessments are used to monitor for progression. Chest tube insertion is generally reserved for larger or symptomatic pneumothoraces." (Referenced from CCRN Pediatric - Direct Care: Pulmonary Trauma and Chest Injury)
NEW QUESTION # 61
A mother wants to switch her 10 month-old infant from an iron-fortified formula to whole milk because of the price. Upon assessment, the nurse finds that the baby eats well, but drinks less milk than before.
What is the best advice by the nurse?
- A. Change the formula to whole milk
- B. Continue with the current formula
- C. Add chocolate and candies on the bottle
- D. Give fruit juice (especially apple juice) frequently
Answer: B
Explanation:
Explanation: The recommended age for switching from formula to whole milk is at 1 year of age.
Switching to cow''s milk before the recommended age can predispose an infant to allergies and lactose intolerance.
NEW QUESTION # 62
The nurse scans the laboratory values of a pediatric client with rheumatic fever. Which data should be treated as insignificant:
- A. positive antistreptolysin titer
- B. positive C-reactive protein
- C. elevated ESR
- D. elevated reticulocyte count
Answer: D
Explanation:
Explanation: This is related to anemia. There would be a positive titer as a result of previous exposure to streptococcal infection; possitive C-reactive protein and elevated ESR are indicative of inflammatory process.
NEW QUESTION # 63
After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death:
- A. "He will understand how much his siblings will miss him."
- B. "He is too young to understand what is happening to him."
- C. "He might think he can cause his death because he has misbehaved."
- D. "He will accept his death as caused by his disease."
Answer: C
Explanation:
Explanation: A 5-year-old child is in the preoperational stage of cognitive development and thinks of death as temporary. Also, for a child this age, thinking about behavior often is believed to be magical; thus, the child may think that his behavior can cause death. Generally, children under 3 years of age are unable to differentiate death from temporary separation and are unable to understand what is happening.
NEW QUESTION # 64
A 6-month-old patient presents with bronchiolitis and respiratory distress. Upon admission, the patient has mild retractions, scattered crackles, copious secretions, diarrhea with significant diaper dermatitis, and weight/height/head circumference less than the 5th percentile. The patient's vital signs are:
* BP: 80/45
* HR: 150
* RR: 42
* Temp: 98.8°F (37.1°C)
* SpO#: 96% on 4L heated high flow nasal cannula
A nurse should consider that the patient:
- A. Needs an arterial blood gas
- B. Requires a nutrition assessment
- C. Requires a wound care consult
- D. Needs CPAP
Answer: B
Explanation:
This patient demonstratesfailure to thrive(FTT) as evidenced by growth parameters below the 5th percentile and signs of malabsorption (diarrhea, dermatitis). While respiratory issues are present, theGI/nutritional status is a critical concernthat must be addressed for recovery and long-term health.
"Patients with chronic illness, diarrhea, and poor weight gain should receive early and comprehensive nutritional assessments. Malnutrition exacerbates respiratory disease and delays recovery." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal and Nutritional Considerations)
NEW QUESTION # 65
A 3-year-old boy with Hemophilia is going to stat infusion of recombinant form of Factor VIII prophylactically three times a week. The nurse should advise the parents to administer the infusion on the days designated:
- A. before dinner
- B. after dinner
- C. in the morning
- D. after lunch
Answer: C
Explanation:
Explanation: Due to Hemophilia, Factor VIII should be given in the morning on designated days. The half- life is short. If it was given later in the day, protection would not be adequate when the child is most active and prone to bleeding.
NEW QUESTION # 66
When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised:
- A. Locomotion
- B. Sucking ability
- C. Respiratory status
- D. GI function
Answer: B
Explanation:
Explanation: Because of the defect, the child will be unable to form the mouth adequately around the nipple thereby requiring special devices to allow feeding and sucking gratification. Respiratory status may be compromised when the child is fed improperly or during post op period.
NEW QUESTION # 67
A patient with restrictive cardiomyopathy is ambulating and begins to complain of fatigue and chest pain. A nurse should expect initial treatment to be aimed at:
- A. Decreasing cardiac workload
- B. Increasing systemic vascular resistance
- C. Decreasing the preload
- D. Increasing the force of contraction
Answer: A
Explanation:
Restrictive cardiomyopathyis characterized byimpaired ventricular fillingdue to stiff ventricular walls.
The primary issue isdiastolic dysfunction, not contractility. As a result, the focus is onreducing myocardial oxygen demand and workload, often with activity restriction, beta blockers, and afterload reduction.
"Management of restrictive cardiomyopathy centers on decreasing cardiac workload and optimizing preload, as the heart cannot relax properly. Inotropic agents are not typically effective." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Cardiomyopathies)
NEW QUESTION # 68
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:
- A. Ask the family member to visit before work
- B. Allow the family member to visit after setting behavioral limits
- C. Not allow the visit, as the patient will be sleeping
- D. Ask the family member to visit during scheduled visiting hours
Answer: B
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 # 69
Which of the following is the correct way of instilling eardrops among children below 3 years old:
- A. Pull the pinna up and back to straighten the ear canal
- B. Cleanse the ear canal trough pulling the pinna outward
- C. Pull the pinna down and back to straighten the ear canal
- D. Apply medicated ear wicks, then instill the eardrops
Answer: C
Explanation:
Explanation: Canal should be straighten by pulling it down and back so that the eardrops will reach the eardrum. This approach is applicable to children below 3 years old because their ear canal curves upward.
NEW QUESTION # 70
In a 3-year-old diagnosed with hemolytic uremic syndrome, which of the following findings requires immediate intervention?
- A. ECG showing peaked, tented T waves
- B. Positive guaiac test and 3+ protein in the urine
- C. ECG showing PR interval of 0.12 sec
- D. Weight gain of 2 kg in 24 hours
Answer: A
Explanation:
Peaked T waveson ECG are a hallmark ofhyperkalemia, which is a life-threatening electrolyte imbalance commonly seen inhemolytic uremic syndrome (HUS)due to acute kidney injury. This requiresimmediate interventionto prevent cardiac arrhythmias.
"In patients with HUS, hyperkalemia is a critical electrolyte disturbance. Peaked T waves are a warning sign of impending cardiac complications and demand emergent treatment." (Referenced from CCRN Pediatric - Direct Care: Renal, Hemolytic Uremic Syndrome and Electrolyte Emergencies)
NEW QUESTION # 71
When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following:
- A. Symmetrical gluteal folds
- B. Trendelemburg sign
- C. Ortolani's sign
- D. Characteristic limp
Answer: C
Explanation:
Explanation: It is the abnormal clicking sound when the hips are abducted. The sound is produced when the femoral head enters the acetabulum. Letter A is wrong because it should be "asymmetrical gluteal fold". Letter B and C are not applicable for newborns because they are seen in older children.
NEW QUESTION # 72
An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
- A. Encouraging the infant to hold a bottle
- B. Maintaining a consistent, structured environment
- C. Keeping the infant on bed rest to prevent energy loss
- D. Rotating caregivers to provide more stimulation
Answer: B
Explanation:
Explanation: A nurse caring for an infant with nonorganic failure to thrive should maintain a consistent, structured environment that provides interaction with the infant to promote growth and development.
Encouraging the infant to hold a bottle would reinforce an uncaring feeding environment. The infant should receive social stimulation rather than be confined to bed rest. The number of caregivers should be minimized to promote consistency of care.
NEW QUESTION # 73
A school age child is admitted with cancer. The doctor ordered Fentanyl (lollipop) if there is a breakthrough pain. During the teaching on how to use the lollipop, the nurse should state that the client should:
- A. Place it in the mouth and suck on it until it dissolves.
- B. suck it and swallow once pain is relieved.
- C. hold it in the cheek area until the pain is relieved then remove it.
- D. suck on it for an hour at a time, every 8 hours
Answer: C
Explanation:
Explanation: A Fentanyl lozenge or lollipop is absorbed through the buccal mucosa. When pain is relieved, it should be removed and kept until needed again. Remember that there's no specific time to suck on the lozenge
NEW QUESTION # 74
Dietary restriction in a child who has Hemocystenuria will include which of the following amino acid:
- A. Lysine
- B. Methionine
- C. Valine
- D. Isolensine tryptophase
Answer: B
Explanation:
Explanation: Hemocystenuria is the elevated excretion of the amino acid hemocystiene, and there is inability to convert the amino acid methionine or cystiene. Therefore dietary restriction of these amino acids is advised.
NEW QUESTION # 75
A primary school age boy was diagnosed with Myelogenous Leukemi
a. He is about to begin Chemotherapy and tells the nurse "I'm already 12 years old and I think I have the right to refuse the treatment". The nurse's most therapeutic response is:
- A. Your father already gave his consent so we need to go on with the treatment".
- B. "You seem afraid. Let me talk to you about it".
- C. Because you're under 18 years old, it means you don't have the capacity to refuse.
- D. "You are old enough. You're also old enough to understand that you need the Chemotherapy.
Answer: B
Explanation:
Explanation: In a case, the nurse finds out the boy is disinterested, "You seem afraid. Let me talk to you about it" is the best response because it permits exploration of the child's feelings. If the child starts to discuss feelings, there may not be a need to inform him that he is too young to refuse the treatment.
NEW QUESTION # 76
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