[Mar 22, 2026] Verified CCRN-Pediatric dumps and 152 unique questions
CCRN-Pediatric Dumps for Pass Guaranteed - Pass CCRN-Pediatric Exam 2026
AACN CCRN-Pediatric exam is a computer-based exam that consists of 125 multiple-choice questions. Nurses are given three hours to complete the exam, and they must achieve a score of at least 80% to pass. CCRN-Pediatric exam is administered by the American Association of Critical-Care Nurses (AACN) and is offered at testing centers across the United States.
NEW QUESTION # 10
A 5-month-old infant, weighing 15 lbs, is admitted with a diagnosis of diarrhea with moderate dehydration. The doctor ordered oral rehydration therapy of 40-50 ml/kg of pedialyte over 4 hours.
What would be the appropriate amount of fluid that the infant should ingest during the 4 hour period:
- A. 250 ml
- B. 330 ml
- C. 360 ml
- D. 400 ml
Answer: B
Explanation:
Explanation: 15 lbs is about 7 kg; at 40 ml/kg x 4 hours = 280 ml; at 50ml/kg x 4 hours = 350 ml; 330ml is within these parameters.
NEW QUESTION # 11
A school age girl was rushed to the Emergency room with symptoms of acute, crampy abdominal pain, fever, and impaired sensory perception. The nurse found a black line between his teeth and gums. The client needs further evaluation because findings are characteristics of:
- A. Perthe's disease
- B. Tetracycline exposure
- C. Plumbism
- D. Aspirin toxicity
Answer: C
Explanation:
Explanation: Findings are common to lead poisoning or Plumbism attributable to the deposition of lead at the gum lines and in between teeth.
NEW QUESTION # 12
When developing a plan of care that includes interventions aimed at preventing complications of a low platelet count in a child with leukemia, which of the following is most appropriate:
- A. using heparin instead of saline to flush an intermittent IV access device
- B. consulting doctor about the use of a stool softener
- C. placing the child in protective isolation
- D. eliminating raw vegetables and fruits from the child's diet
Answer: B
Explanation:
Explanation: The use of a stool softener would assist in preventing damage to the rectal mucosa due to hard stool, thereby decreasing the chances of rectal bleeding. Placing the child in protective isolation would be appropriate for the child if the neutrophil count was low. The use of heparin is contraindicated in situations in which there is a possibility of increased bleeding due to low platelets. Avoiding raw vegetables or fruits would be indicated if the child's neutrophil count were low.
NEW QUESTION # 13
An infant in need of a transfusion of PRBCs has only one IV access site with maintenance fluids infusing. After receiving orders to hold the maintenance fluids and administer PRBCs, the nurse should be sure to monitor which of the following?
- A. Creatinine clearance level
- B. The mother's interaction with the infant
- C. Blood glucose level
- D. Serum sodium level
Answer: C
Explanation:
Infants, particularly neonates, are at risk forhypoglycemiaduring transfusions ifglucose-containing maintenance fluids are heldfor a significant period. Monitoringblood glucoseis critical during and after the transfusion to detect and treat any hypoglycemia promptly.
"When glucose-containing IV fluids are held in infants, monitor blood glucose closely. Transfusions without concurrent dextrose infusion can precipitate hypoglycemia, especially in neonates." (Referenced from CCRN Pediatric - Direct Care: Hematology, Transfusion Guidelines in Neonates and Infants)
NEW QUESTION # 14
To lead a unit-based initiative to decrease central line-associated bloodstream infections, which of the following is the most appropriate approach?
- A. participate, do, study, assess
- B. participate, decide, state, amend
- C. plan, develop, start, assess
- D. plan, do, study, act
Answer: D
Explanation:
ThePlan-Do-Study-Act (PDSA)cycle is the most widely acceptedquality improvement methodologyin healthcare. It's iterative and promotes continuous improvement:
* Plan: Identify a goal and create an intervention
* Do: Implement the intervention on a small scale
* Study: Analyze the data and assess the outcome
* Act: Adopt, adjust, or abandon the intervention based on the findings
"PDSA methodology supports quality improvement in healthcare, especially in infection prevention initiatives such as reducing CLABSIs." (Referenced from CCRN Pediatric - Professional Caring & Ethical Practice: Evidence-Based Practice and Quality Improvement)
NEW QUESTION # 15
An 18-month-old child is irritable and restless. Retractions, grunting with crackles, and an S3 gallop are noted. Vital signs:
* BP: 70/56
* HR: 160
* RR: 60
* Temp: 99°F (37.4°C)
Which of the following types of shock is this patient most likely experiencing?
- A. Hypovolemic
- B. Distributive
- C. Obstructive
- D. Cardiogenic
Answer: D
Explanation:
The presence ofgrunting, crackles, retractions, and anS3 gallop-withhypotension and tachycardia-is highly suggestive ofcardiogenic shock. These findings indicatepoor myocardial contractility and pulmonary congestion. An S3 gallop is particularly indicative ofvolume overloadin the setting of ventricular dysfunction.
"Cardiogenic shock should be suspected in pediatric patients with signs of respiratory distress (crackles, retractions), an S3 gallop, and poor perfusion. Myocardial failure leads to elevated filling pressures and pulmonary edema." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Types of Shock and Hemodynamic Findings)
NEW QUESTION # 16
Hillary is a 6 year old who has meningitis. The nurse at the unit noticed that she assumes an opisthotonic position. The nurse should place her in :
- A. knee-chest position
- B. high fowler's position
- C. side-lying position
- D. semi-fowler's position
Answer: C
Explanation:
Explanation: In meningitis, side-lying position is for maximum safety and comfort because the child with meningitis has hyperextended neck and back.
NEW QUESTION # 17
The primary pulmonary pathophysiological change leading to respiratory distress syndrome (RDS) is:
- A. Increased alveolar-capillary membrane permeability
- B. Thinning of alveolar membrane
- C. Increased surfactant production
- D. Pulmonary vascular hypertension
Answer: A
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 # 18
The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:
- A. finger movement
- B. radial and ulnar pulse.
- C. skin integrity
- D. capillary refill.
Answer: C
Explanation:
Explanation: Skin integrity is less important. Capillary refill pulses, and skin temperature and color are indicative of intact circulation and absence of compartment syndrome. Skin integrity is less important.
NEW QUESTION # 19
A child with an aortic homograft with valve is at increased risk for:
- A. Cusp dysfunction
- B. Persistent pulmonary hypertension
- C. Liver failure
- D. Right ventricular failure
Answer: A
Explanation:
Homografts(cryopreserved human donor valves) candegenerate over time, leading tocusp dysfunction, includingregurgitation or stenosis. This can compromise cardiac output and may requirere-intervention.
"Aortic homografts carry a risk of cusp deterioration over time, especially in growing children, potentially resulting in valve dysfunction." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Valve Replacement Risks in Pediatrics)
NEW QUESTION # 20
A school-age child is admitted in acute respiratory failure requiring mechanical ventilation.
Endotracheal aspirate Gram staining is positive for an acid-fast bacillus. The nurse's initial action should be to:
- A. Initiate antiviral therapy
- B. Send another specimen for repeat laboratory examination
- C. Contact the parents and discuss the implications of the laboratory findings
- D. Move the patient to a negative-pressure room
Answer: D
Explanation:
An acid-fast bacillus (AFB) is strongly associated withMycobacterium tuberculosis (TB). TB is ahighly contagious airborne disease, and infection control standards require immediate placement in anegative- pressure roomto prevent spread to other patients and healthcare workers.
"Suspected or confirmed pulmonary tuberculosis in a mechanically ventilated patient necessitates immediate airborne isolation using a negative-pressure room. Infection control must be prioritized prior to confirmation of diagnosis." (Referenced from CCRN Pediatric - Direct Care: Pulmonary Infections and Airborne Isolation Protocols)
NEW QUESTION # 21
What explanation would a nurse give to a parent of a pediatric client who will undergo a cardiac catheterization:
- A. it will identify specific location of the defect.
- B. it will determine the degree of heart muscle problem
- C. it will confirm if there is a pansystolic murmur.
- D. it will establish the presence of heart muscle hypertrophy.
Answer: A
Explanation:
Explanation: The procedure will identify the exact location of ventricular septal defect and also assess pulmonary pressure. Other options can be identified by using ECG and stethoscope.
NEW QUESTION # 22
A mother is upset because her 8-year-old daughter developed a right breast mass. She asks the nurse what she should do. The nurse bases her response on knowing that the breast mass is most likely due to which of the following:
- A. Precocious thelarche
- B. The onset of puberty
- C. Precocious pseudo puberty
- D. Gynecomastia
Answer: B
Explanation:
Explanation: The onset of puberty may start as early as age 8, with development possibly beginning unilaterally. Gynecomastia is the development of breast tissue in males. Precocious pseudo puberty is a precocity that develops with no early secretion of gonadotropin. Precocious thelarche occurs before the onset of the pubertal period, which can start as young as age 8
NEW QUESTION # 23
What medication instruction would a nurse give to a parent whose child will receive prednisone as a home medication for Asthma:
- A. it can cause early growth spurt
- B. avoid halting the medication abruptly
- C. it protects the child against infection
- D. it causes moon-shaped face
Answer: B
Explanation:
Explanation: During Asthma, it is necessary to wean the child gradually to prevent adrenal insufficiency or adrenal crisis.
NEW QUESTION # 24
An 8-year-old child is admitted with decreased bowel sounds, nausea, vomiting, and fever. Past medical history includes a bicycle fall 1 day ago. A nurse should suspect which of the following?
- A. Ileus
- B. Bowel obstruction
- C. Liver laceration
- D. Visceral perforation
Answer: D
Explanation:
Blunt abdominal trauma, such as from a bicycle fall, can result inhollow viscus injury(e.g., bowel perforation). Classic signs includenausea, vomiting, fever, and decreased bowel sounds, often developing
12-24 hours post-injurydue to peritonitis.
"After blunt abdominal trauma, particularly with handlebars or falls, visceral perforation must be suspected when symptoms like fever, ileus, and abdominal pain develop. Surgical evaluation is urgent." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Trauma and Acute Abdomen)
NEW QUESTION # 25
A mother of a child with heart failure questions the necessity of weighing the baby everyday. The nurse's best response should be guided by the fact that the daily weight is essential in determining:
- A. success of treatment
- B. fluid retention
- C. nutritional status
- D. dosage of medication
Answer: B
Explanation:
Explanation: Retention of fluid is reflected by excessive weight gain in just a short period of time.
Insufficient cardiac output lowers flow to the kidneys that leads to intracellular fluid increase and hypervolemia. Weight gain or loss due to nutrition is gradual. Dosage of medication is not recalculated everyday based on weight gain.
NEW QUESTION # 26
A nurse is aware that the concept that a developmentally disabled pediatric client could probably learn first is:
- A. small vs. large
- B. life vs. death
- C. right vs. wrong
- D. love vs. hate
Answer: A
Explanation:
Explanation: Small vs large is the concept that a developmentally disabled pediatric client could probably learn first. A child who is mentally disabled can learn concrete concepts faster compared to those which re-abstract in nature. Other options are abstract that could be learned at about 7-11 years of life
NEW QUESTION # 27
A 9-year-old child went to the clinic for a checkup. It was ruled out that he has vesicoureteral reflux. The nurse should be alerted for:
- A. proteinuria
- B. dysuria
- C. oliguria
- D. hematuria
Answer: B
Explanation:
Explanation: Dysuria is a symptom of urinary tract infection that is very common to client with vesicoureteral reflux. During voiding, urine is swept up to the ureters then flows back to the bladder leading to residual urine that provides a means for a urinary tract infection.
NEW QUESTION # 28
A 15-year-old girl was recently diagnosed of idiopathic scoliosis. She is worried about being different form her friends and upset about the treatment regimen. How would the nurse help her to develop a positive self-image:
- A. refer her to a psychiatrist for consult.
- B. assist her in selecting clothes to improve her appearance
- C. be focus on her positive rather her negative attributes
- D. remind her that her back would be crooked if she doesn't adhere to the treatment
Answer: B
Explanation:
Explanation: The nurse would help her by selecting appropriate clothing that will help minimize the appearance of a brace, especially if an effort is made to wear the current style.
NEW QUESTION # 29
The nurse assesses delayed gross motor development for Daniel who is 3 years old. Daniel's inability to do which action confirms this finding:
- A. catch a small basketball
- B. stand using 1 foot
- C. ride a small bicycle
- D. skip on alternate feet
Answer: B
Explanation:
Explanation: At this age, gross motor development allows a child to balance on 1 foot.
NEW QUESTION # 30
An irritable child has an acute fever, conjunctivitis, rash, and a strawberry tongue. A prolonged PR interval is observed on the ECG monitor. These findings are most likely due to:
- A. Hypertrophic cardiomyopathy
- B. Pericarditis
- C. Kawasaki disease
- D. Rheumatic heart disease
Answer: C
Explanation:
Kawasaki disease is an acute vasculitis that primarily affects children under 5 and presents with classic signs:
fever, rash, conjunctivitis, strawberry tongue, and extremity changes. It may also causecoronary artery aneurysmsandconduction abnormalities, such as PR prolongation.
"Kawasaki disease presents with mucocutaneous inflammation, and cardiac complications may include myocarditis and conduction delays, such as first-degree AV block." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Inflammatory Heart Disease)
NEW QUESTION # 31
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
- A. Absent Babinski's reflex
- B. Pupil constriction
- C. Flaccid paralysis
- D. Absent Cushing's reflex
Answer: C
Explanation:
In the post-resuscitation period of a near-drowning event, neurologic status is the primary determinant of prognosis. Flaccid paralysis is a sign ofsevere hypoxic-ischemic brain injury, reflectingglobal neuronal dysfunctionandpoor cerebral perfusion recovery.
FromCCRN (Pediatric) - Direct Care (Neurology Section):
"Signs of poor neurological outcome post-resuscitation include lack of purposeful movement, flaccidity, absence of motor responses to pain, and abnormal or absent brainstem reflexes. Flaccid paralysis, particularly when persistent after resuscitative efforts, strongly correlates with a poor neurologic prognosis in pediatric patients." In contrast:
* Pupil constrictionmay be benign or related to medication or light stimulus.
* Absent Babinski's reflexis not considered abnormal at 2 years.
* Absent Cushing's reflexis non-specific and may not manifest in all children with brain injury.
NEW QUESTION # 32
The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:
- A. Discuss the issue with the physician
- B. Suggest the family discuss their concerns with the nurse manager
- C. Arrange a patient care conference with the family
- D. Rotate assignments among staff members
Answer: C
Explanation:
When communication and relationships become strained, themost appropriate first action is to initiate a care conference. This collaborative approach provides a forum for the family and healthcare team to align goals, express concerns, andrebuild trustthrough structured, clear communication.
"Care conferences serve as a critical strategy to address and resolve family-staff conflict, particularly in long- term ICU stays where emotional fatigue and communication breakdowns are common." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Communication and Collaboration)
NEW QUESTION # 33
The plan of care for a child with possible epiglottitis should include:
- A. An x-ray of the lateral neck
- B. A racemic epinephrine treatment
- C. ABG analysis
- D. Visualization of the airway
Answer: A
Explanation:
Epiglottitis is a life-threatening conditionoften caused by Haemophilus influenzae type B. It presents with stridor, drooling, and dysphagia. Direct visualization may provokelaryngospasm and complete airway obstruction, making itcontraindicated unless in a controlled OR environment. Alateral neck x-raymay reveal the "thumbprint sign" (swollen epiglottis) and is the safer diagnostic choice.
"For suspected epiglottitis, lateral neck radiographs are recommended prior to airway manipulation.
Visualization of the airway is avoided due to risk of precipitating obstruction." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Airway Emergencies)
NEW QUESTION # 34
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AACN CCRN-Pediatric exam is a critical care nursing certification that is specifically designed for pediatric nurses. CCRN-Pediatric exam is intended to assess the knowledge and competency of nurses who work in the field of pediatric critical care. It is a rigorous exam that tests a nurse's ability to provide care to critically ill children in a variety of settings.
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