PEDIATRIC CCRN EXAMINATION TEST 2026
FULL QUESTIONS AND CORRECT ANSWERS
◉Key characteristics of Endotheliopathy Answer: • Capillary leak
• Vasomotor paralysis tone of vessels not normal
• Leukocyte infiltrations
• Coagulopathy
• Myocardial depression
• Immune-compromise
◉Patient Qualifications of SIRS based off clinical findings. Answer:
Two Abnormalities
-Must be abnormalities of temperature (greater than 38 rectal or less than
36 rectal) or WBC in children
-Other abnormalities include:
1. HR (Tachycardia)
2. RR (Tachypnea)
3. PaCo2 Less than 32
4. Abnormal WBC>12,000 or less than 4,000
5. WBC bands greater than 10% differential
, ◉Management of SIRS Answer: 1. Treat underlying Cause
2.Manage coagulopathies: thrombocytopenia← replace platelet, clot
formation← give thrombolytic, bleeding
3. Mange the endothelipathies: stop inciting insult, fluid resuscitate,
increase plasma oncotic pressure (colloid administration)
4. Promote Vasoconstriction: Alpha Agonist
◉Septic Shock Answer: - Sepsis plus CV dysfunction: Abnormal
perfusion as well as hypotension.
- Children able to maintain BP longer than Adults
◉Septic Shock Management Step One Answer: - Recognition and
Access: Diminished LOC, begin HFNC, if hypoxic intubate
- Start IV access: peripheral or central
◉Septic Shock Management Step Two Answer: - Fluid Resuscitation
- Rapid administration 20mL/Kg bolus of isotonic crystalloid
-Run over 5-10 minutes
• 0.9% NaCL (normal saline)
• Lactated ringers
◉Septic Shock Management Step Three Answer: -Antibiotics (first 60
min)
FULL QUESTIONS AND CORRECT ANSWERS
◉Key characteristics of Endotheliopathy Answer: • Capillary leak
• Vasomotor paralysis tone of vessels not normal
• Leukocyte infiltrations
• Coagulopathy
• Myocardial depression
• Immune-compromise
◉Patient Qualifications of SIRS based off clinical findings. Answer:
Two Abnormalities
-Must be abnormalities of temperature (greater than 38 rectal or less than
36 rectal) or WBC in children
-Other abnormalities include:
1. HR (Tachycardia)
2. RR (Tachypnea)
3. PaCo2 Less than 32
4. Abnormal WBC>12,000 or less than 4,000
5. WBC bands greater than 10% differential
, ◉Management of SIRS Answer: 1. Treat underlying Cause
2.Manage coagulopathies: thrombocytopenia← replace platelet, clot
formation← give thrombolytic, bleeding
3. Mange the endothelipathies: stop inciting insult, fluid resuscitate,
increase plasma oncotic pressure (colloid administration)
4. Promote Vasoconstriction: Alpha Agonist
◉Septic Shock Answer: - Sepsis plus CV dysfunction: Abnormal
perfusion as well as hypotension.
- Children able to maintain BP longer than Adults
◉Septic Shock Management Step One Answer: - Recognition and
Access: Diminished LOC, begin HFNC, if hypoxic intubate
- Start IV access: peripheral or central
◉Septic Shock Management Step Two Answer: - Fluid Resuscitation
- Rapid administration 20mL/Kg bolus of isotonic crystalloid
-Run over 5-10 minutes
• 0.9% NaCL (normal saline)
• Lactated ringers
◉Septic Shock Management Step Three Answer: -Antibiotics (first 60
min)
