CCRN Critical Care Registered
Nurse Pediatrics AACN 2024
Exam Review Questions and
Answers 100% Pass
1. In caring for a patient with salicylate intoxication, the
critical care nurse would anticipate which of the
following as a primary treatment measure?
A. Administration of protamine sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes
- Answer>> D. Replacement of fluid and electrolytes
2. An adolescent with the developmental age of a 4-year-
old requires placement of a chest tube. The best way to
prepare the patient for this procedure is to
,A. Use short simple sentences and limit descriptions to
concrete explanations.
B. Show the patient a chest tube and explain how it will
feel.
C. Explain in detail why a chest tube is needed and how
it works.
D. Tell the parents what will be done so they can explain
it to their child.
- Answer>> Use short simple sentences and limit
descriptions to concrete explanations.
3. A child admitted with a gunshot wound to the head,
accidentally inflicted by an older sibling. The parents are
overcome with grief and appear to be ignoring the
following statements made by the older sibling: "It was
an accident; I didn't mean to do it; I'm sorry!" Which of
the following actions by the nurse would be most
appropriate?
A. Discuss the importance of gun safety with the older
sibling while the parents are at the bedside.
B. Seek additional support for the parents for ways they
can assist the older sibling
,C. Tell the parents that they need to provide support for
the older sibling
D. Tell the older sibling, "Accidents happen; I know you
didn't mean to do it."
- Answer>> Seek additional support for the parents for
ways they can assist the older sibling
4. Which of the following laboratory findings is
indicative of the syndrome of inappropriate ADH
secretion (SIADH)?
A. Serum sodium = 148 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/L
- Answer>> Decreased serum osmolality
5. A 3-year-old is admitted to the ICU with a 10-hour
history of an acute-onset asthma attack. Initial
assessment reveals the following
HR 160
pH 7.25
RR 48
, pCO2 35
BP 112/76
pO2 40
T 32*C
HCO3 22
A. Administration of NaHCO3
B. Fluid resuscitation
C. Racemic epinephrine
D. Intubation
- Answer>> Intubation
6. A 2-year-old is experiencing manifestations of digoxin
(Lanoxin) toxicity. BP is 94/60, capillary refill time is 2
seconds and the electrocardiogram reveals AV block with
a heart rate of 60. The critical care nurse would
anticipate which of the following interventions?
A. Performance of cardioversion
B. Administration of Atropine
C. Performance of vasovagal maneuvers
D. Monitoring of HR and rhythm and perfusion status
- Answer>> Monitoring of HR and rhythm and perfusion
status
Nurse Pediatrics AACN 2024
Exam Review Questions and
Answers 100% Pass
1. In caring for a patient with salicylate intoxication, the
critical care nurse would anticipate which of the
following as a primary treatment measure?
A. Administration of protamine sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes
- Answer>> D. Replacement of fluid and electrolytes
2. An adolescent with the developmental age of a 4-year-
old requires placement of a chest tube. The best way to
prepare the patient for this procedure is to
,A. Use short simple sentences and limit descriptions to
concrete explanations.
B. Show the patient a chest tube and explain how it will
feel.
C. Explain in detail why a chest tube is needed and how
it works.
D. Tell the parents what will be done so they can explain
it to their child.
- Answer>> Use short simple sentences and limit
descriptions to concrete explanations.
3. A child admitted with a gunshot wound to the head,
accidentally inflicted by an older sibling. The parents are
overcome with grief and appear to be ignoring the
following statements made by the older sibling: "It was
an accident; I didn't mean to do it; I'm sorry!" Which of
the following actions by the nurse would be most
appropriate?
A. Discuss the importance of gun safety with the older
sibling while the parents are at the bedside.
B. Seek additional support for the parents for ways they
can assist the older sibling
,C. Tell the parents that they need to provide support for
the older sibling
D. Tell the older sibling, "Accidents happen; I know you
didn't mean to do it."
- Answer>> Seek additional support for the parents for
ways they can assist the older sibling
4. Which of the following laboratory findings is
indicative of the syndrome of inappropriate ADH
secretion (SIADH)?
A. Serum sodium = 148 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/L
- Answer>> Decreased serum osmolality
5. A 3-year-old is admitted to the ICU with a 10-hour
history of an acute-onset asthma attack. Initial
assessment reveals the following
HR 160
pH 7.25
RR 48
, pCO2 35
BP 112/76
pO2 40
T 32*C
HCO3 22
A. Administration of NaHCO3
B. Fluid resuscitation
C. Racemic epinephrine
D. Intubation
- Answer>> Intubation
6. A 2-year-old is experiencing manifestations of digoxin
(Lanoxin) toxicity. BP is 94/60, capillary refill time is 2
seconds and the electrocardiogram reveals AV block with
a heart rate of 60. The critical care nurse would
anticipate which of the following interventions?
A. Performance of cardioversion
B. Administration of Atropine
C. Performance of vasovagal maneuvers
D. Monitoring of HR and rhythm and perfusion status
- Answer>> Monitoring of HR and rhythm and perfusion
status
