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CCRN Pediatric Certification Practice
Exam Questions & Answers 2026-2027
| AACN Review (Rationales)
Document Overview
This CCRN Pediatric Certification Practice Exam document provides 57 questions, each
with the correct answer and detailed rationales, covering critical care pediatric nursing. It
is suitable for students preparing for certification, reviewing core concepts, and deepening
their understanding of complex pediatric critical care scenarios. The format facilitates
direct learning and reinforcement of essential knowledge.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 57 Questions · September 2026
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Grief, Family & Ethics Q 1-14
Questions covering grief, Family & Ethics concepts.
Section 2: Neurological & Endocrine Q 15-25
Questions covering neurological & Endocrine concepts.
Section 3: Cardiovascular Disorders Q 26-39
Questions covering cardiovascular Disorders concepts.
Section 4: Respiratory Management Q 40-53
Questions covering respiratory Management concepts.
Section 5: Gastrointestinal & General Pediatric Q 54-57
Questions covering gastrointestinal & General Pediatric concepts.
Questions
QUESTION 1 OF 57
To promote effective grieving in a 6-year-old sibling following the death of an infant, the
nurse should:
A) Recommend that the sibling not attend the infant's memorial service
B) Encourage the parents to minimize their expression of grief with the sibling
C) Explain to the sibling that the infant went to heaven
D) Explain to the sibling that thoughts and wishes did not cause the infant's death
Correct Answer: Answer: D) Explain to the sibling that thoughts and wishes did not cause the infant's
death: At age 6, children may take words literally and because of their egocentrism, they believe that
thoughts are all-powerful. They may truly believe they caused the death of their sibling. A simple, honest
explanation of why the sibling died is indicated. This intervention is consistent with Caring Processes.
A) Recommend that the sibling not attend the infant's memorial service: This intervention is not a solution to
the problem and will not promote effective grieving for the sibling. It is not consistent with Caring Processes.
B) Encourage the parents to minimize their expression of grief with the sibling: This intervention will lead to
ineffective grieving for the sibling and is not consistent with Caring Processes
C) Explain to the sibling that the infant went to heaven: This intervention will not address the sibling's
problem
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 57
An acutely ill infant is born to a Vietnamese family. The father asks few questions about
the infant's condition, and the mother asks none. Both parents appear to be proficient
in English. Which of the following is the most useful resource for a nurse caring for this
infant?
A) Classes conducted by the primary nurse as the need arises
B) An interpreter who is proficient in the parents' language
C) Information about the cultural backgrounds represented in the community
D) Ongoing classes addressing the cultural needs of the community
Correct Answer: Answer: B) An interpreter who is proficient in the parents' language: This intervention is
consistent with Response to Diversity. Providing an interpreter may facilitate communication by the parents.
Trained interpreters can improve outcomes by helping to ensure effective communication between the
healthcare team and the patient/family
A) Classes conducted by the primary nurse as the need arises: This intervention is not consistent with
Response to Diversity. It will not help in this situation. While addressing needs as they arise is important, the
parents are not communicating these needs at present.
C) Information about the cultural backgrounds represented in the community: This intervention will not help
in this situation. Cultural backgrounds in the community will not address the parents' needs during this
stressful time.
D) Ongoing classes addressing the cultural needs of the community: This intervention will not help in this
situation. Cultural backgrounds in the community will not address the parents; needs during this stressful
time.
QUESTION 3 OF 57
A patient who does not speak or understand English is admitted. Guidelines for using a
translator may include
A) Having the translator ask questions that you don't feel comfortable asking
B) Standing next to the translator and as close to the patient as possible
C) Providing all of the information, then allowing translation and asking of questions
D) Allowing time for the translator to decode the medical jargon used in the teaching.
Correct Answer: Answer: B) Standing next to the translator and as close to the patient as possible: This
response is consistent with high competency levels in Facilitation of Learning. It supports the patient
through the process of obtaining the information required from a professional individual and the translator
A) Having the translator ask questions that you don't feel comfortable asking: This response is not consistent
with high competency levels in Facilitation of Learning. A translator should be used to obtain all pertinent
patient information
C) Providing all of the information, then allowing translation and asking of questions: This response is not
consistent with high competency levels in Facilitation of Learning. Content may be accidentally omitted with
the process described in this option.
D) Allowing time for the translator to decode the medical jargon used in the teaching: This response is not
consistent with high competency levels in Facilitation of Learning. Jargon should not have to be decoded by
the translator. This can lead to errors by the translator, who might provide inaccurate information.
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 57
Family members of a patient who has just died are crying and wailing loudly both inside
and outside the patient's room. Staff are expressing frustration with the outbursts. The
nurse's best response is to acknowledge the noise and
A) Ask a security officer to remove the family from the unit
B) Guide the family to a nearby room where they can express their emotions
C) Tell the family they must quiet down, or they will have to leave the unit
D) Tell the other staff they are being insensitive to the family's expression of grief
Correct Answer: Answer: B) Guide the family to a nearby room where they can express their emotions:
People from various cultures express grief and mourning in different ways. This expression may include loud,
emotional responses. Providing the family a place close to the patient's room allows them privacy while
minimizing disruption to other patients and staff in the area.
A) Ask a security officer to remove the family from the unit: Removing the family is not a culturally sensitive
way to allow the family to experience their grief and mourning
C) Tell the family they must quiet down or they will have to leave the unit: Asking the family to be quiet or
removing them from the unit are not culturally sensitive ways to allow the family toe experience their grief
and mourning
D) Tell the other staff they are being insensitive to the family's expression of grief: Telling other staff
members that they are being insensitive does not promote cultural awareness and does not address the
family's need to express their grief and mourning.
QUESTION 5 OF 57
A patient with bronchopulmonary dysplasia (BPD) is admitted with heart failure. the
nurse can expect to perform interventions to:
A) Decrease Preload
B) Increase Afterload
C) Decrease Heart Rate
D) Increase Contractility
Correct Answer: Answer: A) Decrease Preload: Decreasing the preload for a patient with BPD will improve
right-sided heart failure related to chronic lung disease
B) Increase Afterload: Increasing afterload would impede ventricular ejection, making heart failure worse.
C) Decrease heart rate: Decreasing the heart rate would decrease cardiac output (CO = HR x SV) which would
worsen the patient's heart failure.
D) Increase contractility: Although increasing contractility may help improve left-sided heart failure, patients
with BPD usually have right-sided heart failure.
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
CCRN Pediatric Certification Practice
Exam Questions & Answers 2026-2027
| AACN Review (Rationales)
Document Overview
This CCRN Pediatric Certification Practice Exam document provides 57 questions, each
with the correct answer and detailed rationales, covering critical care pediatric nursing. It
is suitable for students preparing for certification, reviewing core concepts, and deepening
their understanding of complex pediatric critical care scenarios. The format facilitates
direct learning and reinforcement of essential knowledge.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 57 Questions · September 2026
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Grief, Family & Ethics Q 1-14
Questions covering grief, Family & Ethics concepts.
Section 2: Neurological & Endocrine Q 15-25
Questions covering neurological & Endocrine concepts.
Section 3: Cardiovascular Disorders Q 26-39
Questions covering cardiovascular Disorders concepts.
Section 4: Respiratory Management Q 40-53
Questions covering respiratory Management concepts.
Section 5: Gastrointestinal & General Pediatric Q 54-57
Questions covering gastrointestinal & General Pediatric concepts.
Questions
QUESTION 1 OF 57
To promote effective grieving in a 6-year-old sibling following the death of an infant, the
nurse should:
A) Recommend that the sibling not attend the infant's memorial service
B) Encourage the parents to minimize their expression of grief with the sibling
C) Explain to the sibling that the infant went to heaven
D) Explain to the sibling that thoughts and wishes did not cause the infant's death
Correct Answer: Answer: D) Explain to the sibling that thoughts and wishes did not cause the infant's
death: At age 6, children may take words literally and because of their egocentrism, they believe that
thoughts are all-powerful. They may truly believe they caused the death of their sibling. A simple, honest
explanation of why the sibling died is indicated. This intervention is consistent with Caring Processes.
A) Recommend that the sibling not attend the infant's memorial service: This intervention is not a solution to
the problem and will not promote effective grieving for the sibling. It is not consistent with Caring Processes.
B) Encourage the parents to minimize their expression of grief with the sibling: This intervention will lead to
ineffective grieving for the sibling and is not consistent with Caring Processes
C) Explain to the sibling that the infant went to heaven: This intervention will not address the sibling's
problem
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 57
An acutely ill infant is born to a Vietnamese family. The father asks few questions about
the infant's condition, and the mother asks none. Both parents appear to be proficient
in English. Which of the following is the most useful resource for a nurse caring for this
infant?
A) Classes conducted by the primary nurse as the need arises
B) An interpreter who is proficient in the parents' language
C) Information about the cultural backgrounds represented in the community
D) Ongoing classes addressing the cultural needs of the community
Correct Answer: Answer: B) An interpreter who is proficient in the parents' language: This intervention is
consistent with Response to Diversity. Providing an interpreter may facilitate communication by the parents.
Trained interpreters can improve outcomes by helping to ensure effective communication between the
healthcare team and the patient/family
A) Classes conducted by the primary nurse as the need arises: This intervention is not consistent with
Response to Diversity. It will not help in this situation. While addressing needs as they arise is important, the
parents are not communicating these needs at present.
C) Information about the cultural backgrounds represented in the community: This intervention will not help
in this situation. Cultural backgrounds in the community will not address the parents' needs during this
stressful time.
D) Ongoing classes addressing the cultural needs of the community: This intervention will not help in this
situation. Cultural backgrounds in the community will not address the parents; needs during this stressful
time.
QUESTION 3 OF 57
A patient who does not speak or understand English is admitted. Guidelines for using a
translator may include
A) Having the translator ask questions that you don't feel comfortable asking
B) Standing next to the translator and as close to the patient as possible
C) Providing all of the information, then allowing translation and asking of questions
D) Allowing time for the translator to decode the medical jargon used in the teaching.
Correct Answer: Answer: B) Standing next to the translator and as close to the patient as possible: This
response is consistent with high competency levels in Facilitation of Learning. It supports the patient
through the process of obtaining the information required from a professional individual and the translator
A) Having the translator ask questions that you don't feel comfortable asking: This response is not consistent
with high competency levels in Facilitation of Learning. A translator should be used to obtain all pertinent
patient information
C) Providing all of the information, then allowing translation and asking of questions: This response is not
consistent with high competency levels in Facilitation of Learning. Content may be accidentally omitted with
the process described in this option.
D) Allowing time for the translator to decode the medical jargon used in the teaching: This response is not
consistent with high competency levels in Facilitation of Learning. Jargon should not have to be decoded by
the translator. This can lead to errors by the translator, who might provide inaccurate information.
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 57
Family members of a patient who has just died are crying and wailing loudly both inside
and outside the patient's room. Staff are expressing frustration with the outbursts. The
nurse's best response is to acknowledge the noise and
A) Ask a security officer to remove the family from the unit
B) Guide the family to a nearby room where they can express their emotions
C) Tell the family they must quiet down, or they will have to leave the unit
D) Tell the other staff they are being insensitive to the family's expression of grief
Correct Answer: Answer: B) Guide the family to a nearby room where they can express their emotions:
People from various cultures express grief and mourning in different ways. This expression may include loud,
emotional responses. Providing the family a place close to the patient's room allows them privacy while
minimizing disruption to other patients and staff in the area.
A) Ask a security officer to remove the family from the unit: Removing the family is not a culturally sensitive
way to allow the family to experience their grief and mourning
C) Tell the family they must quiet down or they will have to leave the unit: Asking the family to be quiet or
removing them from the unit are not culturally sensitive ways to allow the family toe experience their grief
and mourning
D) Tell the other staff they are being insensitive to the family's expression of grief: Telling other staff
members that they are being insensitive does not promote cultural awareness and does not address the
family's need to express their grief and mourning.
QUESTION 5 OF 57
A patient with bronchopulmonary dysplasia (BPD) is admitted with heart failure. the
nurse can expect to perform interventions to:
A) Decrease Preload
B) Increase Afterload
C) Decrease Heart Rate
D) Increase Contractility
Correct Answer: Answer: A) Decrease Preload: Decreasing the preload for a patient with BPD will improve
right-sided heart failure related to chronic lung disease
B) Increase Afterload: Increasing afterload would impede ventricular ejection, making heart failure worse.
C) Decrease heart rate: Decreasing the heart rate would decrease cardiac output (CO = HR x SV) which would
worsen the patient's heart failure.
D) Increase contractility: Although increasing contractility may help improve left-sided heart failure, patients
with BPD usually have right-sided heart failure.
CCRN Pediatric Certification Practice Exam Questions & Answers 2026-2027 | AACN Review (Rationales) - Practice Questions Page 0
