Pediatric CCRN AACN Questions 2024/2025 EXAM QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+ PROFESSOR
VERIFIED
1. An acutely ill infant is born to a Vietnamese family. The father asks a few
questions about the infant's condition, and the mother asks none. Both
parents appear to be proficient in English. Which is the MOST USEFUL
resource for a nurse caring for this infant?
A. ongoing classes addressing the cultural needs of the community
B. classes conducted bu the primary nruse as the need arises
C. information about the cultural backgrounds represented in the community
D. an interpreter who is proficient in the parents' language: D
2. A neonate is admitted with gastroschisis. The mother did not receive
prenatal care and admits to recreational drug use. During the first unit visit,
the mother expresses concern that she is at fault for her infant's birth defect.
The nurse should:
A. offer a counseling session with the social worker
B. refer the mother to the pediatric surgeon for further information
C. offer information regarding drug treatment programs
D. explain the anatomical basis for gastroschisis development: D
,3. When caring for a 4 year old child with an acute case of idopathic
thrombocytopenic purpura (ITP) who presented with a low PLT count
(20,000/mm3), the nurse should expect initial orders to include:
A. child life specialist consult and physical therapy to support increased
mobility and activity
B. placement of an IV for administration of anti-D antibody therapy after
premedication with acetaminophen (Tylenol)
C. alternation acetaminophen (Tylenol) with ibuprofen (Advil) every 4 hours
for pain.
D. placement of an IV for administration of one unit cross match leuko-
reduced platelets: B
4. A patient is admitted to the unit after a witnessed episode of seizure and
vomiting. Initial assessment reveals increased work of breathing, tachypnea,
diminished breath sounds, and increased O2 requirement. CXR report has
evidence of bilateral pulmonary edema. What should the nurse expect? A.
congestive heart failure
B. sepsis
C. ARDS
D. foreign body aspiration: C
5. A 2 month old born with spina bifida is admitted with dehydration and
sepsis. Before the patient was discharged from the hospital a month ago, the
parents were instructed on the proper technique and important of performing
cateterization every 6 hours. While interviewing the parents, the nurse learns
this was not done consistently for the past 2 weeks. Interventions at this point
should include:
A. eliminating parental visitation
B. involving social services
C. notifying law enforcement
,D. demonstrating the catherization technique: B
6. According to recommendations based on research findings, pain
assessment should occur:
A. only when the presence of pain can be vaildated
B. only when the patient's movements indicate the patient is seeking attention
C. based on changes in vital signs
D. routinely, regardless of physical findings: D
7. Which of the following should be the INITIAL intervention when a
toxicologic emergency is suspected?
A. obtain a list of drugs and chemicals in the environment
B. conduct lab studies and diagnostic imaging
C. reverse the effects of the toxin (if possible)
D. detect life-threatening manifestations of the poisoning: D
8. Junctional rhythms are caused by a dysfunction of the sinoatrial (SA) node
and typically cause:
A. shortened PR interval
B. irregular ventricular rhythm
C. widened QRS complex
D. prolonged QT interval: A
9. A child is admitted for colitis. 8 hours after admission the patient develops
respiratory distress, abdominal distention and capillary refill time greater
than 4 seconds. The nurse should suspect:
A. splenic rupture
, B. intussusception
C. malrotation with volvulus
D. bowel perforation: D
10. Which action is BEST to help reduce the anxiety of a patient who has been
hospitalized for suspected peptic ulcer disease?
A. assign the patient to a room with a talkative, optimistic roommate
B. explain to the patient what to expect during hospitalization
C. ask all members of the team to reassure the patient about the quality of
care provided by the staff
D. visit the patient frequently and encourage discussion about pleasant future
plans: B
11. A patient on mechanical ventilation remains hypoxic despite increased
oxygen delivery. The nurse has assessed endotracheal tube placement and
the equipment. The nurse anticipates the following ventilator changes:
A. increasing the PEEP
B. switching to volume control ventilation
C. increasing the tidal volume
D. using continuous posituive airway pressure: A
12. A patient being treated for DKA is severely hyperglycemic. The serum
glucose level decrease within the last hour by 150 mg/dL. The patient is
receiving an infusion of insulin at 0.05 units/kg/hr, along with an infusion
of normal saline solution. Which of the following changes to the patient's
management should the nurse anticipate?
A. reduction in the insulin infusion rate
B. addition of 5% dextrose infusion
C. infusion of sodium bicarbonate
AND CORRECT ANSWERS ALREADY GRADED A+ PROFESSOR
VERIFIED
1. An acutely ill infant is born to a Vietnamese family. The father asks a few
questions about the infant's condition, and the mother asks none. Both
parents appear to be proficient in English. Which is the MOST USEFUL
resource for a nurse caring for this infant?
A. ongoing classes addressing the cultural needs of the community
B. classes conducted bu the primary nruse as the need arises
C. information about the cultural backgrounds represented in the community
D. an interpreter who is proficient in the parents' language: D
2. A neonate is admitted with gastroschisis. The mother did not receive
prenatal care and admits to recreational drug use. During the first unit visit,
the mother expresses concern that she is at fault for her infant's birth defect.
The nurse should:
A. offer a counseling session with the social worker
B. refer the mother to the pediatric surgeon for further information
C. offer information regarding drug treatment programs
D. explain the anatomical basis for gastroschisis development: D
,3. When caring for a 4 year old child with an acute case of idopathic
thrombocytopenic purpura (ITP) who presented with a low PLT count
(20,000/mm3), the nurse should expect initial orders to include:
A. child life specialist consult and physical therapy to support increased
mobility and activity
B. placement of an IV for administration of anti-D antibody therapy after
premedication with acetaminophen (Tylenol)
C. alternation acetaminophen (Tylenol) with ibuprofen (Advil) every 4 hours
for pain.
D. placement of an IV for administration of one unit cross match leuko-
reduced platelets: B
4. A patient is admitted to the unit after a witnessed episode of seizure and
vomiting. Initial assessment reveals increased work of breathing, tachypnea,
diminished breath sounds, and increased O2 requirement. CXR report has
evidence of bilateral pulmonary edema. What should the nurse expect? A.
congestive heart failure
B. sepsis
C. ARDS
D. foreign body aspiration: C
5. A 2 month old born with spina bifida is admitted with dehydration and
sepsis. Before the patient was discharged from the hospital a month ago, the
parents were instructed on the proper technique and important of performing
cateterization every 6 hours. While interviewing the parents, the nurse learns
this was not done consistently for the past 2 weeks. Interventions at this point
should include:
A. eliminating parental visitation
B. involving social services
C. notifying law enforcement
,D. demonstrating the catherization technique: B
6. According to recommendations based on research findings, pain
assessment should occur:
A. only when the presence of pain can be vaildated
B. only when the patient's movements indicate the patient is seeking attention
C. based on changes in vital signs
D. routinely, regardless of physical findings: D
7. Which of the following should be the INITIAL intervention when a
toxicologic emergency is suspected?
A. obtain a list of drugs and chemicals in the environment
B. conduct lab studies and diagnostic imaging
C. reverse the effects of the toxin (if possible)
D. detect life-threatening manifestations of the poisoning: D
8. Junctional rhythms are caused by a dysfunction of the sinoatrial (SA) node
and typically cause:
A. shortened PR interval
B. irregular ventricular rhythm
C. widened QRS complex
D. prolonged QT interval: A
9. A child is admitted for colitis. 8 hours after admission the patient develops
respiratory distress, abdominal distention and capillary refill time greater
than 4 seconds. The nurse should suspect:
A. splenic rupture
, B. intussusception
C. malrotation with volvulus
D. bowel perforation: D
10. Which action is BEST to help reduce the anxiety of a patient who has been
hospitalized for suspected peptic ulcer disease?
A. assign the patient to a room with a talkative, optimistic roommate
B. explain to the patient what to expect during hospitalization
C. ask all members of the team to reassure the patient about the quality of
care provided by the staff
D. visit the patient frequently and encourage discussion about pleasant future
plans: B
11. A patient on mechanical ventilation remains hypoxic despite increased
oxygen delivery. The nurse has assessed endotracheal tube placement and
the equipment. The nurse anticipates the following ventilator changes:
A. increasing the PEEP
B. switching to volume control ventilation
C. increasing the tidal volume
D. using continuous posituive airway pressure: A
12. A patient being treated for DKA is severely hyperglycemic. The serum
glucose level decrease within the last hour by 150 mg/dL. The patient is
receiving an infusion of insulin at 0.05 units/kg/hr, along with an infusion
of normal saline solution. Which of the following changes to the patient's
management should the nurse anticipate?
A. reduction in the insulin infusion rate
B. addition of 5% dextrose infusion
C. infusion of sodium bicarbonate
