CCRN PEDS AACN EXAM
CCRN PEDS AACN EXAM QUESTIONS AND ANSWERS GRADED A+
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 sulphate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes ANS >> 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. ANS >>
Use short simple sentences and limit descriptions to concrete explanations.
,CCRN PEDS AACN EXAM
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."
ANS >> 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 me/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 me/L ANS >> 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
,CCRN PEDS AACN EXAM
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 ANS >> 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 manoeuvres
D. Monitoring of HR and rhythm and perfusion status ANS >> Monitoring of HR
and rhythm and perfusion status
7. An adolescent with asthma is readmitted just a week after discharge from the
hospital. On questioning, the nurse learns that the patient refuses to use the
inhalers at school. The nurse should
, CCRN PEDS AACN EXAM
A. Talk to the teen about long-term consequences of the disease if the treatment
plan is not followed
B. Talk to the school nurse to find out why they are not monitoring the
medications at school
C. Help the parents set up a disciplinary contract with the teen
D. Arrange for the teen to attend an asthma support group ANS >> Arrange for
the teen to attend an asthma support group
8. An unconscious 5-month-old is admitted. The parent reports the baby fell off
the table during a diaper change by an older sibling. What findings would indicate
further inquiry of the history?
A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal haemorrhage
D. A linear skull fracture ANS >> Retinal haemorrhage
1. A 1-month-old infant presents with poor feeding, vomiting and diarrhea since
birth. The infant is lethargic and in mild respiratory distress. The mother reports
having another infant with the same symptoms who died at 2 months of age.
Which finding would cause the nurse to suspect an inborn error of metabolism?
A. micrognathia
B. microglossia
C. petite facial features
D. abnormal urine Odor ANS >> abnormal urine Odor
CCRN PEDS AACN EXAM QUESTIONS AND ANSWERS GRADED A+
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 sulphate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes ANS >> 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. ANS >>
Use short simple sentences and limit descriptions to concrete explanations.
,CCRN PEDS AACN EXAM
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."
ANS >> 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 me/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 me/L ANS >> 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
,CCRN PEDS AACN EXAM
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 ANS >> 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 manoeuvres
D. Monitoring of HR and rhythm and perfusion status ANS >> Monitoring of HR
and rhythm and perfusion status
7. An adolescent with asthma is readmitted just a week after discharge from the
hospital. On questioning, the nurse learns that the patient refuses to use the
inhalers at school. The nurse should
, CCRN PEDS AACN EXAM
A. Talk to the teen about long-term consequences of the disease if the treatment
plan is not followed
B. Talk to the school nurse to find out why they are not monitoring the
medications at school
C. Help the parents set up a disciplinary contract with the teen
D. Arrange for the teen to attend an asthma support group ANS >> Arrange for
the teen to attend an asthma support group
8. An unconscious 5-month-old is admitted. The parent reports the baby fell off
the table during a diaper change by an older sibling. What findings would indicate
further inquiry of the history?
A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal haemorrhage
D. A linear skull fracture ANS >> Retinal haemorrhage
1. A 1-month-old infant presents with poor feeding, vomiting and diarrhea since
birth. The infant is lethargic and in mild respiratory distress. The mother reports
having another infant with the same symptoms who died at 2 months of age.
Which finding would cause the nurse to suspect an inborn error of metabolism?
A. micrognathia
B. microglossia
C. petite facial features
D. abnormal urine Odor ANS >> abnormal urine Odor
