PEDIATRIC CCRN AACN 2026/2027 LATEST EXAM
QUESTIONS AND SOLUTIONS RATED A+
✔✔Which of the following rhythms is expected one day post-cardiac catheterization for
repair of an atrial septal defect (ASD)?
A) Premature atrial contraction
B) Junctional ectopic tachycardia
C) Sinus bradycardia
D) Sinus tachycardia - ✔✔Answer: A) Premature atrial contraction: this is cause by an
irritation to the atria during the cardiac catheterization.
B) Junctional ectopic tachycardia: this is caused by an irritation to the AV node.
C) Sinus bradycardia: Sinus bradycardia is not an expected complication of cardiac
catheterization for repair of an atrial septal defect.
D) Sinus tachycardia: Sinus tachycardia may be seen with stress, pain, hypoxemia, and
low cardiac output, which are not expected or managed during the post-procedure
phase.
✔✔Which of the following would lead to hypovolemia due to increased insensible fluid
loss in an infant post-cardiac surgery?
A) Decreased activity
B) Hypothermia
C) Radiant warmer use
D) Sedation - ✔✔Answer: C) Radiant warmer use: The radiant warmer increases the
effects of evaporation, which increases insensible fluid loss.
A) Decreased activity: Decreased activity would decrease insensible fluid loss.
B) Hypothermia: Hypothermia would decreased insensible fluid loss.
D) Sedation: Sedation would decrease insensible fluid loss.
✔✔A child is admitted after sustaining a head injury. The most important aspect of the
nurse's continuing assessment for early neurological deterioration is:
A) Level of consciousness
B) Pupillary response
C) Motor response
D) Cranial nerve assessment - ✔✔Answer: A) Level of consciousness: Level of
consciousness is the earliest indicator of improvement or deterioration in neurological
status.
B) Pupillary response: Alterations in pupil size and reactivity are a late sign of
neurological deterioration and may be affected by medications, trauma, and poisons.
C) Motor response: Changes in motor response are a late sign of neurological
deterioration and are assessed as part of the Glasgow Coma Score.
D) Cranial nerve assessment: While it is important to note changes, cranial nerve
assessment is not the most important aspect of a nurse's ongoing neurological
assessment.
, ✔✔The chest x-ray of a patient with status asthmaticus will most commonly reveal
which of the following?
A) Hyperinflation
B) Lobar consolidation
C) Perihilar infiltrates
D) An elevated diaphragm - ✔✔Answer: A) Hyperinflation: Hyperinflation is the
expected finding due to air trapping associated with asthma
B) Lobar consolidation: Lobar consolidation is typically seen with pneumonia, not
asthma.
C) Perihilar infiltrates: Perihilar infiltrates are possible but not common.
D) An elevated diaphragm: A flattened diaphragm is seen in patients with asthma and is
associated with air trapping.
✔✔A child with diabetes is admitted after collapsing in class. On admission, he is
tachycardic, has shallow respirations, and dilated pupil, and is hyperreflexic. the plan of
care would be to administer:
A) Glucagon IM
B) Naloxone (Narcan) IV
C) 25% Dextrose IV
D) Regular insulin SQ - ✔✔Answer: C) 25% dextrose IV: The patient has signs of
severe hypoglycemia, and administration of IV dextrose will quickly raise the blood
glucose level. No more than 12.5% glucose should be given peripherally.
A) Glucagon IM: Glucagon is administered for severe hypoglycemia. It requires 15 to 20
minutes to elevate the blood glucose.
B) Naloxone (Narcan) IV: Naloxone, which reverses the effects of opioids, is not
indicated for this patient.
D) Regular Insulin SQ: Regular insulin, which will lower the patient's blood glucose
level, is not indicated for this patient with severe hypoglycemia.
✔✔A nurse is caring for a patient with type 1 diabetes mellitus who has had multiple
admissions over the last year for diabetic ketoacidosis (DKA). Before discharge for this
episode of DKA, it is most important that the nurse arranges:
A) To teach the patient how to administer sliding scale insulin when blood glucose
levels are high.
B) To teach the patient to avoid sugar and foods high in carbohydrates
C) For the patient and family to meet with social worker to discuss challenges they face
with management of the disease.
D) For the patient and family to join a diabetes support group. - ✔✔Answer: C) For the
patient and family to meet with social worker to discuss challenges they face with
management of the disease: At this point, after multiple admissions, the most important
intervention is helping the patient and family navigate through the system to identify
available resources that could be helpful in meeting the challenge of the disease.
A) To teach the patient how to administer sliding scale insulin when blood glucose
levels are high: A patient with diabetes most likely knows how to administer sliding scale
insulin, but reinforcing the concepts may be indicated.
QUESTIONS AND SOLUTIONS RATED A+
✔✔Which of the following rhythms is expected one day post-cardiac catheterization for
repair of an atrial septal defect (ASD)?
A) Premature atrial contraction
B) Junctional ectopic tachycardia
C) Sinus bradycardia
D) Sinus tachycardia - ✔✔Answer: A) Premature atrial contraction: this is cause by an
irritation to the atria during the cardiac catheterization.
B) Junctional ectopic tachycardia: this is caused by an irritation to the AV node.
C) Sinus bradycardia: Sinus bradycardia is not an expected complication of cardiac
catheterization for repair of an atrial septal defect.
D) Sinus tachycardia: Sinus tachycardia may be seen with stress, pain, hypoxemia, and
low cardiac output, which are not expected or managed during the post-procedure
phase.
✔✔Which of the following would lead to hypovolemia due to increased insensible fluid
loss in an infant post-cardiac surgery?
A) Decreased activity
B) Hypothermia
C) Radiant warmer use
D) Sedation - ✔✔Answer: C) Radiant warmer use: The radiant warmer increases the
effects of evaporation, which increases insensible fluid loss.
A) Decreased activity: Decreased activity would decrease insensible fluid loss.
B) Hypothermia: Hypothermia would decreased insensible fluid loss.
D) Sedation: Sedation would decrease insensible fluid loss.
✔✔A child is admitted after sustaining a head injury. The most important aspect of the
nurse's continuing assessment for early neurological deterioration is:
A) Level of consciousness
B) Pupillary response
C) Motor response
D) Cranial nerve assessment - ✔✔Answer: A) Level of consciousness: Level of
consciousness is the earliest indicator of improvement or deterioration in neurological
status.
B) Pupillary response: Alterations in pupil size and reactivity are a late sign of
neurological deterioration and may be affected by medications, trauma, and poisons.
C) Motor response: Changes in motor response are a late sign of neurological
deterioration and are assessed as part of the Glasgow Coma Score.
D) Cranial nerve assessment: While it is important to note changes, cranial nerve
assessment is not the most important aspect of a nurse's ongoing neurological
assessment.
, ✔✔The chest x-ray of a patient with status asthmaticus will most commonly reveal
which of the following?
A) Hyperinflation
B) Lobar consolidation
C) Perihilar infiltrates
D) An elevated diaphragm - ✔✔Answer: A) Hyperinflation: Hyperinflation is the
expected finding due to air trapping associated with asthma
B) Lobar consolidation: Lobar consolidation is typically seen with pneumonia, not
asthma.
C) Perihilar infiltrates: Perihilar infiltrates are possible but not common.
D) An elevated diaphragm: A flattened diaphragm is seen in patients with asthma and is
associated with air trapping.
✔✔A child with diabetes is admitted after collapsing in class. On admission, he is
tachycardic, has shallow respirations, and dilated pupil, and is hyperreflexic. the plan of
care would be to administer:
A) Glucagon IM
B) Naloxone (Narcan) IV
C) 25% Dextrose IV
D) Regular insulin SQ - ✔✔Answer: C) 25% dextrose IV: The patient has signs of
severe hypoglycemia, and administration of IV dextrose will quickly raise the blood
glucose level. No more than 12.5% glucose should be given peripherally.
A) Glucagon IM: Glucagon is administered for severe hypoglycemia. It requires 15 to 20
minutes to elevate the blood glucose.
B) Naloxone (Narcan) IV: Naloxone, which reverses the effects of opioids, is not
indicated for this patient.
D) Regular Insulin SQ: Regular insulin, which will lower the patient's blood glucose
level, is not indicated for this patient with severe hypoglycemia.
✔✔A nurse is caring for a patient with type 1 diabetes mellitus who has had multiple
admissions over the last year for diabetic ketoacidosis (DKA). Before discharge for this
episode of DKA, it is most important that the nurse arranges:
A) To teach the patient how to administer sliding scale insulin when blood glucose
levels are high.
B) To teach the patient to avoid sugar and foods high in carbohydrates
C) For the patient and family to meet with social worker to discuss challenges they face
with management of the disease.
D) For the patient and family to join a diabetes support group. - ✔✔Answer: C) For the
patient and family to meet with social worker to discuss challenges they face with
management of the disease: At this point, after multiple admissions, the most important
intervention is helping the patient and family navigate through the system to identify
available resources that could be helpful in meeting the challenge of the disease.
A) To teach the patient how to administer sliding scale insulin when blood glucose
levels are high: A patient with diabetes most likely knows how to administer sliding scale
insulin, but reinforcing the concepts may be indicated.
