CCRN PEDIATRIC AACN 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔When a skin surfaces rubs against another surfaces, such as bedsheet, this is
called:
A. shear
B. epidermal stripping
C. friction
D. maceration - ✔✔C
✔✔An African American patient is admitted with angioedema. The patients medication
history includes the use of an ACE inhibitor for hypertension. The patient endorses
taking the medication as prescribed and denies taking any additional doses. Which
should the nurse suspect?
A. the pharmacist gave the patient the wrong dose of medication
B. the patient needs education on how to take the medication correctly
C. the caregiver is trying to poison the patient by administering additional medication
D. the medication is not being metabolized as intended - ✔✔D
✔✔A child presents to the emergency department with stridor, vomiting, and urticarial
rash. Assessment reveals a capillary refill of 4 seconds and HR 180. The nurse
suspects which type of shock?
A. hypovolemic
B. neurogenic
C. distributive
D. cardiogenic - ✔✔C
✔✔A child is admitted after a near-drowning incident. The patient is being managed
with mechanical ventilation. Assessment reveals decrease bilateral lung sounds,
crackles, and increased frothy secretions. ABG results are as follows:
pH 7.35
pCO2 45
pO2 58
HCO3 24
BE -1
SaO2 89%
Which of the following orders should the nurse anticipate?
A. increased tidal volume to 10 mL/kg
B. increase FiO2 to 100%
C. increase PEEP to 10
D. increase pressure support to 10 - ✔✔C
, ✔✔A patient is admitted after an episode of emesis during a seizure. Assessment
reveals labored breathing, SaO2 85% in room air, and crackles are auscultated
bilaterally. Which of the following orders should the nurse MOST anticipate?
A. blood culture and IV maxipime (Cefepime)
B. oxygen to maintain SaO2 between 94-99% and HOB elevated 30-45 degrees
C. albuterol (Proventil) inhaler and IV methylprednisone (Solumedrol)
D. furosemide (Lasix) and 100% FiO2 - ✔✔B
✔✔A patient is admitted with an acute blunt chest trauma. Initial assessment reveals
chest wall bruising, unequal lung sounds, increased dyspnea, and SaO2 91% on 2L
NC. The patient tells the nurse "My chest hurts so much" despite pain medication
administration. The priority intervention the nurse should anticipate would be:
A. chest tube placement
B. non-invasive positive pressure ventilation
C. bronchodilator via nebulizer
D. increasing pain medication - ✔✔A
✔✔A child has been waiting for 2 months for a heart transplant. A family member
angrily tells the nurse "This is hopeless!". The nurse's action should be based on the
knowledge that:
A. maintaining the integrity of the family system is crucial in the transplant process
B. because expressions of hopelessness may be harmful to the patient, the family
member should be encourage to keep these statements out of the patient care area
C. expressions of frustration are normal and usually require no nursing intervention
D. encouraging discussion of negative emotions can impede their resolution - ✔✔A
✔✔A patient with DKA is admitted. To best manage electrolyte imbalances, the nurse
should INITIALLY collaborate with a(n):
A. diabetes educator
B. dietician
C. endocrinologist
D. gastroenterologist - ✔✔B
✔✔A neutropenic patient is admitted showing signs of respiratory infection. Blood and
sputum cultures are obtained. The nurse should anticipate:
A. immediate placement in strict isolation
B. no intervention until causative organism is identified
C. beginning antibiotics immediately
D. transbronchial biopsy - ✔✔C
✔✔A patient is receiving IV decadron (Dexamethasone) and epinephrine (Adrenaline)
infusion at 0.03 mcg/kg/min. What lab result should the nurse anticipate?
A. decreased sodium
B. decreased calcium
C. elevated BG
SOLUTIONS RATED A+
✔✔When a skin surfaces rubs against another surfaces, such as bedsheet, this is
called:
A. shear
B. epidermal stripping
C. friction
D. maceration - ✔✔C
✔✔An African American patient is admitted with angioedema. The patients medication
history includes the use of an ACE inhibitor for hypertension. The patient endorses
taking the medication as prescribed and denies taking any additional doses. Which
should the nurse suspect?
A. the pharmacist gave the patient the wrong dose of medication
B. the patient needs education on how to take the medication correctly
C. the caregiver is trying to poison the patient by administering additional medication
D. the medication is not being metabolized as intended - ✔✔D
✔✔A child presents to the emergency department with stridor, vomiting, and urticarial
rash. Assessment reveals a capillary refill of 4 seconds and HR 180. The nurse
suspects which type of shock?
A. hypovolemic
B. neurogenic
C. distributive
D. cardiogenic - ✔✔C
✔✔A child is admitted after a near-drowning incident. The patient is being managed
with mechanical ventilation. Assessment reveals decrease bilateral lung sounds,
crackles, and increased frothy secretions. ABG results are as follows:
pH 7.35
pCO2 45
pO2 58
HCO3 24
BE -1
SaO2 89%
Which of the following orders should the nurse anticipate?
A. increased tidal volume to 10 mL/kg
B. increase FiO2 to 100%
C. increase PEEP to 10
D. increase pressure support to 10 - ✔✔C
, ✔✔A patient is admitted after an episode of emesis during a seizure. Assessment
reveals labored breathing, SaO2 85% in room air, and crackles are auscultated
bilaterally. Which of the following orders should the nurse MOST anticipate?
A. blood culture and IV maxipime (Cefepime)
B. oxygen to maintain SaO2 between 94-99% and HOB elevated 30-45 degrees
C. albuterol (Proventil) inhaler and IV methylprednisone (Solumedrol)
D. furosemide (Lasix) and 100% FiO2 - ✔✔B
✔✔A patient is admitted with an acute blunt chest trauma. Initial assessment reveals
chest wall bruising, unequal lung sounds, increased dyspnea, and SaO2 91% on 2L
NC. The patient tells the nurse "My chest hurts so much" despite pain medication
administration. The priority intervention the nurse should anticipate would be:
A. chest tube placement
B. non-invasive positive pressure ventilation
C. bronchodilator via nebulizer
D. increasing pain medication - ✔✔A
✔✔A child has been waiting for 2 months for a heart transplant. A family member
angrily tells the nurse "This is hopeless!". The nurse's action should be based on the
knowledge that:
A. maintaining the integrity of the family system is crucial in the transplant process
B. because expressions of hopelessness may be harmful to the patient, the family
member should be encourage to keep these statements out of the patient care area
C. expressions of frustration are normal and usually require no nursing intervention
D. encouraging discussion of negative emotions can impede their resolution - ✔✔A
✔✔A patient with DKA is admitted. To best manage electrolyte imbalances, the nurse
should INITIALLY collaborate with a(n):
A. diabetes educator
B. dietician
C. endocrinologist
D. gastroenterologist - ✔✔B
✔✔A neutropenic patient is admitted showing signs of respiratory infection. Blood and
sputum cultures are obtained. The nurse should anticipate:
A. immediate placement in strict isolation
B. no intervention until causative organism is identified
C. beginning antibiotics immediately
D. transbronchial biopsy - ✔✔C
✔✔A patient is receiving IV decadron (Dexamethasone) and epinephrine (Adrenaline)
infusion at 0.03 mcg/kg/min. What lab result should the nurse anticipate?
A. decreased sodium
B. decreased calcium
C. elevated BG
