CCRN PEDIATRICS CERTIFICATION
PRACTICE TEST 2024/2025 WITH 130 REAL
EXAM PRACTICE QUESTIONS WITH 100%
CORRECT ANSWERS/ CCRN PEDS EXAM
1. 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 maneuvers
D. Monitoring of HR and rhythm and perfusion status - ANSWER-Monitoring of
HR and rhythm and perfusion status
2. 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 - ANSWER-abnormal urine odor
pg. 1
,3. An 8-year-old with autism is admitted with a fractured femur and possible head
injury. Which of the following is important to promote adjustment to the hospital
setting?
A. Assign different nurses every shift
B. Encourage lots of visitors
C. Adhere to a home schedule
D. Initiate new activities to keep occupied - ANSWER-Adhere to a home schedule
4. Which of the following laboratory findings is indicative of the syndrome of
inappropriate ADH secretion (SIADH)?
A. Serum sodium = 148 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/L - ANSWER-Decreased serum osmolality
5. 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
pg. 2
,D. Tell the older sibling, "Accidents happen; I know you didn't mean to do it." -
ANSWER-Seek additional support for the parents for ways they can assist the
older sibling
6. 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 sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes - ANSWER-D. Replacement of fluid and
electrolytes
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
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 - ANSWER-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?
pg. 3
, A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal hemorrhage
D. A linear skull fracture - ANSWER-Retinal hemorrhage
1. 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. -
ANSWER-Use short simple sentences and limit descriptions to concrete
explanations.
2. Cardiac defects associated with increased pulmonary blood flow place the
patient at greatest risk for
A. heart failure.
B. systemic air emboli.
C. hypoxemia.
D. syncope. - ANSWER-heart failure
3. Which ventilator parameters would be weaned first in a patient with
bronchopulmonary dysplasia (BPD)?
A. VT and FiO2
pg. 4
PRACTICE TEST 2024/2025 WITH 130 REAL
EXAM PRACTICE QUESTIONS WITH 100%
CORRECT ANSWERS/ CCRN PEDS EXAM
1. 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 maneuvers
D. Monitoring of HR and rhythm and perfusion status - ANSWER-Monitoring of
HR and rhythm and perfusion status
2. 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 - ANSWER-abnormal urine odor
pg. 1
,3. An 8-year-old with autism is admitted with a fractured femur and possible head
injury. Which of the following is important to promote adjustment to the hospital
setting?
A. Assign different nurses every shift
B. Encourage lots of visitors
C. Adhere to a home schedule
D. Initiate new activities to keep occupied - ANSWER-Adhere to a home schedule
4. Which of the following laboratory findings is indicative of the syndrome of
inappropriate ADH secretion (SIADH)?
A. Serum sodium = 148 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/L - ANSWER-Decreased serum osmolality
5. 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
pg. 2
,D. Tell the older sibling, "Accidents happen; I know you didn't mean to do it." -
ANSWER-Seek additional support for the parents for ways they can assist the
older sibling
6. 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 sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes - ANSWER-D. Replacement of fluid and
electrolytes
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
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 - ANSWER-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?
pg. 3
, A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal hemorrhage
D. A linear skull fracture - ANSWER-Retinal hemorrhage
1. 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. -
ANSWER-Use short simple sentences and limit descriptions to concrete
explanations.
2. Cardiac defects associated with increased pulmonary blood flow place the
patient at greatest risk for
A. heart failure.
B. systemic air emboli.
C. hypoxemia.
D. syncope. - ANSWER-heart failure
3. Which ventilator parameters would be weaned first in a patient with
bronchopulmonary dysplasia (BPD)?
A. VT and FiO2
pg. 4
