CCRN PEDS AACN Exam (Latest 2025/2026 Update) 138 Questions with Verified Answers | 100% Correct.

CCRN PEDS AACN Exam (Latest 2025/2026 i,- i,- i,- i,- i,- i,-




Update) 138 Questions with Verified Answers i,- i,- i,- i,- i,- i,-




| 100% Correct. i,- i,-




1. In caring for a patient with salicylate intoxication, the critical
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care nurse would anticipate which of the following as a primary
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treatment measure? i,-




A. Administration of protamine sulfate
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B. Administration of glucose
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C. Transfusion of packed RBCs
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D. Replacement of fluid and electrolytes
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fluid and electrolytes
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2. An adolescent with the developmental age of a 4-year-old
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requires placement of a chest tube. The best way to prepare the
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patient for this procedure is to
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A. Use short simple sentences and limit descriptions to concrete
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explanations.
B. Show the patient a chest tube and explain how it will feel.
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C. Explain in detail why a chest tube is needed and how it works.
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,D. Tell the parents what will be done so they can explain it to their
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child. Use short simple sentences and limit descriptions to
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concrete explanations. i,-




3. A child admitted with a gunshot wound to the head,
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accidentally inflicted by an older sibling. The parents are i,- i,- i,- i,- i,- i,- i,- i,- i,-



overcome with grief and appear to be ignoring the following
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statements made by the older sibling: "It was an accident; I didn't
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mean to do it; I'm sorry!" Which of the following actions by the
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nurse would be most appropriate?
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A. Discuss the importance of gun safety with the older sibling
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while the parents are at the bedside.
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B. Seek additional support for the parents for ways they can assist
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the older sibling
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C. Tell the parents that they need to provide support for the older
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sibling
D. Tell the older sibling, "Accidents happen; I know you didn't
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mean to do it." Seek additional support for the parents for
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ways they can assist the older sibling
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4. Which of the following laboratory findings is indicative of the
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syndrome of inappropriate ADH secretion (SIADH)?i,- i,- i,- i,- i,-

,A. Serum sodium = 148 mEq/L
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B. Decreased serum osmolality
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C. Blood urea nitrogen (BUN) = 28 mg/dl
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D. Serum potassium = 5.1 mEq/L
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5. A 3-year-old is admitted to the ICU with a 10-hour history of an
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acute-onset asthma attack. Initial assessment reveals the following
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HR 160 i,-




pH 7.25 i,-




RR 48 i,-




pCO2 35 i,-




BP 112/76 i,-




pO2 40 i,-




T 32*C
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HCO3 22 i,-




A. Administration of NaHCO3
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B. Fluid resuscitation
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C. Racemic epinephrine
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D. Intubation
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, 6. A 2-year-old is experiencing manifestations of digoxin
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(Lanoxin) toxicity. BP is 94/60, capillary refill time is 2 seconds and
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the electrocardiogram reveals AV block with a heart rate of 60.
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The critical care nurse would anticipate which of the following
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interventions?


A. Performance of cardioversion
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B. Administration of Atropine
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C. Performance of vasovagal maneuvers
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D. Monitoring of HR and rhythm and perfusion status
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Monitoring of HR and rhythm and perfusion status i,- i,- i,- i,- i,- i,- i,-




7. An adolescent with asthma is readmitted just a week after
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discharge from the hospital. On questioning, the nurse learns that
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the patient refuses to use the inhalers at school. The nurse should
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A. Talk to the teen about long-term consequences of the disease
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if the treatment plan is not followed
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B. Talk to the school nurse to find out why they are not
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monitoring the medications at school i,- i,- i,- i,-




C. Help the parents set up a disciplinary contract with the teen
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D. Arrange for the teen to attend an asthma support group
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Arrange for the teen to attend an asthma support group
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