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CCRN PEDS AACN Questions with Detailed
Verified Answers
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 sulfate
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.
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?
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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 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/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
RR 48
pCO2 35
BP 112/76
pO2 40
T 32*C
HCO3 22
A. Administration of NaHCO3
B. Fluid resuscitation
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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 maneuvers
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
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?
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A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal hemorrhage
D. A linear skull fracture
Ans: Retinal hemorrhage
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
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.
Ans: heart failure
© Get it right 2025 Getaway - Stuvia US All rights reserved
CCRN PEDS AACN Questions with Detailed
Verified Answers
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 sulfate
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.
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?
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,Click here for more: Scholars nexus
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 mEq/L
B. Decreased serum osmolality
C. Blood urea nitrogen (BUN) = 28 mg/dl
D. Serum potassium = 5.1 mEq/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
RR 48
pCO2 35
BP 112/76
pO2 40
T 32*C
HCO3 22
A. Administration of NaHCO3
B. Fluid resuscitation
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,Click here for more: Scholars nexus
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 maneuvers
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
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?
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, Click here for more: Scholars nexus
A. A reddened or bruised are on the skull
B. Poorly reactive pupils
C. Retinal hemorrhage
D. A linear skull fracture
Ans: Retinal hemorrhage
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
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.
Ans: heart failure
© Get it right 2025 Getaway - Stuvia US All rights reserved
