Pediatric CCRN Final Exam With Ques ons And Answers
2025
Synergy Model - correct answers work towards a common goal; pa ent at center and viewed
holis cally
Resiliency - correct answers capacity to cope with illness and return to previous level of
func on; discharge
Complexity - correct answers complicated rela onship of 2 or more systems (body, family,
therapy)
Novice - correct answers maintains enviornment
Competent - correct answers individualizes environment; makes choices
Expert - correct answers an cipates
Middle east culture - correct answers right hand is clean, le is dirty (diapers, feeding)
Undocumented medical preferences - correct answers can be used to guide decisions; if
expressed to family, that is enough
Autonomy - correct answers get all the informa on they need to make a decision
,Veracity - correct answers truthfulness (documenta on)
Fidelity - correct answers faithfulness and honoring commitments
Fu lity - correct answers if care will not improve the pa ent situa on or comfort it should not
be done
State Prac ce Act - correct answers guides what you can do
Negligence - correct answers doesn't do what a reasonable nurse would do
Proximate cause - correct answers theres proof it could have been prevented
Direct cause - correct answers I am the cause of the injury
malprac ce - correct answers failure to use standard or an cipates consequences
Professional misconduct - correct answers failure to meet standard of care
Diaphragm - correct answers used for inspira on; innervated by phrenic nerve C3, 4, 5
Alveoli cells - correct answers epithelial cells
Type I - gas exchange
Type II - surfactant
Lung compliance - correct answers ability to stretch and recoil
,High lung resistance - correct answers can cause barotrauma
Pediatric airways - correct answers narrow, small nostrils, large tongue, flex of large head,
decreased muscle tone, short trachea
V/Q Ra o - correct answers ra on between the amount of air ge ng to the alveoli and amount
of blood sent to the lungs; usually more perfusion (0.8)
Low V/Q - correct answers most common; decreased ven la on (pulm edema, occlusion);
increased CO2
High V/Q - correct answers wasted ven la on (trauma, shock)
Pulmonary vascular resistance - correct answers RV a erload main determinant; lung volume,
vasoconstric on, viscous blood
Tidal volume - correct answers amount of air inhaled AND exhaled; usually 5-8ml/kg
Func onal residual volume - correct answers volume of air remaining a er normal expira on
Residual volume - correct answers volume remaining a er forced expira on
Mixed venous oxygen satura on (SvO2) - correct answers end result of O2 consump on (65-
75%);
Low SvO2 - correct answers low Hg, low CO, O2 consump on increased
, High SvO2 - correct answers increased O2 delivery, reduced O2 consump on, le to right shunt
Acid-base buffers - correct answers respiratory is faster, but renal is be er
Alkalosis - correct answers K is Lo(w); comes out of your mouth (CO2 and vomit)
Acidosis - correct answers ass-cidosis (diarrhea)
HHNC - correct answers reduces dead space in nose (more O2 reservoir)
HHNC contraindica on - correct answers hypercarbic respiratory failure
#1 trach complica on - correct answers decannula on
Paraly cs - correct answers Roc - short dura on
Vec - contraindicated in liver fx
Succinylcholine
Succinylcholine - correct answers paraly c; release K+ causing bradycardia; contraindicated in
neuromuscular disease, crush/burn injury, and malignant hyperthermia
Seda ves - correct answers benzos - no pain relief, anxiety relief, delirium risk
dex - analgesic and seda ve
barbiturates(-itol) - venodila on, depressed myocardial func on, not compa ble with lots of IVF
propofol - rapid onset, short half
2025
Synergy Model - correct answers work towards a common goal; pa ent at center and viewed
holis cally
Resiliency - correct answers capacity to cope with illness and return to previous level of
func on; discharge
Complexity - correct answers complicated rela onship of 2 or more systems (body, family,
therapy)
Novice - correct answers maintains enviornment
Competent - correct answers individualizes environment; makes choices
Expert - correct answers an cipates
Middle east culture - correct answers right hand is clean, le is dirty (diapers, feeding)
Undocumented medical preferences - correct answers can be used to guide decisions; if
expressed to family, that is enough
Autonomy - correct answers get all the informa on they need to make a decision
,Veracity - correct answers truthfulness (documenta on)
Fidelity - correct answers faithfulness and honoring commitments
Fu lity - correct answers if care will not improve the pa ent situa on or comfort it should not
be done
State Prac ce Act - correct answers guides what you can do
Negligence - correct answers doesn't do what a reasonable nurse would do
Proximate cause - correct answers theres proof it could have been prevented
Direct cause - correct answers I am the cause of the injury
malprac ce - correct answers failure to use standard or an cipates consequences
Professional misconduct - correct answers failure to meet standard of care
Diaphragm - correct answers used for inspira on; innervated by phrenic nerve C3, 4, 5
Alveoli cells - correct answers epithelial cells
Type I - gas exchange
Type II - surfactant
Lung compliance - correct answers ability to stretch and recoil
,High lung resistance - correct answers can cause barotrauma
Pediatric airways - correct answers narrow, small nostrils, large tongue, flex of large head,
decreased muscle tone, short trachea
V/Q Ra o - correct answers ra on between the amount of air ge ng to the alveoli and amount
of blood sent to the lungs; usually more perfusion (0.8)
Low V/Q - correct answers most common; decreased ven la on (pulm edema, occlusion);
increased CO2
High V/Q - correct answers wasted ven la on (trauma, shock)
Pulmonary vascular resistance - correct answers RV a erload main determinant; lung volume,
vasoconstric on, viscous blood
Tidal volume - correct answers amount of air inhaled AND exhaled; usually 5-8ml/kg
Func onal residual volume - correct answers volume of air remaining a er normal expira on
Residual volume - correct answers volume remaining a er forced expira on
Mixed venous oxygen satura on (SvO2) - correct answers end result of O2 consump on (65-
75%);
Low SvO2 - correct answers low Hg, low CO, O2 consump on increased
, High SvO2 - correct answers increased O2 delivery, reduced O2 consump on, le to right shunt
Acid-base buffers - correct answers respiratory is faster, but renal is be er
Alkalosis - correct answers K is Lo(w); comes out of your mouth (CO2 and vomit)
Acidosis - correct answers ass-cidosis (diarrhea)
HHNC - correct answers reduces dead space in nose (more O2 reservoir)
HHNC contraindica on - correct answers hypercarbic respiratory failure
#1 trach complica on - correct answers decannula on
Paraly cs - correct answers Roc - short dura on
Vec - contraindicated in liver fx
Succinylcholine
Succinylcholine - correct answers paraly c; release K+ causing bradycardia; contraindicated in
neuromuscular disease, crush/burn injury, and malignant hyperthermia
Seda ves - correct answers benzos - no pain relief, anxiety relief, delirium risk
dex - analgesic and seda ve
barbiturates(-itol) - venodila on, depressed myocardial func on, not compa ble with lots of IVF
propofol - rapid onset, short half
