CCRN neonatal EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




CCRN Pediatric Exam Questions from AACN Cartes 2026 vc vc vc vc vc vc vc vc




A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIF
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IED ANSWERS (96A60) vc vc




QUESTION 1 vc




An adolescent trauma patient is complaining of left upper quadrant abdominal pain radi
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ating to the left shoulder. Blood pressure has dropped to 80/50. Which condition is most
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likely?
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A) Small Bowel Injury
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B) Cardiac Contusion
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C) Splenic Laceration
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D) Pulmonary Embolism
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ANSWER

Answer:
C) Splenic laceration: Kehr's sign, which is referred pain to the left shoulder during compression of the l
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eft upper abdominal quadrant, is an indication of splenic injury. Additional symptoms include tachycardi
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a, hypotension, and leukocytosis
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A) Small bowel injury: Signs of small bowel injury may include progressive abdominal distension, not re
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ferred left shoulder pain. vc vc vc



B) Cardiac Contusion: Signs of cardiac contusion include chest pain, arrhythmias, and other indicators of
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myocardial dysfunction, such as elevated cardiac isoenzymes. Upper quadrant abdominal pain with radi
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ation to the left shoulder is not consistent with a cardiac contusion
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D) Pulmonary Embolism: Symptoms of pulmonary embolism include chest pain and dyspnea on exertio
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n, not left shoulder pain
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QUESTION 2 vc




The pediatric patient with suspected asphyxia from smoke inhalation will typically prese
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nt with: vc



A) Tachypnea
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B) Cyanosisvc



C) Confusion
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D) Hypotension
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ANSWER

, Answer:
C) Confusion: The patient with asphyxia from smoke inhalation will experience cerebral hypoxemia and
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demonstrate symptoms of neurologic dysfunction, including confusion
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A) Tachypnea: While the patient with smoke inhalation may experience tachypnea as a result of damage
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to the lung parenchyma, this symptoms is not specific to asphyxia
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B) Cyanosis: While the patient with smoke inhalation may experience cyanosis as a result of damage to t
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he lung parenchyma, this symptoms is not specific to asphyxia
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D) Hypotension: While the patient with smoke inhalation and a burn injury may demonstrate hypotensi
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on from fluid shifts, this symptoms is not specific to asphyxia
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QUESTION 3 vc




A toddler with a history of unrepaired tetralogy of Fallot begins to cry while intravenous
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access is attempted. Cyanosis, diaphoresis and tachypnea are noted. The most appropria
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te nursing intervention would be to:
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A) Administer A pre-medication before attempting the IV
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B) Apply a face mask with oxygen
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C) Transfuse red blood cells
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D) Place the child in knee-chest position
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ANSWER

Answer:
D) Place the child in knee-
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chest position: This maneuver aids blood return to the heart, thus alleviating cyanotic spells
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A) Administer a pre-
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medication before attempting the IV: This may be appropriate if it helps the infant to experience minim
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al pain, and thus cry less during the IV start.
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B) Apply a face mask with oxygen: Administering oxygen is helpful to minimize the hypoxia, but the ma
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sk may cause even more distress.
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C) Transfuse red blood cells: If other measures do not alleviate the spells, volume in the form of packed
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red blood cells may be ordered to maintain the hematocrit greater than or equal to 45%
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QUESTION 4 vc




A 1- vc



month old infant presents with failure to thrive, frequent vomiting and irritability since
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birth. The mother reports having another infant with the same symptoms who died at 2
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months of age. Which additional assessment finding would cause the nurse to suspect an
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inborn error of metabolism? vc vc vc



A) Micrognathia
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B) Microglossia
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C) Petite Facial Features
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D) Musty Urine Odor
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ANSWER

Answer:
D) Musty urine odor: This is a common indicator of a metabolic disorder, especially with a family histor
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