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CCRN PEDIATRIC PRACTICE EXAM
QUESTIONS FROM AACN| WELL REVISED
ASSESSMENT QUESTIONS AND ANSWERS
2026
Family members of a patient who has just died are crying and wailing loudly both
inside and outside the patient's room. Staff are expressing frustration with the
outbursts. The nurse's best response is to acknowledge the noise and
A) Ask a security officer to remove the family from the unit
B) Guide the family to a nearby room where they can express their emotions
C) Tell the family they must quiet down, or they will have to leave the unit
D) Tell the other staff they are being insensitive to the family's expression of grief
- correct-answer -Answer: B) Guide the family to a nearby room where they can
express their emotions: People from various cultures express grief and mourning
in different ways. This expression may include loud, emotional responses.
Providing the family a place close to the patient's room allows them privacy while
minimizing disruption to other patients and staff in the area.
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A) Ask a security officer to remove the family from the unit: Removing the family
is not a culturally sensitive way to allow the family to experience their grief and
mourning
C) Tell the family they must quiet down or they will have to leave the unit: Asking
the family to be quiet or removing them from the unit are not culturally sensitive
ways to allow the family toe experience their grief and mourning
D) Tell the other staff they are being insensitive to the family's expression of grief:
Telling other staff members that they are being insensitive does not promote
cultural awareness and does not address the family's need to express their grief
and mourning.
Cardiac defects associated with increased pulmonary blood flow place the patient
at greatest risk for:
A) Heart Failure
B) Air Emboli
C) Hypoxemia
D) Syncope - correct-answer -Answer: A) Heart Failure: Heart Failure is a common
manifestation associated with increased pulmonary blood flow
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B) Air Emboli: Although air emboli are possible with a septal defect, it would be a
rare occurrence. This may be seen later in life due to chronic increased pulmonary
blood flow
C) Hypoxemia: Hypoxemia is not usually associated with cardiac defects that
result in increased pulmonary blood flow
D) Syncope: Syncope is not associated with cardiac defects that result in increased
pulmonary blood flow
A nurse believes the number of hemolyzed blood samples that have been
reported by the laboratory is excessive. The best action for the nurse would be to
A) Track the number of blood samples drawn, by what method and the number
reported as hemolyzed
B) Request a staff meeting to discuss the problem and ask for feedback
C) Develop an educational in-service on the proper blood-sampling technique for
the staff
D) Create a poster and post-test demonstrating the proper method of drawing
blood samples - correct-answer -Answer: A) Track the number of blood samples
drawn, by what method and the number reported as hemolyzed: Evidence-based
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practice is the use of available data to support care and address care concerns.
The nurse currently has only an impression and no data to support the concern
B) Request a staff meeting to discuss the problem and ask for feedback: this
intervention will not address the need for data to validate the concern
C) Develop an educational in-service on the proper blood-sampling technique for
the staff: This intervention will not address the need for data to validate the
concern
D) Create a poster and post-test demonstrating the proper method of drawing
blood samples: This intervention will not address the need for data to validate the
concern
Which ventilatory parameters should be weaned first in a patient with
bronchopulmonary dysplasia (BPD)?
A) Tidal Volume (VT) and oxygen (FiO2)
B) Peak inspiratory pressure (PIP) and intermittent mandatory ventilation (IMV)
C) Oxygen (FiO2) and intermittent mandatory ventilation (IMV)
CCRN PEDIATRIC PRACTICE EXAM
QUESTIONS FROM AACN| WELL REVISED
ASSESSMENT QUESTIONS AND ANSWERS
2026
Family members of a patient who has just died are crying and wailing loudly both
inside and outside the patient's room. Staff are expressing frustration with the
outbursts. The nurse's best response is to acknowledge the noise and
A) Ask a security officer to remove the family from the unit
B) Guide the family to a nearby room where they can express their emotions
C) Tell the family they must quiet down, or they will have to leave the unit
D) Tell the other staff they are being insensitive to the family's expression of grief
- correct-answer -Answer: B) Guide the family to a nearby room where they can
express their emotions: People from various cultures express grief and mourning
in different ways. This expression may include loud, emotional responses.
Providing the family a place close to the patient's room allows them privacy while
minimizing disruption to other patients and staff in the area.
,2|Page
A) Ask a security officer to remove the family from the unit: Removing the family
is not a culturally sensitive way to allow the family to experience their grief and
mourning
C) Tell the family they must quiet down or they will have to leave the unit: Asking
the family to be quiet or removing them from the unit are not culturally sensitive
ways to allow the family toe experience their grief and mourning
D) Tell the other staff they are being insensitive to the family's expression of grief:
Telling other staff members that they are being insensitive does not promote
cultural awareness and does not address the family's need to express their grief
and mourning.
Cardiac defects associated with increased pulmonary blood flow place the patient
at greatest risk for:
A) Heart Failure
B) Air Emboli
C) Hypoxemia
D) Syncope - correct-answer -Answer: A) Heart Failure: Heart Failure is a common
manifestation associated with increased pulmonary blood flow
,3|Page
B) Air Emboli: Although air emboli are possible with a septal defect, it would be a
rare occurrence. This may be seen later in life due to chronic increased pulmonary
blood flow
C) Hypoxemia: Hypoxemia is not usually associated with cardiac defects that
result in increased pulmonary blood flow
D) Syncope: Syncope is not associated with cardiac defects that result in increased
pulmonary blood flow
A nurse believes the number of hemolyzed blood samples that have been
reported by the laboratory is excessive. The best action for the nurse would be to
A) Track the number of blood samples drawn, by what method and the number
reported as hemolyzed
B) Request a staff meeting to discuss the problem and ask for feedback
C) Develop an educational in-service on the proper blood-sampling technique for
the staff
D) Create a poster and post-test demonstrating the proper method of drawing
blood samples - correct-answer -Answer: A) Track the number of blood samples
drawn, by what method and the number reported as hemolyzed: Evidence-based
, 4|Page
practice is the use of available data to support care and address care concerns.
The nurse currently has only an impression and no data to support the concern
B) Request a staff meeting to discuss the problem and ask for feedback: this
intervention will not address the need for data to validate the concern
C) Develop an educational in-service on the proper blood-sampling technique for
the staff: This intervention will not address the need for data to validate the
concern
D) Create a poster and post-test demonstrating the proper method of drawing
blood samples: This intervention will not address the need for data to validate the
concern
Which ventilatory parameters should be weaned first in a patient with
bronchopulmonary dysplasia (BPD)?
A) Tidal Volume (VT) and oxygen (FiO2)
B) Peak inspiratory pressure (PIP) and intermittent mandatory ventilation (IMV)
C) Oxygen (FiO2) and intermittent mandatory ventilation (IMV)
