3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
CCRN Pediatric Practice Exam Questions from
AACN Latest 2025
Save
Terms in this set (57)
Answer: D) Explain to the sibling that thoughts and
To promote effective
wishes did not cause the infant's death: At age 6,
grieving in a 6-year-old
children may take words literally and because of their
sibling following the death
egocentrism, they believe that thoughts are all-
of an infant, the nurse
powerful. They may truly believe they caused the
should:
death of their sibling. A simple, honest explanation of
A) Recommend that the
why the sibling died is indicated. This intervention is
sibling not attend the
consistent with Caring Processes.
infant's memorial service
A) Recommend that the sibling not attend the infant's
B) Encourage the parents
memorial service: This intervention is not a solution to
to minimize their
the problem and will not promote effective grieving
expression of grief with
for the sibling. It is not consistent with Caring
the sibling
Processes.
C) Explain to the sibling
B) Encourage the parents to minimize their expression
that the infant went to
of grief with the sibling: This intervention will lead to
heaven
ineffective grieving for the sibling and is not
D) Explain to the sibling
consistent with Caring Processes
that thoughts and wishes
C) Explain to the sibling that the infant went to
did not cause the infant's
heaven: This intervention will not address the sibling's
death
problem
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,3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: B) The patient having a CT scan followed by
possible shunt revision: This patient is demonstrating
signs of increased intracranial pressure. The most
A 5-year-old with a history
likely etiology is malfunction of the VP shunt as a
of congenital
result of blockage or disconnection, which is
hydrocephalus and VP
particularly likely over time as the child grows. The
shunt placement at four
definitive diagnosis is made by a CT scan and a shunt
weeks of age is admitted
series. Surgical intervention for a shunt revision would
with increased
be indicated.
somnolence, decreased
A) The physician ordering lumbar puncture and blood
appetite, and increased
and urine cultures: These interventions will not
complaints of headache.
address the most likely primary problem, which is
This morning the child
suspected VP shunt malfunction. Additionally, lumbar
vomited twice. The nurse
puncture is contraindicated in the presence of
should anticipate:
increased intracranial pressure, because downward
A) The physician ordering
herniation of the brainstem can occur.
lumbar puncture and
C) Administering mannitol or hypertonic saline: These
blood and urine cultures
medication are indicated for the medical management
B) the patient having a CT
of increased intracranial pressure, of which this patient
scan followed by possible
has symptoms. However, they will not address the
shunt revision
most likely primary problem, which is suspected VP
C) Administering mannitol
shunt malfunction.
or hypertonic saline
D) Administering phenytoin (Dilantin) or fosphenytoin
D) Administering
(Cerebyx): These medications are indicated for seizure
phenytoin (Dilantin) or
management and would not address the patient's
fosphenytoin (Cerebyx)
most likely primary problem, which is suspected
increased intracranial pressure as a result of VP shunt
malfunction
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,3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: C) Splenic laceration: Kehr's sign, which is
referred pain to the left shoulder during compression
of the left upper abdominal quadrant, is an indication
An adolescent trauma
of splenic injury. Additional symptoms include
patient is complaining of
tachycardia, hypotension, and leukocytosis
left upper quadrant
A) Small bowel injury: Signs of small bowel injury may
abdominal pain radiating
include progressive abdominal distension, not
to the left shoulder. Blood
referred left shoulder pain.
pressure has dropped to
B) Cardiac Contusion: Signs of cardiac contusion
80/50. Which condition is
include chest pain, arrhythmias, and other indicators
most likely?
of myocardial dysfunction, such as elevated cardiac
A) Small Bowel Injury
isoenzymes. Upper quadrant abdominal pain with
B) Cardiac Contusion
radiation to the left shoulder is not consistent with a
C) Splenic Laceration
cardiac contusion
D) Pulmonary Embolism
D) Pulmonary Embolism: Symptoms of pulmonary
embolism include chest pain and dyspnea on
exertion, not left shoulder pain
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, 3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: D) Airway Patency: The first priority after
admitting an infant with encephalitis is to assess the
patient's ability to maintain airway patency. Such
patients can develop rapid neurologic deterioration,
and the nurse must be prepared to support the
airway, oxygenation, and ventilation as needed.
A) Pupillary Response: The infant with encephalitis
An infant has been
should be monitored for changes in neurologic status,
admitted with encephalitis.
including pupillary response. However, assessing the
The nurse should first
patient;s ability to maintain airway patency is the first
assess the patient's:
priority.
A) Pupillary response
B) Blood Glucose Level: The infant with encephalitis
B) Blood glucose level
will need blood glucose levels monitored, especially
C) Level of consciousness
if unable to maintain adequate oral intake. However,
D) Airway Patency
assessing the patient's ability to maintain airway
patency is the first priority.
C) Level of consciousness: The infant with encephalitis
should be monitored for changes in neurologic status,
including assessment of the level of consciousness.
However, assessing the patient's ability to maintain
airway patency is the first priority.
https://quizlet.com/1012687207/ccrn-pediatric-practice-exam-questions-from-aacn-latest-2025-flash-cards/?new 4/44
CCRN Pediatric Practice Exam Questions from
AACN Latest 2025
Save
Terms in this set (57)
Answer: D) Explain to the sibling that thoughts and
To promote effective
wishes did not cause the infant's death: At age 6,
grieving in a 6-year-old
children may take words literally and because of their
sibling following the death
egocentrism, they believe that thoughts are all-
of an infant, the nurse
powerful. They may truly believe they caused the
should:
death of their sibling. A simple, honest explanation of
A) Recommend that the
why the sibling died is indicated. This intervention is
sibling not attend the
consistent with Caring Processes.
infant's memorial service
A) Recommend that the sibling not attend the infant's
B) Encourage the parents
memorial service: This intervention is not a solution to
to minimize their
the problem and will not promote effective grieving
expression of grief with
for the sibling. It is not consistent with Caring
the sibling
Processes.
C) Explain to the sibling
B) Encourage the parents to minimize their expression
that the infant went to
of grief with the sibling: This intervention will lead to
heaven
ineffective grieving for the sibling and is not
D) Explain to the sibling
consistent with Caring Processes
that thoughts and wishes
C) Explain to the sibling that the infant went to
did not cause the infant's
heaven: This intervention will not address the sibling's
death
problem
https://quizlet.com/1012687207/ccrn-pediatric-practice-exam-questions-from-aacn-latest-2025-flash-cards/?new 1/44
,3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: B) The patient having a CT scan followed by
possible shunt revision: This patient is demonstrating
signs of increased intracranial pressure. The most
A 5-year-old with a history
likely etiology is malfunction of the VP shunt as a
of congenital
result of blockage or disconnection, which is
hydrocephalus and VP
particularly likely over time as the child grows. The
shunt placement at four
definitive diagnosis is made by a CT scan and a shunt
weeks of age is admitted
series. Surgical intervention for a shunt revision would
with increased
be indicated.
somnolence, decreased
A) The physician ordering lumbar puncture and blood
appetite, and increased
and urine cultures: These interventions will not
complaints of headache.
address the most likely primary problem, which is
This morning the child
suspected VP shunt malfunction. Additionally, lumbar
vomited twice. The nurse
puncture is contraindicated in the presence of
should anticipate:
increased intracranial pressure, because downward
A) The physician ordering
herniation of the brainstem can occur.
lumbar puncture and
C) Administering mannitol or hypertonic saline: These
blood and urine cultures
medication are indicated for the medical management
B) the patient having a CT
of increased intracranial pressure, of which this patient
scan followed by possible
has symptoms. However, they will not address the
shunt revision
most likely primary problem, which is suspected VP
C) Administering mannitol
shunt malfunction.
or hypertonic saline
D) Administering phenytoin (Dilantin) or fosphenytoin
D) Administering
(Cerebyx): These medications are indicated for seizure
phenytoin (Dilantin) or
management and would not address the patient's
fosphenytoin (Cerebyx)
most likely primary problem, which is suspected
increased intracranial pressure as a result of VP shunt
malfunction
https://quizlet.com/1012687207/ccrn-pediatric-practice-exam-questions-from-aacn-latest-2025-flash-cards/?new 2/44
,3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: C) Splenic laceration: Kehr's sign, which is
referred pain to the left shoulder during compression
of the left upper abdominal quadrant, is an indication
An adolescent trauma
of splenic injury. Additional symptoms include
patient is complaining of
tachycardia, hypotension, and leukocytosis
left upper quadrant
A) Small bowel injury: Signs of small bowel injury may
abdominal pain radiating
include progressive abdominal distension, not
to the left shoulder. Blood
referred left shoulder pain.
pressure has dropped to
B) Cardiac Contusion: Signs of cardiac contusion
80/50. Which condition is
include chest pain, arrhythmias, and other indicators
most likely?
of myocardial dysfunction, such as elevated cardiac
A) Small Bowel Injury
isoenzymes. Upper quadrant abdominal pain with
B) Cardiac Contusion
radiation to the left shoulder is not consistent with a
C) Splenic Laceration
cardiac contusion
D) Pulmonary Embolism
D) Pulmonary Embolism: Symptoms of pulmonary
embolism include chest pain and dyspnea on
exertion, not left shoulder pain
https://quizlet.com/1012687207/ccrn-pediatric-practice-exam-questions-from-aacn-latest-2025-flash-cards/?new 3/44
, 3/2/25, 2:31 PM CCRN Pediatric Practice Exam Questions from AACN Latest 2025 Flashcards | Quizlet
Answer: D) Airway Patency: The first priority after
admitting an infant with encephalitis is to assess the
patient's ability to maintain airway patency. Such
patients can develop rapid neurologic deterioration,
and the nurse must be prepared to support the
airway, oxygenation, and ventilation as needed.
A) Pupillary Response: The infant with encephalitis
An infant has been
should be monitored for changes in neurologic status,
admitted with encephalitis.
including pupillary response. However, assessing the
The nurse should first
patient;s ability to maintain airway patency is the first
assess the patient's:
priority.
A) Pupillary response
B) Blood Glucose Level: The infant with encephalitis
B) Blood glucose level
will need blood glucose levels monitored, especially
C) Level of consciousness
if unable to maintain adequate oral intake. However,
D) Airway Patency
assessing the patient's ability to maintain airway
patency is the first priority.
C) Level of consciousness: The infant with encephalitis
should be monitored for changes in neurologic status,
including assessment of the level of consciousness.
However, assessing the patient's ability to maintain
airway patency is the first priority.
https://quizlet.com/1012687207/ccrn-pediatric-practice-exam-questions-from-aacn-latest-2025-flash-cards/?new 4/44
