New CCRN-Pediatric Test Materials & Valid CCRN-Pediatric Test Engine
CCRN-Pediatric Updated Exam Dumps [2025] Practice Valid Exam Dumps Question
AACN CCRN-Pediatric (Critical Care Nursing) Exam is a certification exam designed for registered nurses who specialize in caring for critically ill pediatric patients. CCRN-Pediatric exam is created and administered by the American Association of Critical-Care Nurses (AACN), the largest specialty nursing organization in the world. The purpose of the CCRN-Pediatric exam is to assess the nurse's knowledge and skills in providing care to pediatric patients who are critically ill or injured.
NEW QUESTION # 38
How would a nurse soothe an infant who was hospitalized and appears to be in pain:
- A. through feeding
- B. playing a relaxing music
- C. eliminating noise
- D. holding the infant
Answer: D
Explanation:
Explanation: Touching the infant while in pain will make him feel secured. This is the best for a distressed infant. Feeding doesn't always comfort an infant.
NEW QUESTION # 39
Which of the following is the reason a patient with dilated cardiomyopathy is administered Digoxin (Lanoxin)?
- A. Decreased AV node rate
- B. Increased sinus atrial node rate
- C. Positive inotropic effects
- D. Negative inotropic effects
Answer: C
Explanation:
Digoxinenhancescontractilityof the heart throughpositive inotropic effects, which is beneficial indilated cardiomyopathy, where the ventricles are weakened and unable to pump efficiently. It improves cardiac output and reduces symptoms of heart failure.
"Positive inotropic agents like digoxin are used in dilated cardiomyopathy to improve myocardial contractility and cardiac output." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Heart Failure Management)
NEW QUESTION # 40
What nursing action should be done in an infant who receives IVF via a scalp vein:
- A. restrain the extremities when there's no one to see the child.
- B. assess for signs of infiltration behind the occiput
- C. explain to the parents that they cant hold the client while the IV therapy is ongoing.
- D. assess the pupils every 1 hour for any untoward reaction.
Answer: A
Explanation:
Explanation: Extremities need to be restrained as infants use them to dislodge the needle. Pupillary reaction and assessing at the occiput do not relate to scalp vein and IV therapy.
NEW QUESTION # 41
A transgender adolescent requests to be addressed by preferred name/pronouns, different from medical record. What is the best response?
- A. Use the medical record name/pronouns for consistency
- B. Inform the patient only legal names can be used in hospitals
- C. Avoid pronouns to prevent misunderstanding
- D. Document the patient's preferred name and pronouns, and use them in all interactions
Answer: D
Explanation:
Using a transgender patient'spreferred name and pronounspromotesrespect, inclusion, and psychological safety. It's a key component ofculturally competent, family-centered care, and should be documented for consistency among all caregivers.
"Addressing patients by their chosen name and pronouns supports emotional well-being and is a standard of equitable, patient-centered care." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Cultural Competency and Respectful Communication)
NEW QUESTION # 42
What is the most common cause of neurologic dysfunction associated with spinal cord injury?
- A. Cerebral edema
- B. Vertebral body fracture
- C. Cord edema
- D. Intervertebral disc compression
Answer: C
Explanation:
Spinal cord edemais the most common and immediate cause ofneurological impairmentafter spinal trauma.
Swelling can compress the cord and impede circulation, leading tosecondary injurybeyond the initial mechanical trauma.
"Cord edema is a leading cause of secondary neurologic damage following spinal injury. Early identification and management are critical to preserving function." (Referenced from CCRN Pediatric - Direct Care: Neurological, Spinal Cord Injury and Secondary Neurologic Injury)
NEW QUESTION # 43
After teaching the parents of an 18-month-old child who has undergone cleft palate repair how to use elbow restraints, which of the following statements by the parents indicates effective teaching:
- A. "We'll keep the restraints in place continuously until the doctor says it's okay to remove them."
- B. "We'll remove the restraints temporarily at least three times a day to check his skin then put them right back on."
- C. "The restraints should be taped directly to our child's arms so that they will stay in one place."
- D. "We can take off the restraints while our child is playing but we'll make sure to put them back on at night."
Answer: B
Explanation:
Explanation: Elbow restraints help to keep the child from placing fingers or any other object in the mouth that would cause injury to the operative site. The restraints are worn at all times except when they are removed to check the skin. Because of the risk for skin breakdown, the restraints are removed periodically during the day to assess the child's underlying skin. It is advisable to remove only one restraint at a time while keeping hold of the child's hand on the unrestrained side.
NEW QUESTION # 44
A 5year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour.
Which sign or symptom suggests excessive I.V. fluid intake:
- A. Gastric distension
- B. Temperature of 102°F
- C. Nausea and vomiting
- D. Worsening Dyspnea
Answer: D
Explanation:
Explanation: Dyspnea and other signs of respiratory distress signify fluid volume excess (overload), which can occur quickly in a child as fluid shifts rapidly between the intracellular and extracellular compartments. Gastric distention may suggest excessive oral fluid intake or infection. Nausea and vomiting or an elevated temperature may indicate a fluid volume deficit.
NEW QUESTION # 45
A patient on peritoneal dialysis has high blood glucose. Most likely cause is:
- A. Increased glucagon release
- B. Systemic corticosteroids
- C. Glucose in the dialysate
- D. Decreased pancreatic function
Answer: C
Explanation:
Peritoneal dialysis usesdialysate fluid that contains glucoseto create an osmotic gradient for fluid removal.
This glucose can beabsorbed into the bloodstream, especially with prolonged dwell times, resulting in hyperglycemia, particularly in pediatric patients with small body mass.
"Glucose in peritoneal dialysis solutions may be systemically absorbed, causing elevated serum glucose levels, particularly in pediatric and insulin-sensitive patients." (Referenced from CCRN Pediatric - Direct Care: Endocrine/Renal, Dialysis Complications)
NEW QUESTION # 46
A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea.
A nurse should suspect:
- A. Acute glomerulonephritis
- B. Hepatorenal syndrome
- C. Hemolytic uremic syndrome
- D. Nephrotic syndrome
Answer: C
Explanation:
Hemolytic uremic syndrome (HUS)is commonly preceded by a diarrheal illness, often caused byE. coli O157:H7. Classic triad:microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury
-often with petechiae, hypertension, and decreased urine output.
"HUS presents in children as a post-infectious complication, typically following bloody diarrhea. It manifests with renal failure, anemia, thrombocytopenia, and neurologic or hypertensive symptoms." (Referenced from CCRN Pediatric - Direct Care: Renal Dysfunction and Hematologic Disorders)
NEW QUESTION # 47
A nurse conducts teaching among adolescents about STD's. One of the Participants asks about any early sign or symptom of Syphilis. The nurse should state that it is:
- A. difficulty in urination
- B. pus on genitals
- C. rashes on genitals
- D. lesion on genitals
Answer: D
Explanation:
Explanation: Lesion on genitals is the earliest sign of syphilis. During a dark-field exam of the scraping will reveal the causative agent - Treponema pallidum.
NEW QUESTION # 48
An infant with tetralogy of fallot was admitted at the unit. Which of the following is indicative of physiologic adaptation of a client with tetralogy of fallot:
- A. digital clubbing
- B. shallow and irregular respirations.
- C. decrease platelet count
- D. ecchymoses
Answer: A
Explanation:
Explanation: There will be a poor peripheral circulation due to Hypoxia. Clubbing of fingers occur as a result of capillary development and tissue hypertrophy of the fingertips. There will be a rapid breathing.
NEW QUESTION # 49
Parent teaching for a child with encephalopathy should include which of the following?
- A. The condition is caused by a contagious agent
- B. Antibiotics are effective
- C. Neurologic damage will be minimal
- D. Often, no causative agent is found
Answer: D
Explanation:
Encephalopathy refers to aglobal brain dysfunctioncaused by various factors such asmetabolic imbalances, toxins, hypoxia, or infections. In many cases,no definitive causative agent is identified, and treatment focuses onsupportive care and managing underlying triggers.
"Pediatric encephalopathy is often multifactorial, and in many cases no specific causative agent is isolated.
Families should be counseled accordingly."
(Referenced from CCRN Pediatric - Direct Care: Neurological, Encephalopathy and Parental Education)
NEW QUESTION # 50
A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited.
Which of the following should a nurse anticipate as the initial treatment?
- A. Incisional fasciotomy
- B. Fluid bolus and antibiotic administration
- C. Application of an immobilizing device
- D. X-ray of the right forearm
Answer: A
Explanation:
This clinical picture is classic forcompartment syndrome: a surgical emergency. Symptoms includecool extremity, prolonged capillary refill, pain, paresthesia, and loss of motor function.Fasciotomyis the definitive treatment torelieve pressure and prevent permanent damage.
"Compartment syndrome requires immediate fasciotomy. Delay in intervention may lead to muscle necrosis and permanent disability." (Referenced from CCRN Pediatric - Direct Care: Musculoskeletal, Orthopedic Trauma and Emergencies)
NEW QUESTION # 51
Hillary is a 6 year old who has meningitis. The nurse at the unit noticed that she assumes an opisthotonic position. The nurse should place her in :
- A. side-lying position
- B. knee-chest position
- C. high fowler's position
- D. semi-fowler's position
Answer: A
Explanation:
Explanation: In meningitis, side-lying position is for maximum safety and comfort because the child with meningitis has hyperextended neck and back.
NEW QUESTION # 52
The parents of a teenager with terminal neuroblastoma are preparing to withdraw life-sustaining treatment. The parent states, "I would like their sibling to be here, but I'm not sure if that is a good idea." Which of the following is the best response by a nurse?
- A. "The medical team supports the presence of siblings during end of life."
- B. "Our child life therapist can help prepare the sibling for what will happen."
- C. "What concerns do you have about having the sibling present?"
- D. "We require siblings to be a certain age. How old is the sibling?"
Answer: C
Explanation:
In end-of-life situations, especially involving pediatric patients, psychosocial support must extend to the entire family. When a parent expresses uncertainty or ambivalence, the nurse's role is to facilitate open communication and exploreparental concerns without imposing judgment or directives.
"Effective psychosocial care requires assessment of family readiness and emotional state. Nurses should encourage family expression of feelings and help clarify concerns before offering direction or education." (Referenced from CCRN Pediatric - Direct Care: Psychosocial Support and Palliative Care) By asking about the parent's concerns, the nurse promotes a therapeutic relationship and gains insight into the family's emotional and cultural dynamics, allowing further support or child life referrals as needed.
NEW QUESTION # 53
Which of the following is the correct way of instilling eardrops among children below 3 years old:
- A. Apply medicated ear wicks, then instill the eardrops
- B. Pull the pinna up and back to straighten the ear canal
- C. Pull the pinna down and back to straighten the ear canal
- D. Cleanse the ear canal trough pulling the pinna outward
Answer: C
Explanation:
Explanation: Canal should be straighten by pulling it down and back so that the eardrops will reach the eardrum. This approach is applicable to children below 3 years old because their ear canal curves upward.
NEW QUESTION # 54
A nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the mother to:
- A. clean the affected areas with tepid water and detergent
- B. dress the child warmly to avoid chilling
- C. wrap the baby's hands in mittens or socks to prevent scratching
- D. keep the baby away from other children while rashes are present.
Answer: C
Explanation:
Explanation: A child with atopic dermatitis needs to have short fingernails and covered so the child will not be able to scratch the lesions, thereby causing new lesions and possible a secondary infection.
NEW QUESTION # 55
A child possibly has pinworm infestation because he reported that he first felt:
- A. scaly skin patches
- B. anal itching
- C. loose bowel movement
- D. maculopapular rash
Answer: B
Explanation:
Explanation: With enterobiasis, the adult worm lays her eggs around the anal opening, producing an irritation and thus an itch.
NEW QUESTION # 56
A patient has visitors whose loud talking and laughing disrupts other patients and visitors in the ICU.
Which of the following is the most effective way for a nurse to address this situation?
- A. Create a visiting contract that includes behavioral limits and present it to the family
- B. Discuss the developmental needs of the patient with the family
- C. Consult the social worker to create a visiting contract
- D. Initiate discussions about a visiting plan that includes behavioral limits
Answer: D
Explanation:
The most effective and collaborative approach is toengage the familyin a respectful conversation about visitation behavior, including settingclear behavioral expectations. This promotes therapeutic communication and family involvement without escalating conflict.
"When visitor behavior interferes with care or other patients' well-being, nurses should initiate a discussion that includes setting expectations and collaboratively developing a behavior plan." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Care and Conflict Resolution)
NEW QUESTION # 57
A 2-month-old with ventricular septal defect (VSD) and CHF should be managed with:
- A. Supplemental O# and supplemental calories
- B. Digoxin, diuretics, and caloric supplementation
- C. Supplemental O# and fluid restriction
- D. Digoxin, diuretics, and sedation
Answer: B
Explanation:
VSD causesleft-to-right shunting, leading tovolume overload, CHF, and poor weight gain. Management includes:
* Digoxinto improve contractility
* Diureticsto reduce preload
* High-calorie feedsto support growth in the setting of increased metabolic demand O# isnot routinely usedunless there's hypoxia, as it can increase pulmonary vascular dilation andworsen the shunt.
"Medical management of CHF in infants with VSD includes diuretics, digoxin, and nutritional support with caloric supplementation." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Congenital Heart Defects and Heart Failure)
NEW QUESTION # 58
A 7-year-old girl tells the nurse that several of her classmates teased her. The school nurse should responds correctly if she tells:
- A. "tell me more about what happened"
- B. "Were they boys or girls"
- C. "This things happens to everyone"
- D. "has this happened before"
Answer: A
Explanation:
Explanation: The school nurse will respond correctly is she tells "tell me more about what happened." The child has not stated why the teasing happened. Asking for clarification in a non threatening manner will be the first step of the assessment.
NEW QUESTION # 59
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The AACN CCRN-Pediatric exam is administered by the American Association of Critical-Care Nurses (AACN), which is recognized as the world's largest specialty nursing organization. The AACN developed the CCRN-P certification exam to promote high standards of patient care and excellence in the critical care nursing field. Nurses who pass CCRN-Pediatric exam are recognized as experts in their field who possess the highest level of critical thinking and clinical decision-making skills.
CCRN-Pediatric Sample with Accurate & Updated Questions: https://www.newpassleader.com/AACN/CCRN-Pediatric-exam-preparation-materials.html
CCRN-Pediatric Exam Info and Free Practice Test | NewPassLeader: https://drive.google.com/open?id=1V6UBL44JS-evaYFbqCY8TueEIx2tK8y6