Authentic AACN Certification Exam CCRN-Pediatric Questions Answers

It is a best practice—and often required by hospital policy—fortrained personnel such as an organ donation liaison or organ procurement organization (OPO)representative to approach families about organ donation. This ensures that the conversation is handled sensitively, accurately, and in accordance with regulatory requirements.

“The nurse should notify the designated organ donation liaison or team when a patient meets criteria for brain death. These individuals are trained to communicate effectively and ethically with families.”

(Referenced from CCRN Pediatric – Professional Caring and Ethical Practice: Ethics, End-of-Life Care, and Organ Donation)

Post-coarctectomy syndromeis a complication seen after surgical correction ofcoarctation of the aorta, especially in older children. After repair,sudden restoration of high blood flow to the mesenteric arteries(after years of reduced perfusion) can cause:

Abdominal pain

GI bleeding

Bowel ischemia

“Post-coarctectomy syndrome involves mesenteric vasculature injury due to abrupt restoration of high-pressure flow after chronic hypoperfusion.”

(Referenced from CCRN Pediatric – Direct Care: Cardiovascular, Postoperative Complications of Congenital Heart Repair)

In neonates and young infants,hypoventilationanddecreased level of consciousness (LOC)are late and critical signs ofdecompensationin systemic infection or shock. A progression from normal respiratory rate tohypoventilation, especially with altered LOC, indicatesimpending respiratory failure or septic shock.

“Hypoventilation and changes in mental status (such as lethargy or decreased LOC) are indicators of deterioration in infants with sepsis or dehydration. Immediate intervention is required to prevent arrest.”

(Referenced from CCRN Pediatric – Direct Care: Multisystem, Pediatric Sepsis and Deterioration Cues)