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CCRN-Pediatric Exam Dumps - AACN CCRN Questions and Answers

Question # 14

A child with a right pulmonary contusion is intubated and ventilated. When positioned with the affected side down, O₂ saturation drops. The most likely cause is:

Options:

A.

Ventilation/perfusion mismatch

B.

ET tube dislodgement

C.

Decreased pulmonary vascular resistance

D.

A tension pneumothorax

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Question # 15

A 12-year-old presents with behavior changes and new-onset tonic-clonic seizures. Likely brain tumor location?

Options:

A.

Cerebellar

B.

Brainstem

C.

Frontal lobe

D.

Occipital lobe

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Question # 16

An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse’s most appropriate response is:

Options:

A.

“I will support whatever decision you decide upon.”

B.

“As I remember, your child expressed a desire to die peacefully.”

C.

“Perhaps try one more day of treatment to see if there are any changes in condition.”

D.

“Legally you have the right to make that decision.”

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Question # 17

For a child with disseminated intravascular coagulation (DIC), administration of fresh frozen plasma (FFP) will replace:

Options:

A.

All clotting factors

B.

Factors I, III, and IX only

C.

Fibrinogen

D.

Factors I, V, and VII only

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Question # 18

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O₂ saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO₂. The nurse should suspect:

Options:

A.

Respiratory distress syndrome (RDS)

B.

ET tube displacement

C.

Aspiration pneumonitis

D.

Pneumothorax

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Question # 19

In a child with a closed head injury, the presence of which of the following is most commonly associated with significant morbidity or mortality?

Options:

A.

SIADH

B.

Tonic-clonic seizures

C.

Glasgow Coma Scale (GCS) score of 6

D.

Cerebral perfusion pressure (CPP) of 65 mm Hg

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Question # 20

When preparing a 2-month-old with hypoplastic left heart syndrome for a cardiac transplant, which of the following findings is most alarming?

Options:

A.

O₂ saturation of 75%

B.

Temperature of 102.2° F (39° C)

C.

Increased RV pressure

D.

BP of 72/48

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Question # 21

Which of the following is the reason a patient with dilated cardiomyopathy is administered Digoxin (Lanoxin)?

Options:

A.

Positive inotropic effects

B.

Negative inotropic effects

C.

Decreased AV node rate

D.

Increased sinus atrial node rate

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Question # 22

A recently deceased patient's family begins arriving to the ICU, visibly distraught and wailing. What is the nurse's first action?

Options:

A.

Provide the family access to the patient

B.

Keep the family in the waiting room until they are calmer

C.

Ask about funeral arrangements

D.

Seek assistance from the chaplain

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Question # 23

After a disaster drill, several issues related to notification of personnel and their role in the disaster were revealed. Which action should be done first?

Options:

A.

Discuss the issues with the directors of each department involved

B.

Perform a root cause analysis of the various issues identified

C.

Examine all protocols related to communication during disasters

D.

Identify each problem that occurred during the exercise

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Exam Code: CCRN-Pediatric
Exam Name: CCRN (Pediatric) - Direct Care Eligibility Pathway Exam
Last Update: May 30, 2025
Questions: 150
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