CCRN-Pediatric Exam Dumps - AACN CCRN Questions and Answers

Family-centered care involvesbalancing patient needs, safety, and visitation flexibility. If past behaviors have been disruptive, the best approach is toallow the visit conditionally, whilesetting clear behavioral expectations. This respects family involvement while maintaining therapeutic boundaries.

“In situations of previously disruptive visitors, staff may limit visitation based on behavior. Visitors may be permitted under behavioral agreements to promote a safe environment.”

(Referenced from CCRN Pediatric – Professional Caring and Ethical Practice: Family-Centered Care and Behavioral Limits)

Abdominal compartment syndrome (ACS)occurs whenintra-abdominal pressure increases, impairing organ function.Oliguriais a key early sign due to decreased renal perfusion. Other signs may include increased ventilator pressures (PIP), hypotension, and a tense/distended abdomen.

“Oliguria and increased abdominal girth following trauma or transfusion suggest early abdominal compartment syndrome.”

(Referenced from CCRN Pediatric – Direct Care: Gastrointestinal, Abdominal Trauma and Compartment Syndrome)

Diabetes insipidus (DI) results from insufficient antidiuretic hormone (ADH), leading to polyuria and dehydration. Management involves fluid replacement to correct volume loss and administration of vasopressin (or desmopressin) to replace deficient ADH.

“Central DI is treated with fluid resuscitation to manage hypovolemia and administration of vasopressin or desmopressin to reduce urinary losses and restore water balance.”

(Referenced from CCRN Pediatric – Direct Care: Endocrine, Water Balance Disorders)

Aldosterone is not indicated in the treatment of central DI. Restriction of fluids is contraindicated, as the patient is losing large volumes of free water.

When treatment is urgently required but parents refuse based onreligious beliefs, the nurse mustinvolve the ethics committee and legal team. This supports patient advocacy, honors familybeliefs, and ensures compliance with legal and ethical standards in pediatric care.

“In cases of refusal of life-saving treatment, the ethics team and legal counsel should be consulted. The nurse must not act unilaterally but advocate for the patient while respecting family beliefs.”

(Referenced from CCRN Pediatric – Professional Caring and Ethical Practice: Ethical Dilemmas and Legal Considerations in Pediatric Care)

Septic shockin pediatric patients requiresearly goal-directed therapy, including:

Fluid resuscitationto restore perfusion,

Antibioticswithin the first hour to treat the underlying infection, and

Inotropesif shock persists after fluids.

“Early interventions for pediatric septic shock include aggressive fluid resuscitation, timely administration of broad-spectrum antibiotics, and initiation of vasopressors or inotropes if hypotension remains.”

(Referenced from CCRN Pediatric – Direct Care: Multisystem, Sepsis Management)