Pediatric CCRN Sample Flashcards
7 cards from real Pediatric CCRN Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric CCRN Sample flashcards as text
A 3-year-old presents with inspiratory stridor, a barking cough, and low-grade fever. Which intervention is the priority?
Answer: Administer nebulized racemic epinephrine
Nebulized racemic epinephrine rapidly reduces subglottic edema in croup, providing immediate airway relief.
A 7-year-old with known asthma has an SpO2 of 88%, accessory muscle use, and a silent chest on auscultation. What does the silent chest indicate?
Answer: Airflow is so severely obstructed that breath sounds are absent
A silent chest in asthma signals near-complete airflow obstruction—a life-threatening finding requiring immediate aggressive intervention.
Which hemodynamic pattern is most consistent with septic shock in a 5-year-old in the early (warm) phase?
Answer: High CO, low SVR, warm extremities
Early septic shock (warm shock) is characterized by vasodilation (low SVR) and compensatory high cardiac output with warm, flushed extremities.
A 10-year-old post-cardiac surgery has a sudden drop in BP, muffled heart sounds, and JVD. The nurse should suspect:
Answer: Cardiac tamponade
Beck's triad (hypotension, muffled heart sounds, JVD) is the classic presentation of cardiac tamponade following cardiac surgery.
When calculating maintenance IV fluids using the Holliday-Segar method for a 25 kg child, how many mL/hour should be administered?
Answer: 65 mL/hr
Holliday-Segar: 100 mL/kg for first 10 kg (1000) + 50 mL/kg for next 10 kg (500) + 20 mL/kg for remaining 5 kg (100) = 1600 mL/day ÷ 24 = ~65 mL/hr.
A nurse is caring for a neonate with suspected hypoxic-ischemic encephalopathy (HIE). Which intervention is most important to initiate within 6 hours of birth?
Answer: Therapeutic hypothermia (33–34°C)
Therapeutic hypothermia initiated within 6 hours of birth is the standard of care for moderate-to-severe HIE to reduce neuronal injury.
A 6-year-old with bacterial meningitis develops sudden unilateral pupil dilation, bradycardia, and hypertension. The nurse recognizes this as:
Answer: Cushing's triad indicating herniation
Cushing's triad (bradycardia, hypertension, irregular respirations) with pupil changes indicates brainstem herniation—a neurologic emergency.
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