Pediatric CCRN Exam Pediatric CCRN from AACN 3

Question 1

A 5-year-old with bacterial meningitis develops sudden hypotension, diffuse petechiae, and purpura. These findings are MOST consistent with:

Accepted Answer

Disseminated intravascular coagulation (DIC)

Answer

DIC is a life-threatening complication of sepsis/meningitis characterized by simultaneous clotting and bleeding, causing diffuse petechiae, purpura, and organ dysfunction.

Question 2

A pediatric CCRN nurse is caring for a child with increased intracranial pressure (ICP). Which positioning is MOST appropriate?

Accepted Answer

Head of bed at 30–45° with head midline

Answer

Elevating the head of the bed 30–45° with the head in a neutral midline position promotes venous drainage and reduces ICP without compromising CPP.

Question 3

Which finding BEST indicates adequate cardiac output in a pediatric patient post-cardiac surgery?

Accepted Answer

Mixed venous oxygen saturation (SvO2) of 70–75%

Answer

SvO2 of 70–75% reflects a balance between oxygen delivery and consumption, serving as a global indicator of adequate cardiac output and tissue perfusion.

Question 4

A 2-year-old ingests a button battery. After endoscopic removal, the PRIORITY assessment is for:

Accepted Answer

Esophageal perforation or tracheoesophageal fistula

Answer

Button batteries generate an electrical current that causes rapid liquefactive necrosis, risking esophageal perforation and life-threatening tracheoesophageal fistula within hours.

Question 5

A 9-year-old with sickle cell disease presents in vaso-occlusive crisis with acute chest syndrome. Which intervention is MOST indicated?

Accepted Answer

Incentive spirometry, analgesics, oxygen, and exchange transfusion if severe

Answer

Acute chest syndrome management includes analgesia, incentive spirometry to prevent atelectasis, supplemental oxygen, antibiotics, and exchange transfusion in severe cases to reduce HbS levels.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Pediatric CCRN from AACN 3