Pediatric CCRN Exam Pediatric CCRN Ultimate 5

Question 1

A 6-year-old with septic shock has received 60 mL/kg of isotonic crystalloid with persistent hypotension. Which vasoactive agent is FIRST-LINE?

Accepted Answer

Dopamine or epinephrine titrated to effect

Answer

PALS guidelines recommend dopamine or epinephrine (depending on whether shock is warm or cold) as first-line vasoactive agents for fluid-refractory pediatric septic shock.

Question 2

A 4-year-old with acute kidney injury has a urine output of 0.3 mL/kg/hr for the past 8 hours. Which BEST describes this finding?

Accepted Answer

Oliguria — consistent with AKI

Answer

Normal urine output for children is 1–2 mL/kg/hr; output below 0.5 mL/kg/hr for more than 6–8 hours defines oliguria and indicates AKI.

Question 3

A 10-year-old with new-onset Type 1 diabetes is admitted in DKA with a glucose of 520 mg/dL and pH 7.15. What is the MOST dangerous complication to monitor for during treatment?

Accepted Answer

Cerebral edema

Answer

Cerebral edema is the most feared and potentially fatal complication of pediatric DKA treatment, occurring in 0.5–1% of cases during rehydration.

Question 4

A 2-year-old ingests a large amount of acetaminophen. Which antidote is indicated and by what route?

Accepted Answer

N-acetylcysteine (NAC) administered orally or IV

Answer

N-acetylcysteine replenishes glutathione stores, preventing hepatotoxicity from acetaminophen overdose and is most effective within 8 hours of ingestion.

Question 5

A pediatric patient on heparin infusion develops thrombocytopenia with new arterial clots. Which condition should the nurse suspect?

Accepted Answer

Heparin-induced thrombocytopenia (HIT)

Answer

HIT is characterized by a 50% or greater drop in platelets occurring 5–10 days after heparin initiation, paradoxically causing thrombosis.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Pediatric CCRN Ultimate 5