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AACN CCRN-Pediatric certification exam is an essential certification for nurses who want to advance their careers in pediatric critical care nursing. Obtaining this certification demonstrates a higher level of expertise and skill in caring for critically ill pediatric patients. Nurses who have earned the AACN CCRN-Pediatric credential are highly regarded by their peers and employers, and they are recognized for their commitment to providing exceptional patient care.
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AACN CCRN-Pediatric Exam is a computer-based test that consists of 150 multiple-choice questions. CCRN-Pediatric exam covers a wide range of topics related to pediatric critical care nursing, including cardiovascular, respiratory, neurological, gastrointestinal, renal, endocrine, and hematological systems. In addition to these topics, the exam also includes questions on psychosocial and ethical issues, as well as patient and family education. AACN Critical Care Nursing Exam Sample Questions (Q45-Q50):NEW QUESTION # 45
Which of the following statements by the family of a child with asthma indicates a need for additional teaching:
A. "We'll make sure he avoids exercise to prevent asthma attacks"
B. "He is to use bronchodilator inhaler before steroid inhaler"
C. "he should increase his fluid intake regularly to thin secretions"
D. "We need to identify what things triggers his attacks"
Answer: A
Explanation:
Explanation: Asthmatic children don't have to avoid exercise. They can participate on physical activities as tolerated. Using a bronchodilator before administering steroids is correct because steroids are just anti-inflammatory and they don't have effects on the dilation of the bronchioles.
NEW QUESTION # 46
An irritable child has an acute fever, conjunctivitis, rash, and a strawberry tongue. A prolonged PR interval is observed on the ECG monitor. These findings are most likely due to:
A. Pericarditis
B. Hypertrophic cardiomyopathy
C. Rheumatic heart disease
D. Kawasaki disease
Answer: D
Explanation:
Kawasaki disease is an acute vasculitis that primarily affects children under 5 and presents with classic signs:
fever, rash, conjunctivitis, strawberry tongue, and extremity changes. It may also causecoronary artery aneurysmsandconduction abnormalities, such as PR prolongation.
"Kawasaki disease presents with mucocutaneous inflammation, and cardiac complications may include myocarditis and conduction delays, such as first-degree AV block." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Inflammatory Heart Disease)
NEW QUESTION # 47
A 3-month-old infant was brought back to the unit after a surgery for hypertrophic pyloric stenosis. The mother was very good in caring for the client but is reluctant with regard to feeding. Probably the mother is:
A. afraid that her baby will vomit again.
B. not aware that her baby is allowed to resume feedings.
C. uncertain if her baby can tolerate the thickened formula.
D. in doubt about the safety of the special nipple.
Answer: A
Explanation:
Explanation: Past experiences with projectile vomiting are frightening. It is the responsibility of the nurse to explain that it will not happen again. No special nipple is needed in this situation.
NEW QUESTION # 48
A patient exhibits acute hypervigilance, refusal of treatment, impulsive acts, and hallucinations alternating with lucidity. Family members argue about the hallucinations. The nurse should:
A. Role-model patient support and reassurance
B. Validate the hallucinations and use distraction therapy
C. Encourage the family to go home until the behavior is resolved
D. Reassure the family this behavior is expected in ICU
Answer: A
Explanation:
These are classic symptoms ofICU delirium, especially in pediatric or neurologically impaired patients. The nurse shouldmodel supportive, calm behavior,reorient the patient, andeducate familyabout what they are witnessing. This helpsde-escalate tensionand provides therapeutic support.
"In managing ICU delirium, the nurse should support the patient, reduce stimuli, and help families understand and cope with the patient's altered mental status." (Referenced from CCRN Pediatric - Direct Care: Neurological, Delirium and Cognitive Dysfunction)
NEW QUESTION # 49
To lead a unit-based initiative to decrease central line-associated bloodstream infections, which of the following is the most appropriate approach?
A. plan, do, study, act
B. plan, develop, start, assess
C. participate, do, study, assess
D. participate, decide, state, amend
Answer: A
Explanation:
ThePlan-Do-Study-Act (PDSA)cycle is the most widely acceptedquality improvement methodologyin healthcare. It's iterative and promotes continuous improvement:
* Plan: Identify a goal and create an intervention
* Do: Implement the intervention on a small scale
* Study: Analyze the data and assess the outcome
* Act: Adopt, adjust, or abandon the intervention based on the findings
"PDSA methodology supports quality improvement in healthcare, especially in infection prevention initiatives such as reducing CLABSIs." (Referenced from CCRN Pediatric - Professional Caring & Ethical Practice: Evidence-Based Practice and Quality Improvement)