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[Hardware] AACN CCRN-Pediatric Questions - For Best Result [2026]

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【Hardware】 AACN CCRN-Pediatric Questions - For Best Result [2026]

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For more info read referenceAACN CCRN-Pediatric: Critical Care Nursing Exam Reference
AACN Critical Care Nursing Exam Sample Questions (Q142-Q147):NEW QUESTION # 142
A mother tells the nurse "the doctor said that my child has pulmonic stenosis. What does it mean?" The nurse's best response should be:
  • A. "It means that the baby has a heart failure"
  • B. "Let me call your doctor so that your questions will be answered correctly"
  • C. "What else did the doctor say about the disease"
  • D. "You seemed very concerned. Your baby has a great doctor anyway"
Answer: C
Explanation:
Explanation: The nurse needs to know how much information the mother has before giving any information. We know that the disease is narrowing at the entrance to the pulmonary artery and may vary in severity and treatment. Calling the doctor at this point abdicates the role of the nurse.

NEW QUESTION # 143
An 18-month-old child is irritable and restless. Retractions, grunting with crackles, and an S3 gallop are noted. Vital signs:
* BP: 70/56
* HR: 160
* RR: 60
* Temp: 99°F (37.4°C)
Which of the following types of shock is this patient most likely experiencing?
  • A. Hypovolemic
  • B. Obstructive
  • C. Cardiogenic
  • D. Distributive
Answer: C
Explanation:
The presence ofgrunting, crackles, retractions, and anS3 gallop-withhypotension and tachycardia-is highly suggestive ofcardiogenic shock. These findings indicatepoor myocardial contractility and pulmonary congestion. An S3 gallop is particularly indicative ofvolume overloadin the setting of ventricular dysfunction.
"Cardiogenic shock should be suspected in pediatric patients with signs of respiratory distress (crackles, retractions), an S3 gallop, and poor perfusion. Myocardial failure leads to elevated filling pressures and pulmonary edema." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Types of Shock and Hemodynamic Findings)

NEW QUESTION # 144
Upon assessing a child, the nurse notes white patches on the child's tongue and determines that it may be an indicative of candidiasis (oral thrush). The nurse understands that the white patches of oral thrush:
  • A. only appears on the tongue
  • B. causes tongue to bleed
  • C. sticks on the tongue even when scraped
  • D. produces red circle at the center of white lesion
Answer: C
Explanation:
Explanation: Candidiasis, a fungal infection, adheres firmly to the tongue or mucous membranes of the mouth and throat.

NEW QUESTION # 145
A nurse enters the room of Jamal, a 3 year-old child, who is having a generalized seizure. Which intervention should the nurse do first?
  • A. Place him on side-lying position
  • B. Restrain Jamal
  • C. Clear the area of any hazards
  • D. Give the ordered anticonvulsant
Answer: B
Explanation:
Explanation: Protecting the airway is the top priority in a seizure. If a child is actively convulsing, a patent airway and oxygenation must be assured. Children usually have both cardiac and respiratory arrest.

NEW QUESTION # 146
Following placement of a central venous catheter, a mechanically ventilated child develops acute tachycardia, hypotension, and arterial desaturation. A nurse should evaluate the need for:
  • A. An increase in the ventilator rate
  • B. Administration of a sedative
  • C. Insertion of a chest tube
  • D. An IV fluid bolus
Answer: C
Explanation:
Central venous catheter placementcan lead toiatrogenic pneumothorax, particularly on the side of the subclavian or internal jugular access. Signs of sudden desaturation, hypotension, and tachycardia suggest tension pneumothorax, which requiresemergent chest tube insertion.
"Following central line placement, sudden cardiorespiratory compromise should prompt evaluation for pneumothorax. Treatment is immediate decompression and chest tube placement." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Air Leak Syndromes and Ventilator Complications)

NEW QUESTION # 147
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