[May 29, 2026] Today Updated CCRN-Pediatric Exam Dumps Actual Questions
CCRN-Pediatric exam dumps with real AACN questions and answers
NEW QUESTION # 58
Which of the following behavior of a preschooler indicates that the child is in the stage of initiative?
- A. the child wants to finish his game of Candyland before his dressing is changed
- B. the child cries and has a temper tantrum when he is sent to bed to go to sleep
- C. the child ignores his parents and continues to watch television with other child
- D. the child talks to his friends on the telephone and arranges for them to visit
Answer: A
Explanation:
Explanation: A child who wants to finish his game of Candyland before his dressing is changed is in the stage of initiative. During this stage, a child plays, works and lives to the fullest and feels a real sense of accomplishment and satisfaction in activities. Completing tasks becomes increasingly important. Temper tantrum is a characteristic behavior of a toddler.
NEW QUESTION # 59
A 2-month-old with ventricular septal defect (VSD) and CHF should be managed with:
- A. Digoxin, diuretics, and sedation
- B. Supplemental O# and fluid restriction
- C. Supplemental O# and supplemental calories
- D. Digoxin, diuretics, and caloric supplementation
Answer: D
Explanation:
VSD causesleft-to-right shunting, leading tovolume overload, CHF, and poor weight gain. Management includes:
* Digoxinto improve contractility
* Diureticsto reduce preload
* High-calorie feedsto support growth in the setting of increased metabolic demand O# isnot routinely usedunless there's hypoxia, as it can increase pulmonary vascular dilation andworsen the shunt.
"Medical management of CHF in infants with VSD includes diuretics, digoxin, and nutritional support with caloric supplementation." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Congenital Heart Defects and Heart Failure)
NEW QUESTION # 60
A 4 year-old child is treated in the emergency room after ingesting an ounce of a liquid narcotic. What should the nurse do first?
- A. Suction the mouth and the nose for any secretions
- B. Provide the ordered humidified oxygen via nasal cannula
- C. Administer the IV fluids as ordered
- D. Assess the mouth and pulse
Answer: D
Explanation:
Explanation: The initial step in treatment of a toxic exposure or ingestion is to assess the airway, breathing and circulation; then stabilize the client. The other nursing interventions will follow.
NEW QUESTION # 61
A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited.
Which of the following should a nurse anticipate as the initial treatment?
- A. Fluid bolus and antibiotic administration
- B. Application of an immobilizing device
- C. Incisional fasciotomy
- D. X-ray of the right forearm
Answer: C
Explanation:
This clinical picture is classic forcompartment syndrome: a surgical emergency. Symptoms includecool extremity, prolonged capillary refill, pain, paresthesia, and loss of motor function.Fasciotomyis the definitive treatment torelieve pressure and prevent permanent damage.
"Compartment syndrome requires immediate fasciotomy. Delay in intervention may lead to muscle necrosis and permanent disability." (Referenced from CCRN Pediatric - Direct Care: Musculoskeletal, Orthopedic Trauma and Emergencies)
NEW QUESTION # 62
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. produces red circle at the center of white lesion
- B. only appears on the tongue
- C. causes tongue to bleed
- D. sticks on the tongue even when scraped
Answer: D
Explanation:
Explanation: Candidiasis, a fungal infection, adheres firmly to the tongue or mucous membranes of the mouth and throat.
NEW QUESTION # 63
The primary function of an institutional ethics committee in the critical care area is to:
- A. Establish community partnerships to reduce potential institutional liability
- B. Advise patients, families, physicians, and staff when ethical situations arise
- C. Monitor questionable physician or staff actions or practices
- D. Provide direction to the administrative team for institutional decision-making
Answer: B
Explanation:
Ethics committees are convened to help resolvecomplex, value-laden clinical issuesby offeringguidanceto care teams and families. These committees are composed of interdisciplinary professionals and focus on supporting ethical decision-makingin patient care.
"Ethics committees assist healthcare professionals, patients, and families in addressing ethical dilemmas, including end-of-life decisions, treatment refusal, and moral distress." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Ethical Decision-Making Support Structures)
NEW QUESTION # 64
A patient on peritoneal dialysis has high blood glucose. Most likely cause is:
- A. Decreased pancreatic function
- B. Systemic corticosteroids
- C. Increased glucagon release
- D. Glucose in the dialysate
Answer: D
Explanation:
Peritoneal dialysis usesdialysate fluid that contains glucoseto create an osmotic gradient for fluid removal.
This glucose can beabsorbed into the bloodstream, especially with prolonged dwell times, resulting in hyperglycemia, particularly in pediatric patients with small body mass.
"Glucose in peritoneal dialysis solutions may be systemically absorbed, causing elevated serum glucose levels, particularly in pediatric and insulin-sensitive patients." (Referenced from CCRN Pediatric - Direct Care: Endocrine/Renal, Dialysis Complications)
NEW QUESTION # 65
A 12-year-old presents with behavior changes and new-onset tonic-clonic seizures. Likely brain tumor location?
- A. Occipital lobe
- B. Brainstem
- C. Cerebellar
- D. Frontal lobe
Answer: D
Explanation:
Thefrontal lobeis responsible forexecutive function, behavior, and personality. Tumors in this area often causebehavioral changes, mood instability, andseizures-particularlygeneralized seizureslike tonic-clonic.
"Frontal lobe tumors are commonly associated with personality and behavioral changes and are a common site for seizure onset in pediatric brain tumors." (Referenced from CCRN Pediatric - Direct Care: Neurological, Brain Tumors and Seizure Presentation)
NEW QUESTION # 66
Barbie had a Arteriovenous fistula access and starts hemodialysis as treatment for a renal failure. Which of the following statement made by the mother would indicate further teaching:
- A. "I will need to call the clinic once my child develops diarrhea"
- B. "I will ensure that my child drinks enough fluid if weather is warm"
- C. "I will check the pulse at the wrist of the arm with fistula everyday"
- D. "I will take blood pressure in the arm with fistula everyday"
Answer: D
Explanation:
Explanation: Inflating a blood pressure cuff in the arm with fistula is contraindicated because it disrupts the integrity of the fistula.
NEW QUESTION # 67
Twenty-four hours after a severe burn and inhalation injury, a child develops increased tachypnea and desaturation. The most likely cause is:
- A. Pulmonary edema
- B. Upper airway edema
- C. Pneumonia
- D. Pleural effusion
Answer: B
Explanation:
Upper airway edemais a common and life-threatening complication in children followingthermal inhalation injury. Swelling usually peaks12-24 hours post-injury, leading toairway obstruction, tachypnea, and hypoxemia. It is aprimary concernin the post-burn period.
"Upper airway edema due to inhalation injury develops within 24 hours and can cause airwaycompromise.
Stridor, tachypnea, and desaturation are warning signs."
(Referenced from CCRN Pediatric - Direct Care: Pulmonary, Inhalation Injuries and Airway Management)
NEW QUESTION # 68
A child presents with a 5-day history of fever, cervical lymphadenopathy, strawberry tongue, joint pain, and elevated CRP/ESR. The nurse should anticipate an order for:
- A. Amphotericin B and ibuprofen
- B. Vancomycin and acetaminophen
- C. Clindamycin and ketorolac
- D. Intravenous immunoglobulin and aspirin
Answer: D
Explanation:
The classic symptoms ofKawasaki Diseaseincludefever >5 days,mucocutaneous inflammation(strawberry tongue, conjunctivitis),lymphadenopathy, andelevated inflammatory markers. Standard treatment includes IVIGandhigh-dose aspirinto reduce coronary artery aneurysm risk.
"Kawasaki Disease is treated with IVIG and aspirin to control inflammation and reduce the risk of coronary artery aneurysms." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Inflammatory Syndromes in Children)
NEW QUESTION # 69
Proper documentation is one role of a nurse. How would a nurse document a clonic episode in a pediatric client with seizure disorder:
- A. a generalized rigidity
- B. is spasmodic jerking of the entire body.
- C. tremors of the extremities.
- D. a loss of consciousness
Answer: B
Explanation:
Explanation: Usually, a clonic episode leads to spasmodic jerking of the entire body. Clonus is a rapid rhythmic extension and relaxation of groups of muscles throughout the body. During tonic phase, generalized rigidity happens.
NEW QUESTION # 70
A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals.
What should the nurse advise the mother:
- A. put the child on a chair and feed him
- B. make the child seat with the family in the dining room until he finishes his meal
- C. provide quiet environment for the child before meals
- D. do not give snacks to the child before meals
Answer: D
Explanation:
Explanation: If the child is hungry he/she would likely finish his meals. Therefore, the mother should be advised not to give snacks to the child. The child is a "busy toddler." He/she will not able to keep still for a long time.
NEW QUESTION # 71
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
- A. Absent Babinski's reflex
- B. Absent Cushing's reflex
- C. Pupil constriction
- D. Flaccid paralysis
Answer: D
Explanation:
In the post-resuscitation period of a near-drowning event, neurologic status is the primary determinant of prognosis. Flaccid paralysis is a sign ofsevere hypoxic-ischemic brain injury, reflectingglobal neuronal dysfunctionandpoor cerebral perfusion recovery.
FromCCRN (Pediatric) - Direct Care (Neurology Section):
"Signs of poor neurological outcome post-resuscitation include lack of purposeful movement, flaccidity, absence of motor responses to pain, and abnormal or absent brainstem reflexes. Flaccid paralysis, particularly when persistent after resuscitative efforts, strongly correlates with a poor neurologic prognosis in pediatric patients." In contrast:
* Pupil constrictionmay be benign or related to medication or light stimulus.
* Absent Babinski's reflexis not considered abnormal at 2 years.
* Absent Cushing's reflexis non-specific and may not manifest in all children with brain injury.
NEW QUESTION # 72
A mother of a 7 year-old child telephones the clinic nurse because her daughter was sent home from school due to rashes. The child had been seen the day before by a doctor and diagnosed with Erythema Infectiosum or fifth disease. What is the most appropriate action by the nurse?
- A. Inform the teacher that the child receives antibiotics for the rash
- B. Inform that rash is not contagious and does not require isolation
- C. Have the school nurse explain the nature of the illness.
- D. Tell the mother to bring the child to the clinic for further assessment
Answer: B
Explanation:
Explanation: Fifth Disease is a viral disease with an uncertain period of communicability (perhaps 1 week prior to and 1 week after onset). Isolation of the child with Fifth Disease is not necessary.
NEW QUESTION # 73
The most beneficial nursing action to minimize avoidable patient safety incidents is:
- A. Completing an incident report for potential patient care problems
- B. Providing an effective hand-off report using closed-loop communication
- C. Sharing patient safety concerns with nursing leadership and other staff
- D. Reviewing findings from interdisciplinary debriefings from previous patient incidents
Answer: B
Explanation:
Closed-loop communicationduring hand-offs ensures that vital information isreceived, repeated, and confirmedbetween caregivers. It is the mostdirect and consistent method to reduce communication- related errors, which are a leading cause of preventable harm in hospitals.
"Effective communication, especially during hand-offs, is critical for patient safety. Closed-loop communication improves accuracy, reduces omissions, and is considered a high-reliability practice." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Patient Safety and Communication Standards)
NEW QUESTION # 74
An 8-year-old patient who sustained intracerebral hemorrhage after a traumatic incident was intubated in the field. Head CT scan showed a 5 mm midline shift. The patient is difficult to arouse but pulls away from noxious stimuli. The most concerning sign of clinical deterioration is:
- A. BP 138/98 with HR of 50
- B. Pupils are 5 mm and reactive bilaterally
- C. Cerebral perfusion pressure (CPP) of 55 mm Hg
- D. Ecchymosis over the mastoid processes
Answer: A
Explanation:
Arising blood pressure with bradycardia(Cushing's triad) suggestsincreased intracranial pressureand impendingherniation. This is themost critical and time-sensitivesign of neurologic deterioration.
"Signs of increased ICP and impending herniation include bradycardia, hypertension, and irregular respiration. These warrant immediate intervention to prevent irreversible brain injury." (Referenced from CCRN Pediatric - Direct Care: Neurological Trauma and Intracranial Hypertension)
NEW QUESTION # 75
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