New CCRN-Pediatric Dumps For Preparing AACN CCRN Certified AACN Exam Well
Updated CCRN-Pediatric Dumps Questions Are Available [2025] For Passing AACN Exam
NEW QUESTION # 73
What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?
- A. Demonstrate tracheostomy care daily and address the parent's concerns and questions thoroughly
- B. Provide the parents a video to watch and include them in ADL care
- C. Use the parents' preferred method of learning and evaluate as they perform care
- D. Give the parents written instructions and answer their questions
Answer: C
Explanation:
Education must beindividualizedbased on theparent's learning style and comprehension.Combining demonstration, return demonstration, written materials, and verbal teaching-as preferred by the family-ensures the greatestretention and competence.Ongoing evaluationof skills is essential before discharge.
"Use of preferred teaching methods, with return demonstration and skill validation, ensures family readiness for complex care like tracheostomy management." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Family-Centered Teaching and Discharge Readiness)
NEW QUESTION # 74
The primary function of an institutional ethics committee in the critical care area is to:
- A. Provide direction to the administrative team for institutional decision-making
- B. Establish community partnerships to reduce potential institutional liability
- C. Advise patients, families, physicians, and staff when ethical situations arise
- D. Monitor questionable physician or staff actions or practices
Answer: C
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 # 75
Roy, a 12-month-old child, developed Reye Syndrome. His mother asks the nurse to define the illness.
The nurse's best initial response must be that it is:
- A. an infection caused by bacteria
- B. an idiopathic disorder
- C. linked to genetic disorder.
- D. an illness primarily affecting the infant's brain.
Answer: D
Explanation:
Explanation: This is an honest response which forms the basis for the rest of the teaching, it will be more complex as parents progress in understanding the disorder. The disorder is not caused by a bacteria or a genetic disorder.
NEW QUESTION # 76
After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death:
- A. "He might think he can cause his death because he has misbehaved."
- B. "He will accept his death as caused by his disease."
- C. "He is too young to understand what is happening to him."
- D. "He will understand how much his siblings will miss him."
Answer: A
Explanation:
Explanation: A 5-year-old child is in the preoperational stage of cognitive development and thinks of death as temporary. Also, for a child this age, thinking about behavior often is believed to be magical; thus, the child may think that his behavior can cause death. Generally, children under 3 years of age are unable to differentiate death from temporary separation and are unable to understand what is happening.
NEW QUESTION # 77
A child who nearly drowned received CPR, was resuscitated quickly, and regained consciousness. What should the nurse anticipate?
- A. Severe electrolyte imbalances may be present
- B. Life-threatening respiratory complications may develop
- C. The patient does not require intensive care
- D. Ventricular arrhythmias may occur
Answer: B
Explanation:
Even with a good initial response,delayed respiratory complications, such asacute respiratory distress syndrome (ARDS)orpulmonary edema, can develop within 24-48 hours after submersion. All pediatric near-drowning cases should bemonitored in an ICU settingfor at least 24 hours.
"Post-submersion patients are at high risk for delayed onset ARDS. Observation in a monitored setting is essential regardless of initial neurologic status." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Submersion Injuries and Post-Resuscitation Care)
NEW QUESTION # 78
The nurse assigned at the ER admits a child who had a seizure episode at school. The mother comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?
- A. "There is no need to worry. The sky won't fall down"
- B. "Seizure may or may not mean that your child is suffering from epilepsy"
- C. "Your child needs a lifetime medication to prevent seizure"
- D. "Since it was his first episode, it will not happen again"
Answer: B
Explanation:
Explanation: There are many possible causes for a childhood seizure. These include fever, central nervous system conditions, trauma, metabolic alterations and idiopathic causes.
NEW QUESTION # 79
A nurse conducts teaching among adolescents about STD's. One of the Participants asks about any early sign or symptom of Syphilis. The nurse should state that it is:
- A. pus on genitals
- B. lesion on genitals
- C. difficulty in urination
- D. rashes on genitals
Answer: B
Explanation:
Explanation: Lesion on genitals is the earliest sign of syphilis. During a dark-field exam of the scraping will reveal the causative agent - Treponema pallidum.
NEW QUESTION # 80
Immunization is very important to prevent certain disease. Daniel, a 5 and a half month-old infant should already receive:
- A. booster of IPV
- B. first booster of DTaP vaccine
- C. measles, mumps and rubella vaccine
- D. two doses of DTaP vaccine
Answer: D
Explanation:
Explanation: Schedule is 3 doses of DTaP at 2 month intervals starting at 2 months of age. Fourth dose of IPV should be given at 4-6 years old. MMR vaccine is given at 12-15 months of age. First booster of DTP is at 15-18 months of age.
NEW QUESTION # 81
A stat abdominal x-ray reveals free air and a large loculated fluid collection presumed to be blood. The priority of care should be:
- A. Surgical intervention
- B. Vasopressin (Pitressin) therapy
- C. Platelet transfusion
- D. Nasogastric tube placement
Answer: A
Explanation:
Free air on abdominal x-rayindicatesbowel perforation, andloculated fluidsuggests hemoperitoneum or intra-abdominal bleeding. This is asurgical emergency, and the child requiresimmediate operative interventionto prevent further deterioration.
"Free intraperitoneal air and fluid suggest perforation and hemorrhage, which require emergent surgical exploration and correction to prevent peritonitis and shock." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Surgical Emergencies and Acute Abdomen)
NEW QUESTION # 82
Following an arterial switch operation, an infant develops symptoms of myocardial ischemia. The etiology is most likely related to:
- A. Poor left ventricular function
- B. Pulmonary artery stenosis
- C. Aortic insufficiency
- D. Coronary artery kinking
Answer: D
Explanation:
Thearterial switch procedureinvolves reimplantation of thecoronary arteries. The most serious complication iskinking or malposition of the coronaries, leading tomyocardial ischemia, which can be fatal if not corrected promptly.
"Coronary artery compromise is the most critical postoperative complication following arterial switch, presenting with ischemia or infarction. Kinking or torsion during reimplantation is a known risk." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Congenital Heart Surgery Complications)
NEW QUESTION # 83
Three weeks post-traumatic brain injury, a child has a GCS of 3, no cough or gag, and only agonal respirations. When the family asks about options of care, the nurse should respond:
- A. "Let me ask your physician to come talk to you."
- B. "Tell me what you hope for your child."
- C. "I will call the chaplain for you."
- D. "It is too early to be thinking about options."
Answer: B
Explanation:
The correct approach in end-of-life and ethical situations is to useopen-ended, family-centered communicationthat exploresvalues, hopes, and goals. This response promotesshared decision-making, validates emotional experience, and begins an appropriate dialogue about care direction.
"Ask families open-ended questions to explore goals and values, especially in cases of poor neurologic prognosis. It guides ethical, supportive decision-making." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: End-of-Life Care, Family Communication)
NEW QUESTION # 84
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
- A. Absent Cushing's reflex
- B. Flaccid paralysis
- C. Pupil constriction
- D. Absent Babinski's reflex
Answer: B
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 # 85
A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, "I just want to make sure my child has the best life." The nurse should:
- A. Offer reassurance to the parent
- B. Obtain a palliative care consult
- C. Notify the medical team
- D. Provide education about the procedure
Answer: B
Explanation:
This statement reflectsemotional and existential distressrather than a purely educational need. Apalliative care consultis appropriate to provideholistic support,clarify goals of care, and ensure that the family's values and quality-of-life concerns are addressed within a multidisciplinary approach.
"Palliative care is appropriate when families face complex, life-altering decisions. It supports communication, decision-making, and emotional well-being alongside curative or life-sustaining treatments." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Palliative Care and Family- Centered Decision-Making)
NEW QUESTION # 86
Barbie is suspected with developmental dysplasia of the hip. During an assessment, the nurse expects that:
- A. there is a narrowing of the perineum
- B. there is inability to adduct the affected leg.
- C. there is shortening of one leg.
- D. there is inability to palpate movement of the femoral head.
Answer: C
Explanation:
Explanation: A developmental dysplasia of the hip would reveal that the affected leg appears shorter due to the femoral head being displaced upward.
NEW QUESTION # 87
Which of the following is the correct way of instilling eardrops among children below 3 years old:
- A. Pull the pinna down and back to straighten the ear canal
- B. Pull the pinna up and back to straighten the ear canal
- C. Cleanse the ear canal trough pulling the pinna outward
- D. Apply medicated ear wicks, then instill the eardrops
Answer: A
Explanation:
Explanation: Canal should be straighten by pulling it down and back so that the eardrops will reach the eardrum. This approach is applicable to children below 3 years old because their ear canal curves upward.
NEW QUESTION # 88
A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. The nurse expects to note which clinical manifestation of the acute stage of the disease:
- A. conjunctival hyperemia
- B. desquamation of the skin
- C. swollen joints
- D. cracked lips
Answer: A
Explanation:
Explanation: In the acute stage, the child has a fever, conjunctival hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and thrombocytosis occur. In the convalescent stage, the child appears normal, but signs of inflammation may be present.
NEW QUESTION # 89
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