Practice Examples and Dumps & Tips for 2026 Latest CCRN-Pediatric Valid Tests Dumps
Latest [Mar 04, 2026] 100% Passing Guarantee - Brilliant CCRN-Pediatric Exam Questions PDF
AACN CCRN-Pediatric Certification Exam covers a wide range of topics, including hemodynamics, cardiovascular, respiratory, renal, gastrointestinal, and endocrine systems. CCRN-Pediatric exam also assesses a nurse's knowledge of pharmacology, patient safety, and ethical considerations in critical care nursing. CCRN-Pediatric exam is a computer-based test that consists of 150 multiple-choice questions and takes about three hours to complete. Nurses who pass the exam earn the CCRN-Pediatric credential, which demonstrates their commitment to professional development and their expertise in critical care nursing.
NEW QUESTION # 18
A mother asks the nurse about the immunization schedule for his 15 month-old toddler who is being treated for acute lymphoid leukemi a. The nurse responds that the vaccine that is not to be given for a client who is receiving chemotherapy is:
- A. Hepatitis B vaccine
- B. Influenza vaccine
- C. DtaP
- D. MMR
Answer: D
Explanation:
Explanation: MMR vaccine contains a live attenuated virus and is therefore contraindicated for a child who received chemotherapy due to compromised immune system.
NEW QUESTION # 19
The nurse is caring for a pediatric client who has pink eye. The mother asks the nurse if her child can resume playing with her friends at the park after 48 hours. The nurse responds correctly based on her understanding that pink eye?
- A. Not to worry if the eyes are still red after a week
- B. It is safe even if the eyes are red since it was caused by a virus.
- C. Pink eye due to allergies is contagious
- D. Bacterial is no longer contagious after 48 hours of antibiotic drops.
Answer: D
Explanation:
Explanation: Conjuntivitis caused by a bacterium is no longer contagious after 36 to 48 hours of antibiotic drops. A doctor should be contacted if it doesn't improve after 5 days.
NEW QUESTION # 20
For acute otitis media, the treatment is prompt antibiotic therapy. Delayed treatment may result in complications of:
- A. Brain damage
- B. Diabetes mellitus
- C. Eardrum Problems
- D. Tonsillitis
Answer: A
Explanation:
Explanation: One of the complications of recurring acute otitis media is risk for having Meningitis, thereby causing possible brain damage. That is why patient must follow a complete treatment regimen and follow up care.
NEW QUESTION # 21
Following a MVC with prolonged entrapment of the legs, a 7-year-old has:
* BP: 75/40
* HR: 145
* K#: 5.9 mEq/L
* Hypocalcemia
* Elevated CK
What urine output should the nurse expect?
- A. Yellow urine with clots of blood
- B. Anuria
- C. Red-brown "tea" color urine
- D. >4 cc/kg of clear, colorless urine
Answer: C
Explanation:
This is consistent withrhabdomyolysis, which causesmuscle breakdown and release of myoglobininto the bloodstream.Myoglobinuriaresults indark red-brown or "tea-colored" urine, and is nephrotoxic, contributing to acute kidney injury.
"Crush injuries and elevated CK levels are hallmarks of rhabdomyolysis. Myoglobinuria presents as dark, tea-colored urine, and requires prompt fluid management to prevent renal damage." (Referenced from CCRN Pediatric - Direct Care: Renal, Electrolyte Imbalances and Rhabdomyolysis)
NEW QUESTION # 22
An adolescent's sleep is disrupted by alarms and blood draws. What is the nurse's best action?
- A. Inform the patient of the importance of frequent blood draws
- B. Turn off the alarms while the patient is sleeping
- C. Reschedule the blood draws as clinically appropriate
- D. Obtain an order for a sedative
Answer: C
Explanation:
Sleep is essential to healing, especially in adolescents.Minimizing non-urgent interruptionsby rescheduling lab draws and clustering care when possible supports rest while maintaining patient safety. Sedatives and silencing alarms are not appropriate first-line interventions.
"Nursing care should prioritize minimizing unnecessary disruptions, especially at night. Rescheduling non- urgent tests promotes sleep hygiene and recovery." (Referenced from CCRN Pediatric - Direct Care: Psychosocial, Environmental Stress Reduction in ICU)
NEW QUESTION # 23
A 9-year-old child is attending a new school in Manitoba. Her teachers assess her behavior over 6 months and then reported it to the school nurse. The nurse suspects that the child shows behaviors related to ADHD. This adaptation would include:
- A. good peer relationship
- B. restlessness and impulsivity
- C. increased mental ability
- D. hatred and hostility
Answer: B
Explanation:
Explanation: Maladaptive behavior for at least 6 months duration characterized by inattention, impulsiveness, and over activity are the criteria for attention deficit hyperactivity disorder.
NEW QUESTION # 24
Which of the following statements would the nurse expect a 5-year old boy to say whose pet gerbil just died:
- A. "I'll be good from now own so I won't die like my gerbil"
- B. "He's just a bit dead"
- C. "Joker got him"
- D. "Did you hear the joke about..."
Answer: B
Explanation:
Explanation: A 5 y/o views death in "degrees", so the child most likely will say that "he is just a bit dead".
Personification of death occurs in ages 7 to 9 as well as denying death can if they will be good. Denying death using jokes and attributing life qualities to death occurs during age 3-5.
NEW QUESTION # 25
Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time is the test that measures:
- A. Serum glucose level
- B. Glycosylated Hemoglobin
- C. Serum protein levels
- D. Urine ketones
Answer: B
Explanation:
Explanation: GHb test provides an accurate long-term index of the client's average blood glucose level for the 100-120 day period before the test. The more glucose the RBC was exposed to, the greater the GHb percent.
NEW QUESTION # 26
In a 3-year-old diagnosed with hemolytic uremic syndrome, which of the following findings requires immediate intervention?
- A. Weight gain of 2 kg in 24 hours
- B. Positive guaiac test and 3+ protein in the urine
- C. ECG showing peaked, tented T waves
- D. ECG showing PR interval of 0.12 sec
Answer: C
Explanation:
Peaked T waveson ECG are a hallmark ofhyperkalemia, which is a life-threatening electrolyte imbalance commonly seen inhemolytic uremic syndrome (HUS)due to acute kidney injury. This requiresimmediate interventionto prevent cardiac arrhythmias.
"In patients with HUS, hyperkalemia is a critical electrolyte disturbance. Peaked T waves are a warning sign of impending cardiac complications and demand emergent treatment." (Referenced from CCRN Pediatric - Direct Care: Renal, Hemolytic Uremic Syndrome and Electrolyte Emergencies)
NEW QUESTION # 27
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. Apply medicated ear wicks, then instill the eardrops
- C. Pull the pinna up and back to straighten the ear canal
- D. Cleanse the ear canal trough pulling the pinna outward
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 # 28
A mother brings her 18-month-old child to the clinic because the child "eats ashes, crayons, and paper." Which of the following information would be most important to obtain first about this toddler?
- A. experiencing a growth spurt
- B. experiencing changes in the home environment
- C. currently cutting large teeth
- D. eating a soft, low-roughage diet
Answer: B
Explanation:
Explanation: It is important to determine if the child is experiencing any change in the home environment that could cause anxiety that is relieved through oral gratification. A craving to eat nonfood substances is known Aspica.
NEW QUESTION # 29
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. Administer the IV fluids as ordered
- B. Provide the ordered humidified oxygen via nasal cannula
- C. Suction the mouth and the nose for any secretions
- 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 # 30
A child with short bowel syndrome presents with fever, dehydration, and weight loss. To ensure nutrition, the nurse should anticipate:
- A. Total parenteral nutrition (TPN)
- B. Transpyloric tube for continuous feeds
- C. Encouraging oral feeds
- D. NG tube for bolus feeds
Answer: A
Explanation:
Short bowel syndromeoften results inmalabsorption, requiringtotal parenteral nutrition (TPN)for adequate caloric and nutrient intake-especially during periods of stress, weight loss, or infection when enteral tolerance is reduced.
"Children with significant bowel resection may require TPN to meet metabolic needs during acute illness or poor enteral tolerance." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Malabsorption and TPN Management)
NEW QUESTION # 31
The nurse is caring for a 12 year-old on admission to the isolation unit. One assessment parameter that will indicate that the child has adequate fluid replacement would be:
- A. absence of thirst
- B. good skin turgor around the area of burn
- C. urine output of 30 ml.hour
- D. increased level of hct
Answer: C
Explanation:
Explanation: For a child who is 12 years old age, urine output of 30ml.hour is adequate, and does not suggest fluid overload.
NEW QUESTION # 32
An infant was scheduled to receive the first series of immunizations. Before giving them, the nurse should discuss the possible reactions that may occur because those reactions are:
- A. usually responsible for permanent neurological disturbances
- B. serious and require hospitalization
- C. quite common and may be local or systemic.
- D. sometimes causes ulceration at injection site
Answer: C
Explanation:
Explanation: The reactions are quite common and may be local or systemic. Mild reactions are redness, and induration at the injection site, slight fever, and irritability.
NEW QUESTION # 33
A nurse is aware that findings would differentiate talipes equinovirus as a true clubfoot from a pseudo- clubfoot. A true clubfoot:
- A. can be rotated past the midline and returns once released
- B. has little movement
- C. will be cooler to touch than the other foot
- D. can't be rotated past the midline
Answer: D
Explanation:
Explanation: True clubfoot cannot be rotated past the midline. It is an indication that ligaments, tendons, and bone changes are involved.
NEW QUESTION # 34
A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?
- A. Decreased RA pressure
- B. Polyuria
- C. Oliguria
- D. Decreased PIP
Answer: C
Explanation:
Abdominal compartment syndrome (ACS)occurs whenintra-abdominal pressure increases, impairing organ function.Oliguriais a key early sign due to decreased renal perfusion. Other signs may include increased ventilator pressures (PIP), hypotension, and a tense/distended abdomen.
"Oliguria and increased abdominal girth following trauma or transfusion suggest early abdominal compartment syndrome." (Referenced from CCRN Pediatric - Direct Care: Gastrointestinal, Abdominal Trauma and Compartment Syndrome)
NEW QUESTION # 35
An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse's most appropriate response is:
- A. "Legally you have the right to make that decision."
- B. "I will support whatever decision you decide upon."
- C. "As I remember, your child expressed a desire to die peacefully."
- D. "Perhaps try one more day of treatment to see if there are any changes in condition."
Answer: B
Explanation:
This situation represents a conflict betweenadolescent autonomyandparental authority. The nurse must maintain anonjudgmental, supportive role, allowing the family toexplore values and make informed decisionswithout imposing interpretation.
"In end-of-life situations, nurses should offer emotional support, facilitate shared decision-making, and respect family values. Supporting the decision-regardless of direction-is key." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: End-of-Life Ethics and Family- Centered Care)
NEW QUESTION # 36
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. Give the ordered anticonvulsant
- B. Clear the area of any hazards
- C. Restrain Jamal
- D. Place him on side-lying position
Answer: C
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 # 37
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. Advise patients, families, physicians, and staff when ethical situations arise
- C. Establish community partnerships to reduce potential institutional liability
- D. Monitor questionable physician or staff actions or practices
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 # 38
A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:
- A. moderate back rest
- B. low back rest
- C. Sitting up
- D. Lying semi flat
Answer: C
Explanation:
Explanation: This position will minimize the amount of blood pressure in nasal vessels and keep blood moving forward not back into the nasopharynx, which will have the choking sensation and increase risk of aspiration. Other options are inappropriate because they can cause blood to enter the nasopharynx.
NEW QUESTION # 39
A child was struck by an automobile 24 hours ago. There is an ICP monitor in place which has a spontaneous rise in ICP to 35 mm Hg. A nurse medicates the patient with analgesia and sedative, but the ICP remains elevated. Which of the following should be the next intervention?
- A. Increase the benzodiazepine infusion
- B. Administer a hypertonic saline solution
- C. Induce a pentobarbital coma
- D. Include a narcotic infusion
Answer: B
Explanation:
Intracranial pressure (ICP) above 20-25 mm Hg is abnormal, and 35 mm Hg is a critical level requiring urgent intervention. After sedation and analgesia fail to reduce ICP,osmotic therapy is the next step, with hypertonic salinebeing a frontline choice for its rapid effect in reducing cerebral edema.
"In patients with traumatic brain injury and elevated ICP, first-line therapies include sedation, analgesia, and head positioning. If ineffective, hyperosmolar therapy such as hypertonic saline or mannitol is indicated to decrease cerebral edema and reduce ICP." (Referenced from CCRN Pediatric - Direct Care: Neurologic Dysfunction and Intracranial Hypertension Management) Hypertonic saline pulls fluid from the brain into the vascular space, lowering ICP and improving cerebral perfusion.
NEW QUESTION # 40
Following a traumatic brain injury, an intubated 2-year-old patient requires an infusion of cisatracurium (Nimbex) to assist with intracranial pressure. On day 3, the ventilator's mean airway pressure begins to alarm frequently and suctioning needs have increased. The patient's vital signs are:
* BP: 99/58
* HR: 148
* RR: 20
* T: 102.2°F (39°C)
* ICP: 19
* CPP: 53
* WBC: 22,000
* Na#: 153 mEq/L
A nurse should anticipate the patient will require:
- A. A head CT
- B. A sputum culture
- C. Albuterol (Proventil) treatment
- D. Mannitol (Osmitrol) 2 g/kg
Answer: B
Explanation:
The elevated WBC count, fever, rising airway pressures, and increased secretions are consistent with a developing ventilator-associated pneumonia (VAP). Asputum cultureis needed to identify the infectious agent and guide antibiotic therapy.
"Signs of VAP include increased airway secretions, elevated temperature, and rising ventilator pressures.
Diagnostic workup includes obtaining sputum culture to guide treatment." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Ventilator Complications and Infection)
NEW QUESTION # 41
A pediatric client was returned to the unit after a heart surgery. Contraptions are: Left chest tube drainage attached to a bottle system; an IVF of D5 NSS at 32 gtts/min; and an NGT to gravity. The client was then attached to a cardiac monitor. What would be the priority nursing intervention:
- A. check the IVF level and flow rate
- B. check the identification bracelet
- C. measure the drainage of both tubing.
- D. obtain vital signs
Answer: D
Explanation:
Explanation: Vital signs should be the priority to determine the child's status and compare it with the data obtained during the pre-operative period.
NEW QUESTION # 42
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