AACN Exam 2026 CCRN-Pediatric Dumps Updated Questions UPDATED Mar-2026
Get The Most Updated CCRN-Pediatric Dumps To AACN CCRN Certification
NEW QUESTION # 50
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. increased level of hct
- C. urine output of 30 ml.hour
- D. good skin turgor around the area of burn
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 # 51
Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride:
- A. Guthrie Test
- B. Phenestix test
- C. Beutler's test
- D. Coomb's test
Answer: B
Explanation:
Explanation: Phenestix test is a diagnostic test for Phenylketonuria which uses a fresh urine sample (diapers) and mixed with ferric chloride. If positive, there will be a presence of green spots at the diapers. Guthrie test is another test for PKU and is the one that mostly used. The specimen used is the blood and it tests if CHON is converted to amino acid.
NEW QUESTION # 52
A 13-year-old client with acute glomerulonephritis asks the nurse about his diet. The nurse assigned said that he should eat foods which are low in:
- A. Glucose
- B. Protein
- C. Fat
- D. Potassium
Answer: D
Explanation:
Explanation: Pediatric client with acute glomerulonephritis are oliguric, therefore Potassium rich food should be avoided to prevent cardiac dysryhthmia associated with hypokalemia.
NEW QUESTION # 53
Michael was diagnosed with Wilm's tumor and started on chemotherapy as treatment. The doctor ordered a Dactinomycin 0.015mg/kg slow IV push now. The nurse on duty should:
- A. administer the medicine and watch out for nausea and vomiting.
- B. administer the medicine then give hydrocortisone 100 mg IV afterwards.
- C. hold the medication until the doctor changed the dosage.
- D. question the doctor's order to prevent over dosage.
Answer: A
Explanation:
Explanation: The nurse should administer the medicine and watch out for nausea and vomiting. The dosage is safe for a pediatric client, we can administer until 1.5mg in 3 weeks time. Dactinomycin may cause nausea, vomiting, diarrhea and stomatitis.
NEW QUESTION # 54
A mother of a child with heart failure questions the necessity of weighing the baby everyday. The nurse's best response should be guided by the fact that the daily weight is essential in determining:
- A. fluid retention
- B. nutritional status
- C. dosage of medication
- D. success of treatment
Answer: A
Explanation:
Explanation: Retention of fluid is reflected by excessive weight gain in just a short period of time.
Insufficient cardiac output lowers flow to the kidneys that leads to intracellular fluid increase and hypervolemia. Weight gain or loss due to nutrition is gradual. Dosage of medication is not recalculated everyday based on weight gain.
NEW QUESTION # 55
During the morning rounds, a toddler client with autism starts to run and he head bangs in the all. What would be the best initial action of the nurse:
- A. allow the child to act out his feelings.
- B. explain to the toddler that his behavior is not acceptable.
- C. restrain the toddler to avoid injury.
- D. ask the toddler to stop to avoid injury.
Answer: C
Explanation:
Explanation: Children with autism needs protection from self-injury. Option D is permitted but do it if doesn't put the child in jeopardy. Options A and B is incorrect because the child has difficulty in following instructions especially if when out of control.
NEW QUESTION # 56
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. rashes on genitals
- B. lesion on genitals
- C. pus on genitals
- D. difficulty in urination
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 # 57
Which of the following is a major indication for peritoneal dialysis?
- A. Alkalosis
- B. Hypovolemia
- C. Hypokalemia
- D. Hypervolemia
Answer: D
Explanation:
Peritoneal dialysis (PD)is used in pediatric patients withrenal failure, especially when associated withfluid overload (hypervolemia), uremia, or electrolyte imbalances not responsive to medical therapy. It is particularly effective forgradual fluid removalin children.
"Indications for peritoneal dialysis in children include fluid overload, hyperkalemia, and acidosis not corrected by conservative measures." (Referenced from CCRN Pediatric - Direct Care: Renal, Indications for Dialysis)
NEW QUESTION # 58
An anxious father consults a nurse for guidance on how to answer the question, of his child Daniel who is only 5 years old. The father said that Daniel asked "Where do babies come from?" What is the nurse's best response to the father?
- A. "That question indicates that Daniel is interested in sex"
- B. "You have to give a simple answer"
- C. "Children usually ask for many questions but they do not look for an answer
- D. "You should give full and detailed answers to all questions that Daniel may ask"
Answer: B
Explanation:
Explanation: Topics related to sexuality should be answered with honesty. However, honesty does not mean imparting every fact of life associated with the question. When a child asks 1 question, he is looking for 1 answer. When he is ready, he will ask about the other pieces.
NEW QUESTION # 59
A patient's mother shares with a nurse that the patient has been sleeping more than usual, and has expressed feelings of hopelessness and "unbearable pain". Which of the following is the priority nursing intervention?
- A. Completing a suicidal risk assessment tool
- B. Gathering a full set of vital signs
- C. Obtaining an ECG
- D. Reviewing the medication history
Answer: A
Explanation:
Expressions ofhopelessness, fatigue, and unbearable painare red flags forsuicidal ideation, particularly in pediatric patients. Immediate action is needed toassess suicide riskto ensure patient safety.
"In pediatric patients, behavioral cues such as excessive sleep, hopelessness, and verbal expressions of despair should trigger immediate suicide screening and risk assessment protocols." (Referenced from CCRN Pediatric - Direct Care: Psychosocial and Emotional Assessment in Critically Ill Children) This is apriority safety concernand must be addressed before any further medical assessments or reviews.
NEW QUESTION # 60
What would a nurse expect to see while assessing the growth of Daniel who is in 4th grade primary school?
- A. Weight gain of 5.5 lbs a year
- B. No change in body appearance on a yearly basis
- C. On going- height increase of 4 inches per year
- D. Low amount of body fat and muscle mass
Answer: A
Explanation:
Explanation: School age children gain about 5.5 lbs per year and gain about 2 inches in height.
NEW QUESTION # 61
A child with RDS is on mechanical ventilation with PEEP 15 cm H#O and FiO# 50%. What is the most likely initial complication?
- A. Increased systemic vascular resistance
- B. Pulmonary fibrosis
- C. Decreased cardiac output
- D. Subcutaneous emphysema
Answer: C
Explanation:
High levels of PEEP(#15 cm H#O) can increaseintrathoracic pressure, leading todecreased venous return and subsequentlydecreased cardiac output. This hemodynamic effect is the most immediate concern before longer-term issues like fibrosis arise.
"Elevated PEEP levels in ventilated children with RDS can compromise cardiac output by reducing preload.
Monitor for hypotension and poor perfusion."
(Referenced from CCRN Pediatric - Direct Care: Pulmonary, Mechanical Ventilation Complications)
NEW QUESTION # 62
Charlie, an 8-month-old infant, had a clubfoot. A boot cast was applied to correct the problem. Which of the following assessment could not be determined while the boot cast is in place:
- A. Pedal pulse
- B. blanching
- C. color
- D. warmth
Answer: A
Explanation:
Explanation: Pedal pulse is obviously not measurable while the boot cast is in place.
NEW QUESTION # 63
Daniel's mother called the clinic and said to the nurse on duty that her baby started crying and started to turn blue on his lips and face. After crying her baby passes out and took a deep breath. The nurse also learned that Daniel is already 18 month-old. What response should the nurse give?
- A. "You have to consult a cardiologist"
- B. "You don't need to do anything to stop the spells"
- C. "You should bring Daniel here for further evaluation"
- D. "Give your baby a bottle of warm milk when it happens again"
Answer: B
Explanation:
Explanation: The data indicates a normal spell and does not cause any harm. The mother should just hold the baby until the spell passes. This behavior usually starts between 3 and 12 months of age. If the baby developed seizure, it is the time to consult a doctor.
NEW QUESTION # 64
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. measles, mumps and rubella vaccine
- C. first booster of DTaP 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 # 65
Nurse Tammy is caring for a 3 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. Tammy recognizes this problem is probably due to:
- A. metabolic alkalosis
- B. reaction due to medications
- C. meningitis occure postoperatively
- D. cerebral vascular accident
Answer: D
Explanation:
Explanation: Polycythemia occurs as a physiological reaction to chronic hypoxemia which commonly occurs in clients with Tetralogy of Fallot. Polycythemia and the resultant increased viscosity of the blood increase the risk of thromboembolic events. Cerebrovascular accidents may occur. Signs and symptoms include sudden paralysis, altered speech, extreme irritability or fatigue, and seizures.
NEW QUESTION # 66
A nurse is aware that a child with AIDS is more prone to infection than an adult with AIDS because:
- A. a child has fewer circulating antibodies resulting from a lack of previous exposure to pathogens.
- B. child with AIDS is exposed to more pathogen than an adult with AIDS.
- C. the AIDS virus attacks child's immune systems through a different mechanisms
- D. the immune system of a child is incapable of producing antibodies.
Answer: A
Explanation:
Explanation: Adults have higher levels of antibodies than children because over time they have been exposed to more pathogens. Other options are incorrect because in comparison, they do not differ.
NEW QUESTION # 67
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. Clear the area of any hazards
- B. Place him on side-lying position
- C. Restrain Jamal
- D. Give the ordered anticonvulsant
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 # 68
......
To be eligible to take the CCRN-P certification exam, a nurse must possess a valid and current RN license, have at least 1,750 hours of direct bedside patient care in a pediatric critical care setting, and have completed at least 25 hours of pediatric-specific continuing education within the last two years. Nurses who meet these requirements are encouraged to take the exam and earn the right to use the CCRN-P certification credential.
AACN Certified CCRN-Pediatric Dumps Questions Valid CCRN-Pediatric Materials: https://dumpstorrent.prep4surereview.com/CCRN-Pediatric-latest-braindumps.html
