AACN Critical Care Nursing - CCRN-Pediatric Exam Practice Test
The parents of a teenager with terminal neuroblastoma are preparing to withdraw life-sustaining treatment. The parent states, "I would like their sibling to be here, but I'm not sure if that is a good idea." Which of the following is the best response by a nurse?
Correct Answer: A
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The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:
Correct Answer: C
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A child has fever, chills, back pain, elevated WBC and ESR, and abnormal urinalysis. After IV fluids and antibiotics, what procedure should be anticipated?
Correct Answer: A
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A patient with suspected abdominal compartment syndrome has a bladder pressure of 8 mmHg. Which of the following actions should the nurse take first?
Correct Answer: C
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A child is heading to the OR for internal injuries. The parents refuse blood products due to religious beliefs. What should the nurse do first?
Correct Answer: D
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A child with short bowel syndrome presents with fever, dehydration, and weight loss. To ensure nutrition, the nurse should anticipate:
Correct Answer: A
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A 16-year-old patient is unresponsive after a motor vehicle collision. The parents speak another language. While performing the secondary survey, what should the nurse do next?
Correct Answer: B
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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:
Correct Answer: B
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Twenty-four hours after a severe burn and inhalation injury, a child develops increased tachypnea and desaturation. The most likely cause is:
Correct Answer: C
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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?
Correct Answer: D
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A 9-year-old patient with a history of tachycardia and syncope is connected to a monitor that shows a HR of 190, with regular P-P and R-R intervals. The patient is awake, crying, anxious, and has a BP of
94/60. Which of the following is the initial nursing intervention?
94/60. Which of the following is the initial nursing intervention?
Correct Answer: C
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An infant with acute exacerbation of bronchopulmonary dysplasia (BPD) is placed on mechanical ventilation. The most appropriate ventilator strategy is:
Correct Answer: C
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A young patient is admitted from the PACU to the ICU with complications following surgery. The parents are angry and confused as they were originally told by the surgeon their child was stable and the plan was to transfer the child to a regular room. How should the nurse best address the parents' concerns?
Correct Answer: B
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When preparing a 2-month-old with hypoplastic left heart syndrome for a cardiac transplant, which of the following findings is most alarming?
Correct Answer: A
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