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AACN CCRN-Pediatric Practice Test Questions Answers

Exam Code: CCRN-Pediatric (Updated 150 Q&As with Explanation)
Exam Name: CCRN (Pediatric) - Direct Care Eligibility Pathway Exam
Last Update: 07-Dec-2025
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Questions Include:

  • Single Choice: 150 Q&A's

  • CCRN-Pediatric Overview

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    CCRN-Pediatric Questions and Answers

    Question # 1

    A child has fever, chills, back pain, elevated WBC and ESR, and abnormal urinalysis. After IV fluids and antibiotics, what procedure should be anticipated?

    A.

    Chest x-ray

    B.

    Upper GI

    C.

    KUB

    D.

    Renal ultrasound

    Question # 2

    A 6-year-old patient with ARDS has been mechanically ventilated for 10 days. The patient is being assessed for readiness to wean. The patient will open his eyes spontaneously but not to command. The pupils are equal and reactive but the patient is restless, sleeping only for short intervals. A nurse suspects the patient is demonstrating signs of:

    A.

    Withdrawal

    B.

    Neuroleptic syndrome

    C.

    Hypoxic-ischemic injury

    D.

    Delirium

    Question # 3

    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?

    A.

    Prepare for sedation and cardioversion

    B.

    Have the child pretend to play a horn while blowing through a straw

    C.

    Have the parent hold the child while securing IV access

    D.

    Instruct the parent to "put this ice bag on the child's head."

    Question # 4

    A nursing practice council is reviewing a protocol for flushing unused IV lines. A team member questions the use of saline vs. dextrose. What should the council do first?

    A.

    Identify the outcomes

    B.

    Develop research methods

    C.

    Determine the problem

    D.

    Plan interventions

    Question # 5

    A 4-day-old infant presents with lethargy, vomiting, acidosis, and has a seizure upon arrival. What is the most likely diagnosis?

    A.

    Inborn errors of metabolism

    B.

    Gastroesophageal reflux

    C.

    Biliary atresia

    D.

    Congenital heart disease

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