CCRN PEDIATRIC PRACTICE EXAM QUESTIONS
FROM AACN 2025/2026 WITH 100% ACCURATE
ANSWERS
1. A patient with bronchopulmonary dysplasia (BPD) is admitted with heart
failure. The nurse can expect to perform interventions to
decrease preload
increase contractility
decrease heart rate
increase afterload
2. If a nurse observes that a mother is confused about her child's bowel
management plan for myelomeningocele, what should be the nurse's first
step?
Refer the mother to a specialist.
Ignore the confusion and monitor the child.
Suggest a different treatment plan.
Provide additional education on bowel management.
3. In a scenario where a pediatric patient requires urgent surgery and the
family speaks primarily Spanish, what should the nurse prioritize to ensure
effective communication?
Use visual aids to explain the procedure while avoiding complex
terms.
Involve the patient's sibling to explain the situation to the family.
,Arrange for a medical interpreter to facilitate communication
about the surgery.
, Ask the family to read the consent form in Spanish without further
explanation.
4. During intake, the triage nurse quickly realizes the clients parents speak
limited english. Who is the best resource for the nurse to consult with?
social worker
hospital chaplain
nurse supervisor
hospital interpreter
5. If a 10-day-old infant with hypoplasia is not responding to mechanical
ventilation and oxygen therapy, what would be the most appropriate next
step in management?
Administer diuretics to reduce fluid overload.
Increase the mechanical ventilation settings to maximum levels.
Consideration for surgical intervention or prostaglandin therapy to
maintain ductal patency.
Switch to non-invasive ventilation methods.
6. What is the first predischarge priority for a technology-dependent child?
Assess the adequacy of the home environment
Provide education to the family
Conduct a multidisciplinary care conference
Arrange for home nursing care
7. Describe the significance of Kehr's sign in diagnosing splenic laceration.
, Kehr's sign indicates a pulmonary embolism.
Kehr's sign indicates splenic injury through referred pain to the left
shoulder.
Kehr's sign is used to diagnose cardiac contusion.
Kehr's sign is a symptom of small bowel obstruction.
8. An infant has been admitted with encephalitis. The nurse should FIRST
assess the patient's
blood glucose level
airway patency
level of conciousness
pupillary response
9. Why might a musty urine odor in an infant suggest an inborn error of
metabolism?
A musty urine odor indicates a urinary tract infection.
A musty urine odor is characteristic of certain metabolic disorders,
indicating abnormal metabolic processes.
A musty urine odor is unrelated to metabolic conditions.
A musty urine odor is a sign of dehydration in infants.
10. What is the primary purpose of administering desmopressin (DDAVP) to a
patient with diabetes insipidus?
To reduce urine output
To increase fluid retention
FROM AACN 2025/2026 WITH 100% ACCURATE
ANSWERS
1. A patient with bronchopulmonary dysplasia (BPD) is admitted with heart
failure. The nurse can expect to perform interventions to
decrease preload
increase contractility
decrease heart rate
increase afterload
2. If a nurse observes that a mother is confused about her child's bowel
management plan for myelomeningocele, what should be the nurse's first
step?
Refer the mother to a specialist.
Ignore the confusion and monitor the child.
Suggest a different treatment plan.
Provide additional education on bowel management.
3. In a scenario where a pediatric patient requires urgent surgery and the
family speaks primarily Spanish, what should the nurse prioritize to ensure
effective communication?
Use visual aids to explain the procedure while avoiding complex
terms.
Involve the patient's sibling to explain the situation to the family.
,Arrange for a medical interpreter to facilitate communication
about the surgery.
, Ask the family to read the consent form in Spanish without further
explanation.
4. During intake, the triage nurse quickly realizes the clients parents speak
limited english. Who is the best resource for the nurse to consult with?
social worker
hospital chaplain
nurse supervisor
hospital interpreter
5. If a 10-day-old infant with hypoplasia is not responding to mechanical
ventilation and oxygen therapy, what would be the most appropriate next
step in management?
Administer diuretics to reduce fluid overload.
Increase the mechanical ventilation settings to maximum levels.
Consideration for surgical intervention or prostaglandin therapy to
maintain ductal patency.
Switch to non-invasive ventilation methods.
6. What is the first predischarge priority for a technology-dependent child?
Assess the adequacy of the home environment
Provide education to the family
Conduct a multidisciplinary care conference
Arrange for home nursing care
7. Describe the significance of Kehr's sign in diagnosing splenic laceration.
, Kehr's sign indicates a pulmonary embolism.
Kehr's sign indicates splenic injury through referred pain to the left
shoulder.
Kehr's sign is used to diagnose cardiac contusion.
Kehr's sign is a symptom of small bowel obstruction.
8. An infant has been admitted with encephalitis. The nurse should FIRST
assess the patient's
blood glucose level
airway patency
level of conciousness
pupillary response
9. Why might a musty urine odor in an infant suggest an inborn error of
metabolism?
A musty urine odor indicates a urinary tract infection.
A musty urine odor is characteristic of certain metabolic disorders,
indicating abnormal metabolic processes.
A musty urine odor is unrelated to metabolic conditions.
A musty urine odor is a sign of dehydration in infants.
10. What is the primary purpose of administering desmopressin (DDAVP) to a
patient with diabetes insipidus?
To reduce urine output
To increase fluid retention
