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Free CCRN (Pediatric) - Direct Care Eligibility Pathway Exam Practice Questions

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Exam style questions across every CCRN-Pediatric domain

Last Update 2 days ago
Total Questions : 150

Start with our free CCRN-Pediatric practice questions, carefully crafted to mirror the domains, phrasing, and difficulty of the real CCRN exam. Each CCRN-Pediatric exam question comes with a detailed rationale that explains not just which answer is correct but why the others fall short. That's how concepts stick. Use the free set to benchmark yourself: identify your AACN weak domains, see where you're losing marks, and build a focused study plan in minutes.

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Question # 11

A child presents with a 5-day history of fever, cervical lymphadenopathy, strawberry tongue, joint pain, and elevated CRP/ESR. The nurse should anticipate an order for:

Options:

A.  

Amphotericin B and ibuprofen

B.  

Intravenous immunoglobulin and aspirin

C.  

Clindamycin and ketorolac

D.  

Vancomycin and acetaminophen

Discussion 0
Question # 12

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?

Options:

A.  

Yellow urine with clots of blood

B.  

Red-brown "tea" color urine

C.  

Anuria

D.  

>4 cc/kg of clear, colorless urine

Discussion 0
Question # 13

Following an arterial switch operation, an infant develops symptoms of myocardial ischemia. The etiology is most likely related to:

Options:

A.  

Aortic insufficiency

B.  

Coronary artery kinking

C.  

Poor left ventricular function

D.  

Pulmonary artery stenosis

Discussion 0
Question # 14

Ventricular septal defect is a congenital heart condition that:

Options:

A.  

Decreases pulmonary flow

B.  

Increases systemic flow

C.  

Decreases systemic flow

D.  

Increases pulmonary flow

Discussion 0
Question # 15

The relationship between the family of a long-term patient and ICU healthcare providers has become strained. A nurse should first:

Options:

A.  

Rotate assignments among staff members

B.  

Arrange a patient care conference with the family

C.  

Suggest the family discuss their concerns with the nurse manager

D.  

Discuss the issue with the physician

Discussion 0
Question # 16

A school-aged patient who was admitted with an acute asthma exacerbation has improved and is now ready for transfer to the floor. In preparation for discharge, the nurse should evaluate:

Options:

A.  

The need for home health oxygen services

B.  

The patient’s readiness to self-administer inhaler

C.  

Adherence to follow-up appointments

D.  

Family’s access to safe food and shelter

Discussion 0
Question # 17

One hour after starting a continuous IV insulin, a patient’s glucose drops by 145 mg/dL. What should the nurse monitor for?

Options:

A.  

Bradycardia, widened pulse pressure, and doll's eyes reflex

B.  

Tachycardia, irregular respirations, and polyuria

C.  

Bradycardia, irregular respirations, and widened pulse pressure

D.  

Tachycardia, widened pulse pressure, and oliguria

Discussion 0
Question # 18

A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:

Options:

A.  

Ask the family member to visit before work

B.  

Ask the family member to visit during scheduled visiting hours

C.  

Not allow the visit, as the patient will be sleeping

D.  

Allow the family member to visit after setting behavioral limits

Discussion 0
Question # 19

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

Options:

A.  

Turning and repositioning

B.  

Endotracheal suctioning

C.  

Chest physiotherapy

D.  

Inhaled steroids

Discussion 0
Question # 20

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?

Options:

A.  

Request a translator from the patient services department

B.  

Ask if either of the parents speak English

C.  

Ask a colleague who is bilingual to question the parents

D.  

Continue performing the physical assessment

Discussion 0

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