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AACN CCRN-Pediatric (Critical Care Nursing) Certification Exam is a certification exam designed for nurses who work in critical care and are seeking to validate their knowledge and skills in pediatric critical care nursing. CCRN-Pediatric exam is administered by the American Association of Critical-Care Nurses (AACN), which is the largest specialty nursing organization in the world.
To be eligible to take the CCRN-Pediatric certification exam, nurses must have a valid RN license and a minimum of two years of experience working in a PICU or PCCU. Nurses who successfully pass the exam are awarded the CCRN-Pediatric credential, which proves their expertise in the field of pediatric critical care nursing. This credential is valid for three years, after which nurses must renew their certification by meeting continuing education requirements.
AACN Critical Care Nursing Exam Sample Questions (Q35-Q40):
NEW QUESTION # 35
Why are unit admission and discharge criteria developed?
- A. Secure managed care contracts
- B. Address triage decisions
- C. Provide ethical decision-making guidelines
- D. Identify criteria for withholding treatment
Answer: C
Explanation:
Establishingadmission and discharge criteriaensures that care decisions areconsistent, justifiable, and ethically grounded. These criteria guide clinicians inresource allocation, promotingfair accessand minimizing bias in treatment decisions.
"Admission/discharge policies support ethical care delivery by ensuring objective, equitable decision-making, especially in high-acuity environments like ICUs." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Ethical Resource Management and Clinical Guidelines)
NEW QUESTION # 36
A 5year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour.
Which sign or symptom suggests excessive I.V. fluid intake:
- A. Worsening Dyspnea
- B. Nausea and vomiting
- C. Gastric distension
- D. Temperature of 102°F
Answer: A
Explanation:
Explanation: Dyspnea and other signs of respiratory distress signify fluid volume excess (overload), which can occur quickly in a child as fluid shifts rapidly between the intracellular and extracellular compartments. Gastric distention may suggest excessive oral fluid intake or infection. Nausea and vomiting or an elevated temperature may indicate a fluid volume deficit.
NEW QUESTION # 37
A nurse is caring for a child with diarrhea due to salmonella infection. What order should be questioned by the nurse:
- A. kaopectate, 1 tsp every bowel movement
- B. ORS I tab dissolve in 150 ml water
- C. Paracetamol, 5ml for temperature = 37.8°C
- D. Ciprofloxacin 250 mg tab BID for 5 days
Answer: A
Explanation:
Explanation: Kaopectate will keep the stool in the intestines longer which could allow the organism to infect the intestinal mucosa. This drug has adsorbent and demulcent effects.
NEW QUESTION # 38
Immediately following a heart transplant, a patient has two P waves followed by one QRS segment each cardiac cycle. What is the nurse's next step?
- A. Obtain an echocardiogram
- B. Request isoproterenol
- C. Start temporary pacing
- D. Continue to monitor
Answer: D
Explanation:
After aheart transplant, the native atrial tissue may continue to generateP waves, even though the donor heart generates its own rhythm. This results in the appearance oftwo P waveson ECG - one from the native sinoatrial node and one from the donor atrium. This is anormal findingpost-transplant and doesnot require intervention.
"Dual P waves seen post-transplant are common due to retained native atrial activity. The QRS response from donor conduction confirms proper graft function." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Post-Transplant Electrophysiology Monitoring)
NEW QUESTION # 39
Tammy, a 4-year-old child, has cystic fibrosis. Her mother is concerned and said that her child can no longer join the American Idol because of repeated infection. The nurse is aware that repeated infection could lead to:
- A. type 1 diabetes development
- B. increased irritability and perspiration
- C. poor academic and extra-curricular activities
- D. bone marrow depression
Answer: A
Explanation:
Explanation: The nurse is aware that repeated infection could lead to Type 1 Diabetes development.
Repeated infection in a child with cystic fibrosis, over time, influences the development of insulin resistance.
NEW QUESTION # 40
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