Peds CCRN- Critical Care Registered Nurse Review Questions (From AACN) 2024/2025 Fully Solved 100% Correct/ Verified Pass
The CCRN certification exam assesses a nurse’s knowledge and expertise in caring for critically ill patients, including topics such as hemodynamics, pharmacology, and patien...
A Toddler Who Was Found Unresponsive In A Swimming Pool Is In Respiratory
Distress. On Chest X-Ray You See Bilateral Infiltrates And The Pao2/Fio2 Ratio Is
190. These Findings Suggest:
A. Aspiration Pneumonia
B. Viral Pneumonia
C. ACUTE RESPIRATORY DISTRESS SYNDROME
D. Pneumothorax
- This Child Has Signs Of Acute Respiratory Distress Syndrome (ARDS), Which
Include Bilateral Infiltrates On Chest X-Ray, Pao2/Fio2 Ratio <200, And Pulmonary
Edema, Among Other Things.
- Both Aspiration And Viral Pneumonia May Lead To ARDS, But That's Not The
Correct Answer For This Question.
- The Symptoms Described Are Not Consistent With A Pneumothorax.
An Infant With Bronchiolitis Is Intubated Due To An Acute Respiratory Failure. Post-
Intubation ABG Results Demonstrate:
Ph 7.22
Paco2 62
Pao2 75
HCO3 22
O2 Sat 90%
This Blood Gas Reflects:
A. Metabolic Acidosis
, PEDS CCRN REVIEW QUESTIONS (FROM AACN)
B. RESPIRATORY ACIDOSIS
C. Metabolic Alkalosis
D. Respiratory Alkalosis
This Child's Blood Gas Results Include A Decreased Ph And An Increase In Paco2 —
Both Of Which Indicate A State Of Respiratory Acidosis.
An Intubated, Mechanically Ventilated Patient Has A Sudden Decrease In Spo2 From
95% To 78%, And The Ventilator Is Alarming High Peak Pressures. Your First
Intervention Is To:
A. Increase The Fio2 And Ventilator Rate
B. ASSESS THE PATENCY OF THE ENDOTRACHEAL TUBE
C. Administer A Neuromuscular Blocking Agent
D. Prepare To Reposition The Endotracheal Tube
- Your First Priority Is Assessing The Patency Of The ETT.
- Once You Have Confirmed Whether The Tube Is Or Is Not Patent, That Will Help
To Direct Your Next Interventions.
- The Alarms For High Peak Pressure May Indicate That The ETT Is Kinked Or
Blocked With Secretions.
The Most Important Intervention When Caring For The Patient With Epiglottitis And
Who Is In Significant Respiratory Distress Is To:
A. KEEP THE CHILD QUIET AND COMFORTABLE
B. Administer Racemic Epinephrine
C. Place The Child In A Supine Position
D. Administer Antibiotics
- The Goal Is To Keep The Child Quiet, Comfortable, And In Whatever Position That
Allows Them To Maintain Their Own Airway Until A Skilled Provider Who Can
Control The Airway Is Present And Ready To Do So.
, PEDS CCRN REVIEW QUESTIONS (FROM AACN)
- Racemic Epinephrine Might Be Helpful For The Patient With Croup
- Although The Patient With Epiglottitis Needs Antibiotics, That's Not The Priority
Intervention Until The Airway Is Secure.
Which Of The Following Is The First Action To Take In The Case Of A Patient With A
Suspected Tension Pneumothorax?
A. Assess Blood Pressure
B. Prepare For Intubation
C. Obtain A Chest Radiograph
D. PREPARE FOR NEEDLE THORACOSTOMY
Tension Pneumothorax Is An Emergency Requiring Needle Decompression. The
Child Will Require Monitoring Of Vital Signs During The Procedure And An X-Ray
Post-Procedure. The Need For Intubation Will Be Determined Based On The Child's
Clinical Exam Following Evacuation Of The Tension Pneumothorax.
For A Patient With Status Asthmaticus, Chest X-Ray Will Reveal:
A. Perihilar Infiltration
B. HYPERINFLATION
C. Foreign Body Aspiration
D. An Elevated Diaphragm
Remembering That Air "Trapping" Is A Common Phenomenon In Status Asthmatics,
You Would Anticipate Seeing Hyperinflation On This X-Ray.
A Term Newborn Develops Difficulty Breathing And Cyanosis. The Nurse Has
Difficulty Hearing Breath Sounds And Notes The Baby Has A Scaphoid Abdomen.
Which Should The Nurse Suspect?
A. Tracheoesophageal Fistula
, PEDS CCRN REVIEW QUESTIONS (FROM AACN)
B. Diaphragmatic Hernia
C. Pneumothorax
D. Congenital Heart Defect [Correct Ans: - B. Diaphragmatic Hernia
A Baby With Diaphragmatic Hernia Will Appear To Have A Scaphoid Abdomen
Because The Abdominal Contents Have Shifted Up Into The Thorax. The Lungs Are
Hypoplastic And The Heart May Be Shifted To The Right.
Intubation And Positive Pressure Ventilation Are High-Risk Therapies In The
Pediatric Asthmatic Patient Due To Possible:
A. Infection
B. Oxygen Toxicity
C. Pneumothorax
D. Ventilator Dependence [Correct Ans: - C. Pneumothorax
These Patients Typically Have Thick Secretions, Mucosal Edema, And
Bronchoconstriction, All Of Which Put Them At Risk For Increased Airway
Resistance And Air Trapping. This, In Turn, Places Them At Higher Risk For The
Development Of Pneumothoraces Associated With Positive Pressure Ventilation.
A Patient With Status Asthmatics Is Increasingly Somnolent And Only Able To Speak
One Word Between Breaths. The Priority Intervention Is:
A. Increasing The Beta-Agonist
B. Chest Tube Placement
C. Inhaled Nitric Oxide
D. Intubation [Correct Ans: - D. Intubation
This Patient Is Exhibiting Changes In Level Of Consciousness And Worsening
Respiratory Distress. The Priority Intervention At This Point Is Intubation And
Airway Protection. A Chest Tube May Be Needed If A Pneumothorax Develops.
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