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Pass-Sure AACN - CCRN-Pediatric Test Registration

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CCRN-Pediatric Current Exam Content & CCRN-Pediatric Exam Format

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AACN CCRN-Pediatric (Critical Care Nursing) Certification Exam is designed for nurses who work in pediatric intensive care units (PICUs) and pediatric cardiac care units (PCCUs). Critical Care Nursing Exam certification exam is administered by the American Association of Critical-Care Nurses (AACN) and is one of the most respected and recognized credentials in the field of pediatric critical care nursing.

The AACN CCRN-Pediatric exam covers a wide range of topics related to pediatric critical care nursing, including cardiovascular, pulmonary, neurologic, gastrointestinal, hematology/oncology, and multisystem disorders. It also includes questions related to patient assessment, hemodynamic monitoring, pharmacology, and ethical and legal issues in critical care nursing. CCRN-Pediatric Exam is intended to test the nurse's ability to apply their knowledge and skills in real-life situations and to provide safe and effective care to critically ill pediatric patients.

AACN Critical Care Nursing Exam Sample Questions (Q132-Q137):

NEW QUESTION # 132
Which of the following interventions is most effective in preventing pulmonary vasospasm in an infant with persistent pulmonary hypertension of the newborn (PPHN)?

A. Aminophylline administration
B. Alprostadil (Caverject) administration
C. O# weaning
D. Minimal stimulation

Answer: D

Explanation:
PPHNis a condition in which pulmonary vascular resistance remains abnormally high after birth. In this fragile state,handling or stresscan worsen pulmonary vasospasm.Minimal stimulation-such as reducing noise, light, and touch-is critical to preventing exacerbation.
"Infants with PPHN are highly sensitive to stress. Minimal stimulation reduces sympathetic discharge and prevents exacerbation of pulmonary vasoconstriction." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Neonatal Pulmonary Hypertension Management) Alprostadilis used in ductal-dependent congenital heart lesions, not in primary management of PPHN.

NEW QUESTION # 133
A 2-year-old child in septic shock is receiving nitroprusside (Nipride). Which of the following findings indicates the need to increase the nitroprusside dosage?

A. Urine output is 7 cc/hr
B. HR is 180
C. Systolic BP greater than or equal to 78 mm Hg
D. Systemic vascular resistance is 1820 dynes/sec/cm##

Answer: D

Explanation:
Nitroprusside is used invasodilatory shockto reduce afterload andlower systemic vascular resistance (SVR)
. A persistently elevated SVR (normal: ~800-1200 dynes/sec/cm##) indicatesineffective vasodilation, necessitating an increase in dosage to optimize cardiac output.
"SVR is an essential parameter in the management of septic shock. Nitroprusside is titrated to decrease SVR and improve tissue perfusion. A persistently high SVR suggests inadequate response to therapy." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular Shock and Hemodynamic Monitoring)

NEW QUESTION # 134
An infant was diagnosed of Tetralogy of Fallot. The nurse assessed that the infant is underweight. What could be the reason behind this problem:

A. deficient caloric intake due to activity intolerance.
B. Polycythemia brought by a decreased in the level of arterial PO2.
C. recurrent respiratory infections due to pulmonary hypertension.
D. Cerebral changes due to cyanosis.

Answer: A

Explanation:
Explanation: Inadequate weight gain happens because the infant tires very easily, sufficient calories cannot be ingested to meet the nutritional needs. Other options do occur but they are indirectly related to weight gain.

NEW QUESTION # 135
When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised:

A. Respiratory status
B. Sucking ability
C. GI function
D. Locomotion

Answer: B

Explanation:
Explanation: Because of the defect, the child will be unable to form the mouth adequately around the nipple thereby requiring special devices to allow feeding and sucking gratification. Respiratory status may be compromised when the child is fed improperly or during post op period.

NEW QUESTION # 136
A nurse is aware that the concept that a developmentally disabled pediatric client could probably learn first is:

A. life vs. death
B. right vs. wrong
C. small vs. large
D. love vs. hate

Answer: C

Explanation:
Explanation: Small vs large is the concept that a developmentally disabled pediatric client could probably learn first. A child who is mentally disabled can learn concrete concepts faster compared to those which re-abstract in nature. Other options are abstract that could be learned at about 7-11 years of life

NEW QUESTION # 137
......

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