AACN CCRN PEDS EXAM 2025 NEWEST
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS |
VERIFIED A+ GRADE
1. A 1-month-old infant presents with poor feeding,
vomiting and diarrhea since birth. The infant is lethargic
and in mild respiratory distress. The mother reports having
another infant with the same symptoms who died at 2
months of age. Which finding would cause the nurse to
suspect an inborn error of metabolism?
A. micrognathia
B. microglossia
C. petite facial features
D. abnormal urine odor Correct Answer abnormal urine
odor
2. Cardiac defects associated with increased pulmonary
blood flow place the patient at greatest risk for
A. heart failure.
B. systemic air emboli.
C. hypoxemia.
D. syncope. Correct Answer heart failure
3. Which ventilator parameters would be weaned first in a
patient with bronchopulmonary dysplasia (BPD)?
,A. VT and FiO2
B. peak inspiratory pressure and IMV
C. FiO2 and IMV
D. FiO2 and peak inspiratory pressure Correct Answer
FiO2 and peak inspiratory pressure
4. Amrinone lactate (Inocor) produces which of the
following effects?
A. vasodilation
B. phospholipid inhibition
C. decreased myocardial contractility
D. antagonism to other catecholamines Correct Answer
vasodilation
5. Which of the following procedures would be most
valuable in aiding management of a child requiring PEEP
of 14 cm of water?
A. ECMO therapy
B. placement of a thoracostomy tube
C. placement of a pulmonary artery catheter
D. high-frequency ventilation Correct Answer high-
frequency ventilation
6. A 15-year-old patient underwent a classic Fontan repair
of tricuspid atresia 12 hours ago. The patient is cool,
diaphoretic, restless, mottled peripherally, with no pedal
pulses and faint femoral pulses.
Vital signs are:
HR 140
,MAP 60 mm Hg
CVP 20 mm Hg
Cardiac Index 2.1 L/min/m2
SVR 2000 dynes/sec/cm-5
The nurse should suspect
A. a pulmonary embolus.
B. cardiac tamponade.
C. cardiogenic shock.
D. hypovolemic shock. Correct Answer cardiogenic shock.
7. The nurse is providing patient education for a family
whose child has cerebral palsy and will be receiving a
Baclofen (Lioresal) pump to control spasticity. Which of
the following is most important for the nurse to include in
the discussion?
A. The drug acts to inhibit the neurotransmitter gamma-
amniobutyric acid (GABA).
B. Parents can be taught to regulate the dosage based on
symptoms.
C. The child will have a normal gait after insertion of the
pump.
D. Parents must bring the child back to the clinic to have
the medicine
added to the pump. Correct Answer Parents must bring
the child back to the clinic to have the medicine
added to the pump.
8. A nurse is interested in including other disciplines in the
educational process of developmental care in the NICU.
, The best way to convince administration that this venture
is financially worthwhile is to
A. present a report summarizing research relating
developmental care to
decreased length of stay.
B. request that the neonatologist present the plan.
C. present case studies demonstrating favorable
outcomes to
developmental care.
D. invite members of administration to attend the classes.
Correct Answer present a report summarizing research
relating developmental care to decreased length of stay.
9. PEEP is intended to do which of the following?
A. increase functional residual capacity
B. decrease functional residual capacity
C. increase venous return to the heart
D. increase cardiac output Correct Answer increase
functional residual capacity
10. In caring for a patient with salicylate intoxication, the
critical care nurse would anticipate which of the following
as a primary treatment measure?
A. Administration of protamine sulfate
B. Administration of glucose
C. Transfusion of packed RBCs
D. Replacement of fluid and electrolytes Correct Answer
D. Replacement of fluid and electrolytes
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