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Total 45 questions
Exam Code: CCRN-Pediatric                Update: Oct 15, 2025
Exam Name: CCRN (Pediatric) - Direct Care Eligibility Pathway Exam

AACN CCRN (Pediatric) - Direct Care Eligibility Pathway Exam CCRN-Pediatric Exam Dumps: Updated Questions & Answers (October 2025)

Question # 1

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

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

Question # 2

An infant has hypovolemic shock from severe diarrhea. Which of the following assessments demonstrates adequate tissue perfusion following fluid resuscitation?

Capillary Refill

Urine Output

CVP

BP

a. 2 sec

0.5 ml/kg/hr

2 mm Hg

84/50

b. 3 sec

0.5 ml/kg/hr

6 mm Hg

72/44

c. 3 sec

1.2 ml/kg/hr

4 mm Hg

72/48

d. 2 sec

1.2 ml/kg/hr

8 mm Hg

80/54

A.

Option A

B.

Option B

C.

Option C

D.

Option D

Question # 3

A patient has a right groin central venous catheter with vasoactive infusions. The nurse notices swelling and increased circumference of the right thigh and calf. The first action should be to:

A.

Apply a warm compress alternating with a cool compress

B.

Massage the leg with long strokes toward the heart

C.

Put compression stockings on the right leg

D.

Elevate the leg above the level of the heart

Question # 4

The treatment of choice for diabetes insipidus should be fluid:

A.

Replacement and aldosterone

B.

Restriction and aldosterone

C.

Replacement and vasopressin (Pitressin)

D.

Restriction and vasopressin (Pitressin)

Question # 5

One hour after receiving naloxone, a child becomes lethargic again and has a RR of 6. The nurse should anticipate:

A.

Administration of glucose

B.

Administration of naloxone (Narcan)

C.

Intubation

D.

Nasal BiPAP

Question # 6

A patient on prolonged mechanical ventilation and in an unresponsive state is showing no signs of progression toward recovery. The healthcare team suggested a comfort care approach. Family members are conflicted. Which of the following should the nurse suggest as the next course of action?

A.

A palliative care consult to assist with symptom management

B.

A meeting with the institutional ethics committee to examine the case

C.

A hospice consult to prepare the family for end-of-life care

D.

A meeting with the family to discuss the issue and options

Question # 7

During an exchange transfusion for sickle cell crisis, the patient becomes anxious and reports tingling and numbness around the mouth. The nurse should administer:

A.

Magnesium

B.

Potassium

C.

Lorazepam

D.

Calcium

Question # 8

An irritable child has an acute fever, conjunctivitis, rash, and a strawberry tongue. A prolonged PR interval is observed on the ECG monitor. These findings are most likely due to:

A.

Hypertrophic cardiomyopathy

B.

Rheumatic heart disease

C.

Kawasaki disease

D.

Pericarditis

Question # 9

A teenage patient has an abrasion on her right forearm after a fall from a bicycle 3 days ago. The arm is cool, pale, and tight, capillary refill is greater than 5 seconds, and movement of her fingers is limited. Which of the following should a nurse anticipate as the initial treatment?

A.

Incisional fasciotomy

B.

X-ray of the right forearm

C.

Application of an immobilizing device

D.

Fluid bolus and antibiotic administration

Question # 10

High lead levels present a medical emergency because they are associated with the development of:

A.

Severe hemolytic anemia

B.

Irreversible encephalopathy

C.

Impaired O₂-transport capacity

D.

Lethal hypokalemia, due to lead binding with potassium

Page: 1 / 5
Total 45 questions

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