Free AACN CCRN-Pediatric Exam Questions

Question 1

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 2

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 : Request isoproterenol

B : Continue to monitor

C : Start temporary pacing

D : Obtain an echocardiogram

Answer: B

Question 3

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

A : Turning and repositioning

B : Endotracheal suctioning

C : Chest physiotherapy

D : Inhaled steroids

Answer: C

Question 4

A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:

A : Ask the family member to visit before work

B : Ask the family member to visit during scheduled visiting hours

C : Not allow the visit, as the patient will be sleeping

D : Allow the family member to visit after setting behavioral limits

Answer: D

Question 5