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AACN CCRN-Pediatric Certification Exam is designed to assess the nurse’s knowledge and understanding of the care of critically ill pediatric patients. CCRN-Pediatric exam covers a range of topics including cardiovascular, pulmonary, neurological, and gastrointestinal systems, as well as patient assessment, pharmacology, and ethical issues in critical care nursing. CCRN-Pediatric Exam is computer-based and consists of 150 multiple-choice questions, with a time limit of three hours.

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AACN Critical Care Nursing Exam Sample Questions (Q135-Q140):

NEW QUESTION # 135
An infant with a sternal wound infection has a negative-pressure wound therapy device in place. A nurse should recognize that the primary purpose of the device is to speed healing of the wound through:

A. The use of subatmospheric pressure through suction
B. Maintenance of a seal around the wound
C. Removal of exudate and stimulation of vascular growth
D. Maintenance of a clean, moist wound environment

Answer: C

Explanation:
Negative-pressure wound therapy (NPWT), also known as wound VAC, accelerates wound healing by removing exudate, reducing bacterial burden, andstimulating angiogenesis and granulation tissue formationthroughmechanical microstrain. This is essential in deep, complex wounds such as post-sternal infections.
"Negative pressure wound therapy promotes wound healing through the removal of infectious material and exudate and by increasing local blood flow and granulation tissue." (Referenced from CCRN Pediatric - Direct Care: Integumentary, Advanced Wound Management)

NEW QUESTION # 136
What would be the most important discharge teaching for a mother of a child who has just completed a series of Chemotherapy?

A. Consider proper handwashing
B. Giving enough fluids
C. Buying a wig
D. Providing adequate rest

Answer: A

Explanation:
Explanation: Effective and proper handwashing helps prevent infection. This is the most important way in caring for a child with suppressed immune system.

NEW QUESTION # 137
A recently deceased patient's family begins arriving to the ICU, visibly distraught and wailing. What is the nurse's first action?

A. Ask about funeral arrangements
B. Provide the family access to the patient
C. Keep the family in the waiting room until they are calmer
D. Seek assistance from the chaplain

Answer: B

Explanation:
Immediate access to the deceased patient supportsgrief processingandfamily-centered care. Presence at the bedside allows the family to begin saying goodbye and mayreduce psychological traumaassociated with sudden loss.
"Grief support includes prompt access to the deceased loved one. Delaying this can intensify distress and negatively affect family outcomes." (Referenced from CCRN Pediatric - Direct Care: Psychosocial, End-of-Life and Bereavement Support)

NEW QUESTION # 138
A nurse is assessing an 18-month-old child. The nurse would expect the child to do which of the following actions?

A. Open doors by turning doorknobs
B. Run and jump in place
C. Climbs the stairs alone, with both feet on the same step at the same time
D. Stack 2 blocks

Answer: B

Explanation:
Explanation: A child at 18 months should be able to run and jump in place. Stacking 2 blocks should be seen at 15 months, opening doors by turning doorknobs at 36 months, and climbing stairs alone with both feet on the same step at the same time at 24 months.

NEW QUESTION # 139
A 12-year-old patient with severe developmental delay underwent a video-assisted thoracentesis and chest tube placement for an empyema. The patient remained intubated after the procedure. The nurse is assessing for postoperative pain. Which of the following pain assessment tools should the nurse select?

A. Visual analog scale
B. FLACC pain scale
C. Numeric scale
D. Faces pain rating scale

Answer: B

Explanation:
TheFLACC scale(Face, Legs, Activity, Cry, Consolability) is abehavioral pain assessment tool validated for use in non-verbal or cognitively impaired children, as well as those who are intubated or developmentally delayed.
"For non-verbal children or those with developmental delay, the FLACC scale is most appropriate. It assesses behavioral cues and is validated for use in ICU and post-op settings." (Referenced from CCRN Pediatric - Direct Care: Neurological, Pain and Sedation Assessment Tools)

NEW QUESTION # 140
......

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