CCRN-Pediatric Practice Exam Questions and Answers

A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, “I just want to make sure my child has the best life.” The nurse should:

An adolescent patient presents with altered mental status following ingestion of unknown substances at a party. Lab values include an elevated serum ammonia. The nurse should anticipate an order for which of the following?

Which of the following is a prerenal cause of acute renal failure?

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 6-month-old patient presents with bronchiolitis and respiratory distress. Upon admission, the patient has mild retractions, scattered crackles, copious secretions, diarrhea with significant diaper dermatitis, and weight/height/head circumference less than the 5th percentile. The patient's vital signs are:

BP: 80/45

HR: 150

RR: 42

Temp: 98.8°F (37.1°C)

SpO₂: 96% on 4L heated high flow nasal cannula

A nurse should consider that the patient:

Which of the following is a major indication for peritoneal dialysis?

A child who nearly drowned received CPR, was resuscitated quickly, and regained consciousness. What should the nurse anticipate?

A pediatric patient is admitted with severe sepsis and multi-organ dysfunction syndrome (MODS). Which of the following treatments should a nurse anticipate initially?

A child’s ABG reveals pH 7.58, PaCO₂ 40, HCO₃ 30. What electrolyte change is expected?

A patient on peritoneal dialysis has high blood glucose. Most likely cause is: