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The American Association of Critical-Care Nurses (AACN) CCRN-Pediatric Exam is a certification exam for registered nurses who are seeking to validate their expertise in pediatric critical care nursing. CCRN-Pediatric exam assesses the nurses' ability to provide high-quality care to critically ill infants, children, and adolescents in various healthcare settings, including emergency departments, intensive care units, and specialty units.

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AACN CCRN-Pediatric Certification Exam is recognized as a mark of excellence in pediatric critical care nursing. Nurses who pass the exam demonstrate their commitment to providing the highest level of care to their patients and their families. Certification also demonstrates a level of expertise in the field of pediatric critical care nursing, which can lead to career advancement opportunities and increased earning potential.

AACN Critical Care Nursing Exam Sample Questions (Q26-Q31):

NEW QUESTION # 26
During a community visit, a mother asks the nurse on how to relieve the itch in a child with chicken pox.
The nurse should suggest:

A. have the child wear mittens
B. use wet to dry saline dressing on the lesion
C. pat the lesions with calamine lotion
D. rub bacitracin ointment on the lesion

Answer: C

Explanation:
Explanation: The lesions will not be disturbed if you pat them. Also, calamine lotion is an effective drying agent.

NEW QUESTION # 27
A child with sickle cell anemia develops chest pain, SOB, and tachypnea. What is the most likely diagnosis?

A. Viral pneumonia
B. Pulmonary embolism
C. Acute respiratory distress syndrome (ARDS)
D. Tension pneumothorax

Answer: A

Explanation:
While all listed conditions could cause these symptoms, insickle cell disease, the most common and dangerous cause of newchest pain, dyspnea, and hypoxiaisacute chest syndrome (ACS). Although the correct answer here is "viral pneumonia," in CCRN terms this is oftenmisclassified, andACSoften follows or is triggered by infection, especiallyviral.
"Children with sickle cell anemia presenting with chest pain and respiratory symptoms should be evaluated for acute chest syndrome, often precipitated by viral or bacterial infections." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Acute Chest Syndrome and Sickle Cell)
#Note: The correct answer should be acute chest syndrome, but since it's not listed, viral pneumonia (a common trigger of ACS) is the best fit.

NEW QUESTION # 28
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:

A. Consult with medical staff to change visiting hours
B. Begin a literature search on family visitation practices
C. Draft a new policy regarding visitation practices for the unit
D. Schedule an interdisciplinary team meeting to discuss visiting hours

Answer: B

Explanation:
Before initiating policy changes, the nurse must conduct anevidence-based literature reviewto assess the benefits and risks associated with altering visitation policies. This aligns with professional nursing standards that promoteevidence-informed practiceandfamily-centered care.
"In professional practice, initiating a literature review is the first step in evidence-based change. This supports the rationale for modifying clinical practices and promotes interdisciplinary consensus." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Evidence-Based Practice and Family-Centered Care)

NEW QUESTION # 29
Which of the following nursing diagnosis would the nurse identify as the priority for a 4-month-old infant with heart failure and congenital heart disease:

A. risk for infection
B. ineffective health maintenance
C. activity intolerance
D. impaired mobility

Answer: C

Explanation:
Explanation: An infant with congenital heart disease and congestive heart failure tires very easily, leading to a priority nursing diagnosis of Activity Intolerance. Nursing care needs to focus on allowing the infant to have frequent rest periods. Infants with congenital heart disease and congestive heart failure are not necessarily at risk for more infections than other infants. Impaired Mobility usually is not a problem because an infant with congenital heart disease usually exhibits normal physical mobility.
Ineffective Health Maintenance usually is not a problem because these infants still need regular and routine health check-ups

NEW QUESTION # 30
Angela, a school age girl, was bitten by a rabid dog. She is scheduled to receive antirabies vaccine/inoculations. The nurse is aware that rabies is a:

A. viral infection characterized by difficulty in swallowing and seizure
B. bacterial infection that causes encephalopathy
C. a bacterial infection characterized by Opisthotonus
D. a viral infection characterized by Opisthotonus

Answer: A

Explanation:
Explanation: These are characteristics of rabies infection that affects the nervous system. It is not a bacterial infection

NEW QUESTION # 31
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