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CCRN (Pediatric) - Direct Care Eligibility Pathway Exam

Last Update Jun 1, 2025
Total Questions : 150 With Methodical Explanation

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Total Questions : 150

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CCRN-Adult Total Questions : 150 Updated : Jun 1, 2025

CCRN (Pediatric) - Direct Care Eligibility Pathway Exam Questions and Answers

Questions 1

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?

Options:

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

Questions 2

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:

Options:

A.

Needs an arterial blood gas

B.

Requires a wound care consult

C.

Needs CPAP

D.

Requires a nutrition assessment

Questions 3

A 12-year-old presents with behavior changes and new-onset tonic-clonic seizures. Likely brain tumor location?

Options:

A.

Cerebellar

B.

Brainstem

C.

Frontal lobe

D.

Occipital lobe