[2025年12月]に更新されたAACN CCRN CCRN-Pediatric試験練習問題集お試しセット
2025年最新のCCRN-Pediatricプレミアム資料テストPDF無料問題集お試しセット
質問 # 29
An anxious father consults a nurse for guidance on how to answer the question, of his child Daniel who is only 5 years old. The father said that Daniel asked "Where do babies come from?" What is the nurse's best response to the father?
- A. "You should give full and detailed answers to all questions that Daniel may ask"
- B. "Children usually ask for many questions but they do not look for an answer
- C. "That question indicates that Daniel is interested in sex"
- D. "You have to give a simple answer"
正解：D
解説：
Explanation: Topics related to sexuality should be answered with honesty. However, honesty does not mean imparting every fact of life associated with the question. When a child asks 1 question, he is looking for 1 answer. When he is ready, he will ask about the other pieces.
質問 # 30
After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which of the following would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death:
- A. "He will understand how much his siblings will miss him."
- B. "He might think he can cause his death because he has misbehaved."
- C. "He will accept his death as caused by his disease."
- D. "He is too young to understand what is happening to him."
正解：B
解説：
Explanation: A 5-year-old child is in the preoperational stage of cognitive development and thinks of death as temporary. Also, for a child this age, thinking about behavior often is believed to be magical; thus, the child may think that his behavior can cause death. Generally, children under 3 years of age are unable to differentiate death from temporary separation and are unable to understand what is happening.
質問 # 31
A 7-year-old girl tells the nurse that several of her classmates teased her. The school nurse should responds correctly if she tells:
- A. "has this happened before"
- B. "This things happens to everyone"
- C. "Were they boys or girls"
- D. "tell me more about what happened"
正解：D
解説：
Explanation: The school nurse will respond correctly is she tells "tell me more about what happened." The child has not stated why the teasing happened. Asking for clarification in a non threatening manner will be the first step of the assessment.
質問 # 32
A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea.
A nurse should suspect:
- A. Hemolytic uremic syndrome
- B. Acute glomerulonephritis
- C. Nephrotic syndrome
- D. Hepatorenal syndrome
正解：A
解説：
Hemolytic uremic syndrome (HUS)is commonly preceded by a diarrheal illness, often caused byE. coli O157:H7. Classic triad:microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury
-often with petechiae, hypertension, and decreased urine output.
"HUS presents in children as a post-infectious complication, typically following bloody diarrhea. It manifests with renal failure, anemia, thrombocytopenia, and neurologic or hypertensive symptoms." (Referenced from CCRN Pediatric - Direct Care: Renal Dysfunction and Hematologic Disorders)
質問 # 33
A nurse prepares a care plan for a 6 year-old child admitted for Rhabdomyosarcom a. The nurse must alert the staff to pay more attention to the function of which area of the body?
- A. Bones in lower extremities
- B. Eyes
- C. Lips
- D. Striated muscles
正解：D
解説：
Explanation: Rhabdomyosarcoma is the most common soft tissue sarcoma in pediatric client. It originates in striated (skeletal) muscles and can be found anywhere in the body. Remember that the term "myo" means muscle.
質問 # 34
Michael, a toddler, was admitted at the hospital with a diagnosis of Wilm's tumor. The nurse should be aware that:
- A. hypertension may occur at anytime of confinement.
- B. vigorous palpation of the mass must be avoided.
- C. respiratory problems should be expected and reported.
- D. disease is communicable therefore the client must be isolated.
正解：B
解説：
Explanation: The nurse should be aware that vigorous palpation of the mass must be avoided. The abdominal mass should be carefully examined. Palpating a mass too vigorously could lead to the rupture of a large tumor into the peritoneal cavity. There are hospitals that require nurses to put signs like" DO NOT PALPATE".
質問 # 35
A mother wants to switch her 10 month-old infant from an iron-fortified formula to whole milk because of the price. Upon assessment, the nurse finds that the baby eats well, but drinks less milk than before.
What is the best advice by the nurse?
- A. Change the formula to whole milk
- B. Give fruit juice (especially apple juice) frequently
- C. Continue with the current formula
- D. Add chocolate and candies on the bottle
正解：C
解説：
Explanation: The recommended age for switching from formula to whole milk is at 1 year of age.
Switching to cow''s milk before the recommended age can predispose an infant to allergies and lactose intolerance.
質問 # 36
When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised:
- A. GI function
- B. Respiratory status
- C. Sucking ability
- D. Locomotion
正解：C
解説：
Explanation: Because of the defect, the child will be unable to form the mouth adequately around the nipple thereby requiring special devices to allow feeding and sucking gratification. Respiratory status may be compromised when the child is fed improperly or during post op period.
質問 # 37
A child was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is called:
- A. Blalock-Tausig
- B. Coronary artery bypass
- C. Waterston-Cooley
- D. Raskkind Procedure
正解：A
解説：
Explanation: Blalock-Tausig procedure its just a temporary or palliative surgery which creates a shunt between the aorta and pulmonary artery so that the blood can leave the aorta and enter the pulmonary artery and thus oxygenating the lungs and return to the left side of the heart, then to the aorta then to the body. This procedure also makes use of the subclavian vein so pulse is not palpable at the right arm.
質問 # 38
A mother brings her 26 month-old to the well-child clinic. She expresses frustration due to her baby's constantly saying "NO" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need:
- A. independence
- B. self-esteem
- C. initiative
- D. role confusion
正解：A
解説：
Explanation: According to Erick Erikson's developmental theory, toddlers struggle to assert independence. They often use the word "no" even when they mean yes. This stage is called autonomy vs. shame and doubt.
質問 # 39
A nurse managing a patient with carbon monoxide poisoning should consider the possibility of an inaccurate:
- A. pH
- B. SpO#
- C. EtCO#
- D. PaO#
正解：B
解説：
Pulse oximetry (SpO#)is inaccurate incarbon monoxide (CO) poisoningbecause itcannot differentiate between oxyhemoglobin and carboxyhemoglobin. SpO# may appear falsely normal despitesevere hypoxia.
Direct measurement withco-oximetryis required for accurate oxygen saturation.
"In CO poisoning, SpO# readings are falsely elevated due to inability to distinguish carboxyhemoglobin from oxyhemoglobin. Co-oximetry is needed to assess true oxygenation." (Referenced from CCRN Pediatric - Direct Care: Pulmonary, Toxic Inhalation and Oxygenation Monitoring)
質問 # 40
A 13-year-old with systemic lupus erythematosus has hypotension, CVP of 15 mm Hg, cool extremities, gallop rhythm, and coarse breath sounds. What treatment is expected?
- A. Ventilatory support
- B. Inotropic support
- C. Isotonic volume resuscitation
- D. Colloid volume resuscitation
正解：B
解説：
These signs suggestmyocardial dysfunctionwith volume overload (elevated CVP and lung congestion).
Further fluid wouldworsenthe condition.Inotropic support(e.g., milrinone,dobutamine) is appropriate to improvecontractility and cardiac output.
"In SLE-related myocarditis or cardiac involvement, inotropes are indicated when volume overload is present with poor perfusion." (Referenced from CCRN Pediatric - Direct Care: Cardiovascular, Myocarditis and Inotropic Therapy)
質問 # 41
A patient has a right groin central venous catheter with vasoactive infusions. The nurse notices swelling and increased circumference of the right thigh and calf. The first action should be to:
- A. Put compression stockings on the right leg
- B. Massage the leg with long strokes toward the heart
- C. Elevate the leg above the level of the heart
- D. Apply a warm compress alternating with a cool compress
正解：C
解説：
This presentation is concerning fordeep vein thrombosis (DVT)orinfiltration/extravasationof vasoactive medications. Thefirst step is to elevate the limb, which reduces venous pressure and minimizes further tissue damage.Massaging or compressing the area is contraindicateddue to risk of embolization or tissue injury.
"Suspected venous obstruction or extravasation requires elevation of the affected limb and notification of the provider. Avoid massage or compression until diagnosis is confirmed." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Vascular Access Complications)
質問 # 42
Daniel's mother called the clinic and said to the nurse on duty that her baby started crying and started to turn blue on his lips and face. After crying her baby passes out and took a deep breath. The nurse also learned that Daniel is already 18 month-old. What response should the nurse give?
- A. "You should bring Daniel here for further evaluation"
- B. "Give your baby a bottle of warm milk when it happens again"
- C. "You don't need to do anything to stop the spells"
- D. "You have to consult a cardiologist"
正解：C
解説：
Explanation: The data indicates a normal spell and does not cause any harm. The mother should just hold the baby until the spell passes. This behavior usually starts between 3 and 12 months of age. If the baby developed seizure, it is the time to consult a doctor.
質問 # 43
A 5-month-old was diagnosed with intussusception. What assessment would be a priority to assist in confirming the diagnosis?
- A. auscultate the bowel sounds.
- B. measure the intake and output
- C. observe for high-pitch cry
- D. assess characteristics of stool
正解：D
解説：
Explanation: intussusception creates intestinal obstruction because the intestine "telescopes" and becomes trapped. Stools are red and currant jelly-like from the mixing of stoll with blood and mucus.
質問 # 44
Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash.
What should the nurse advise?
- A. "Leave the diaper off while the infant sleeps."
- B. "Offer extra fluids to the infant until the rash improves."
- C. "Use baby wipes with each diaper change."
- D. "Switch to cloth diapers until the rash is gone"
正解：A
解説：
Explanation: Leaving the diaper off while the infant sleeps helps to promote air circulation to the area, improving the condition. Switching to cloth diapers isn't necessary; in fact, that may make the rash worse. Baby wipes contain alcohol, which may worsen the condition. Extra fluids won't make the rash better.
質問 # 45
A transgender adolescent requests to be addressed by preferred name/pronouns, different from medical record. What is the best response?
- A. Avoid pronouns to prevent misunderstanding
- B. Use the medical record name/pronouns for consistency
- C. Inform the patient only legal names can be used in hospitals
- D. Document the patient's preferred name and pronouns, and use them in all interactions
正解：D
解説：
Using a transgender patient'spreferred name and pronounspromotesrespect, inclusion, and psychological safety. It's a key component ofculturally competent, family-centered care, and should be documented for consistency among all caregivers.
"Addressing patients by their chosen name and pronouns supports emotional well-being and is a standard of equitable, patient-centered care." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Cultural Competency and Respectful Communication)
質問 # 46
A mother asks the school nurse as her school age child has Encopresis. The nurse advised the mother to:
- A. Have her child clean his soiled pants
- B. Not let a child wear clothes with elastic bandages
- C. Have the child wear buttoned pants
- D. Give as much attention as you can to the bowel habits
正解：A
解説：
Explanation: Let the child over six take responsibility for cleaning their soiled pants. It is not a punishment, but a way to help a child learn to take responsibility for his actions and motivate him to listen to his body signals.
質問 # 47
Which of the following statements by the family of a child with asthma indicates a need for additional teaching:
- A. "We need to identify what things triggers his attacks"
- B. "he should increase his fluid intake regularly to thin secretions"
- C. "He is to use bronchodilator inhaler before steroid inhaler"
- D. "We'll make sure he avoids exercise to prevent asthma attacks"
正解：D
解説：
Explanation: Asthmatic children don't have to avoid exercise. They can participate on physical activities as tolerated. Using a bronchodilator before administering steroids is correct because steroids are just anti-inflammatory and they don't have effects on the dilation of the bronchioles.
質問 # 48
Which of the following behavior of a preschooler indicates that the child is in the stage of initiative?
- A. the child ignores his parents and continues to watch television with other child
- B. the child wants to finish his game of Candyland before his dressing is changed
- C. the child cries and has a temper tantrum when he is sent to bed to go to sleep
- D. the child talks to his friends on the telephone and arranges for them to visit
正解：B
解説：
Explanation: A child who wants to finish his game of Candyland before his dressing is changed is in the stage of initiative. During this stage, a child plays, works and lives to the fullest and feels a real sense of accomplishment and satisfaction in activities. Completing tasks becomes increasingly important. Temper tantrum is a characteristic behavior of a toddler.
質問 # 49
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