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Exam Code: CCRN-Pediatric
Exam Name: Critical Care Register Nurse - Pediatric
Total Questions: 150 multiple-choice questions.
Scored Questions: 125 questions are scored, 25 questions are unscored.
Time Allotted: 3 hours.
Passing Score: A minimum of 83 correct answers out of the 125 scored questions is required to pass.

Cardiovascular
- Cardiac infection and inflammatory diseases
- Cardiac malformations
- Cardiac surgery
- Cardiac transplant
- Cardiac/vascular catheterization
- Cardiogenic shock
- Cardiomyopathies
- Dysrhythmias
- Heart failure
- Hepertensive crisis
- Myocardial conduction system defects (e.g.,prolonged QT interval, Wolff-Parkinson-White)
- Vascular occlusions
Respiratory
- Acute pulmonary embolus
- Acute respiratory distress syndrome (ARDS)
- Acute respiratory failure
- Acute respiratory infection
- Chronic respiratory failure
- Chrnoic pulmonary conditions
- Airway malformations
- Pulmonary hypertension
- Status asthmaticus
- Thoracic and airway trauma (e.g., fractured rib,lung contusion, tracheal perforation)
- Thoracic surgery
Endocrine, Hematology/Immunology, GI, Renal/GU, Integumentary
- Endocrine
- Diabetes mellitus
- Diabetic ketoacidosis (DKA)
- Hyperglycemia
- Hypoglycemia
- Diabetes insipidus (DI), syndrome ofinappropriate antidiuretic hormonesecretion (SIADH), cerebral salt wasting(CSW)
- Hematology and Immunology
- Anemia
- Bone marrow transplant
- Coagulopathies (e.g., ITP, DIC, HIT)
- Immune deficiencies
- Myelosuppression (e.g., thrombocytopenia,neutropenia)
- Oncologic complications (e.g., tumor lysissyndrome, neutropenia)
- Sickle cell crisis
- Transfusion reactions (e.g., TRALI, TACO)
- Gastrointestinal
- Abdominal compartment syndrome
- Acute abdominal trauma
- Acute GI hemorrhage
- Bowel infarction/obstruction/perforation(e.g., mesenteric ischemia, adhesions)
- GI abnormalities
- GI surgeries (e.g., Whipple, esophagectomy,resections)
- Hepatic disease and failure/coma
- Liver transplant
- Malnutrition and malabsorption
- Peritonitis
- Renal and Genitourinary
- Acute kidney injury (AKI)
- Chronic kidney disease (CKD)
- Hemolytic uremic syndrome (HUS)
- Kidney transplant
- Life-threatening electrolyte imbalances
- Integumentary
- IV infiltration/extravasation
- Pressure injury
- Skin failure (e.g., hypoperfusion)
- Wounds
Musculoskeletal, Neurological, BehavioralPsychosocial
- Musculoskeletal
- Compartment syndrome
- Musculoskeletal trauma
- Rhabdomyolysis
- Neurological
- Acute spinal cord injury
- Brain death
- Congenital neurological abnormalities
- Delirium
- Encephalopathy
- Intracranial hemorrhage
- Stroke
- Hydrocephalus
- Neurologic infectious disease
- Neuromuscular disorders
- Neurosurgery
- Seizure disorders
- Space-occupying lesions
- Spinal fusion
- Traumatic brain injury
- Behavioral and Psychosocial
- Abuse/neglect/maltreatment
- Medical non-adherence
- Mood disorders, depression, anxiety
- Post-intensive care syndrome (PICS)
- Suicidal ideation and/or behaviors
Multisystem
- Acid-base imbalance
- Burns, thermal injury/exposure
- End-of-life
- Palliative care
- Healthcare-acquired conditions (HAC)
- Multi-organ dysfunction syndrome (MODS)
- Tissue and organ donation
- Pain: acute and chronic
- Systemic inflammatory response syndrome(SIRS)
- Sepsis
- Shock states (e.g., distributive, hypovolemic,obstructive)
- Submersion injuries (near-drowning)
- Toxic ingestion/inhalation/exposure
General
- Identify signs and symptoms of clinical deterioration,initiate nursing interventions, and seek assistance asneeded
- Conduct a comprehensive physical and psychosocialassessment
- Evaluate diagnostic test results and anticipateinterventions
- Interpret laboratory and blood gas results andanticipate interventions
- Provide family-centered care
- Conduct developmentally appropriate painassessment
- Manage tissue and organ donors
- Manage monitor alarms based on protocols andchanges in patient condition
- Prevention and management of healthcare acquiredconditions/events
- Recognize indications for and manage patients with/requiring:
- complementary alternative medicine and/ornon-pharmacologic interventions
- intra-procedural and post-procedural care
- medications (e.g., safe administration,monitoring, polypharmacy, sedation)
- fluid and electrolyte replacement
- palliative care
- end-of-life care
- pre- and post-operative care
- procedural sedation
- temperature monitoring and regulation devices
- bone fracture prevention and/or treatment
- vascular access
- Cardiovascular
- Identify, interpret and respond to cardiac rhythms
- Monitor hemodynamic status and recognize signsand symptoms of hemodynamic instability
- Recognize indications for and manage patients with/requiring:
- 12-lead ECG
- cardioversion (pharmacologic, nonpharmacologic, electrical)
- defibrillation
- invasive hemodynamic monitoring (e.g., arterialcatheter, central venous pressure monitoring)
- near infrared spectroscopy (NIRS)
- temporary pacing
- ventricular assist device (VAD)
- Respiratory
- Assess and prevent complications related tomechanical ventilation
- Recognize indications for and manage patients with/requiring:
- artificial airways (e.g., endotracheal tube,tracheostomy, LMA)
- non-invasive ventilation (e.g., BiPAP, CPAP, high-flow nasal cannula)
- invasive ventilation (e.g., conventionalmechanical ventilation)
- non-conventional mechanical ventilation (e.g.,high-frequency, jet)
- chest tubes
- prone positioning
- rapid sequence itubation (RSI)
- therapeutic gases (e.g., oxygen, nitric oxide,heliox, CO2)
- Hematology and Immunology
- Recognize indications for and manage patients with/requiring:
- plasmapheresis, exchange transfusion, orleukocyte depletion
- transfusion of blood and blood products
- Neurological
- Recognize indications for and manage patients with/requiring:
- neuroprotective protocols
- neurologic monitoring devices and drains (e.g.,ICP, ventricular drain)
- seizure precautions
- spinal precautions
- brain death exam
- Integumentary
- Prevent and manage surgical site infection
- Manage patients requiring wound prevention and/ortreatment
- Gastrointestinal
- Recognize indications for and manage patients with/requiring:
- intra-abdominal pressure monitoring
- inadequate nutrition and fluid intake
- enteral and parenteral nutrition
- enteral tubes
- gastrointestinal drains
- necrotizing enterocolitis (NEC)
- Renal and Genitourinary
- Recognize indications for and manage patients requiring renal therapeutic intervention (e.g.hemodialysis, CRRT, peritoneal dialysis)
- Multisystem
- Early and late sepsis identification and treatment
- Monitor and implement strategies to preventhospital acquired infections
- Recognize indications for and manage patientsrequiring progressive mobility
- Manage patients requiring extracorporeal membraneoxygenation (ECMO)
- Behavioral and Psychosocial
- Conduct behavioral test (e.g., delirium,withdrawal)
- Manage patients requiring behavioral and mentalhealth interventions
- Respond to behavioral emergencies (e.g., nonviolentcrisis intervention, de-escalation techniques)
- Recognize indications for and manage patientsrequiring restraints