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CCRN-Pediatric exam Format | CCRN-Pediatric Course Contents | CCRN-Pediatric Course Outline | CCRN-Pediatric exam Syllabus | CCRN-Pediatric exam Objectives

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 exam (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

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