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The AACN Critical Care Nursing exam has a reputation for tripping up even experienced professionals. Fast2test breaks it down into 152 practice questions with verified answers, so you walk into CCRN-Pediatric in 2026 knowing exactly what to expect.

AACN CCRN-Pediatric Exam Overview:

Certification Vendor:AACN Certification Corporation
Exam Name:AACN CCRN-Pediatric (Critical Care Nursing Exam)
Exam Number:CCRN-Pediatric
Related Certifications:CCRN-Neonatal
PCCN
CCRN-Adult
Certificate Validity Period:3 years
Exam Format:Multiple Choice
Available Languages:English
Exam Price:$250 USD - $365 USD
Real Exam Qty:150
Passing Score:87
Exam Duration:180 minutes
Sample Questions:AACN CCRN-Pediatric Sample Questions
Exam Way:Computer-based exam delivered at authorized testing centers or approved remote testing platforms.
Pre Condition:Current unrestricted U.S. RN or APRN license required. Candidates must complete either 1,750 hours of direct care of critically ill pediatric patients in the previous 2 years (875 hours in the most recent year) or 2,000 hours in the previous 5 years (144 hours in the most recent year).
Official Syllabus URL:https://www.aacn.org/certification/get-certified/ccrn-peds

AACN CCRN-Pediatric Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Caring and Ethical Practice20%- Collaboration and Systems Thinking
  • 1. Interdisciplinary Collaboration
  • 2. Quality Improvement
- Response to Diversity
  • 1. Cultural Competence
  • 2. Family-Centered Care
- Advocacy and Moral Agency
  • 1. Patient Advocacy
  • 2. Ethical Decision Making
Topic 2: Clinical Judgment80%- Cardiovascular
  • 1. Congenital Heart Disorders
  • 2. Shock States
  • 3. Cardiac Dysrhythmias
  • 4. Hemodynamics
- Neurological
  • 1. Intracranial Pressure
  • 2. Seizure Disorders
  • 3. Neurological Assessment
- Respiratory
  • 1. Respiratory Failure
  • 2. Mechanical Ventilation
  • 3. Airway Management
- Endocrine / Hematology / Gastrointestinal / Renal / Multisystem
  • 1. Acid-Base Disorders
  • 2. Sepsis and MODS
  • 3. Renal Dysfunction
  • 4. Fluid and Electrolyte Imbalances

AACN CCRN-Pediatric FAQs: What Every Candidate Asks

The CCRN-Pediatric exam, officially titled Critical Care Nursing Exam, is the qualifying test for the AACN CCRN certification from AACN Certification Corporation, a credential at the Specialty level. Passing it proves you have the skills employers look for in certified professionals, and it can also support progress toward related credentials such as CCRN-Adult, CCRN-Neonatal, PCCN.

The AACN Critical Care Nursing exam gives you 180 minutes to work through 150 questions. That is a steady pace with little room for second-guessing, so train yourself to read each question once, flag the difficult ones, and keep moving. Before exam day, sit at least two full timed sessions in the Fast2test test engine — when the clock feels familiar, it stops being a threat.

You need 87 to pass, and the official registration fee is $250 USD - $365 USD. Fall short and you pay that fee in full again for every retake, which makes solid preparation the cheaper option by far. Work through the Fast2test practice questions until you score comfortably above the passing mark, then book your seat.

Current unrestricted U.S. RN or APRN license required. Candidates must complete either 1,750 hours of direct care of critically ill pediatric patients in the previous 2 years (875 hours in the most recent year) or 2,000 hours in the previous 5 years (144 hours in the most recent year). Eligibility rules can change over time, so before you register, confirm the latest requirements on the official exam page: AACN Certification Corporation CCRN-Pediatric exam overview.

Yes. Fast2test offers a free PDF demo for the AACN Critical Care Nursing exam so you can judge the quality of our questions and answers before paying anything. Every purchase also comes with 365 days of free updates, and once that period expires you can extend your update service at a 50% discount.

Your purchase is protected by a 100% money-back guarantee. If you sit the corresponding CCRN-Pediatric exam within 60 days of buying and do not pass, send us a scan of your exam enrollment slip together with your official Score Report (PDF) within 2 days of the exam date — the candidate name must match the payer's name — and we will process your full refund within 7 days. Please note that exams taken within 3 days of purchase, materials downloaded without ever sitting the exam, free products, and expired orders are not covered. If you would rather not have a refund, you can exchange your order for two exam products of equal value, free of charge, and keep the update service on your original purchase.

Delivery is instant: your files are emailed to you within one minute of payment and can also be downloaded directly, with no limit on the number of computers you install them on. If nothing has arrived within 2 hours, contact our customer service team and we will sort it out.

The AACN Critical Care Nursing syllabus is organized into 2 domains. The main areas include Professional Caring and Ethical Practice (20%), Clinical Judgment (80%). Scroll up to the Exam Topics section above for the complete, current outline before you plan your study schedule.

AACN Critical Care Nursing Sample Questions:

A child is heading to the OR for internal injuries. The parents refuse blood products due to religious beliefs. What should the nurse do first?

  • A. Encourage the involvement of the family's minister
  • B. Speak with the parents to determine their specific concerns
  • C. Consult the ethics committee to help convince the parents
  • D. Page the social worker to provide support to the parents
Answer: B

Explanation: Only visible for Fast2test members. You can sign-up / login (it's free).

In a pediatric patient with viral myocarditis, clinical manifestations of decreased urine output, cool hands and feet, and pulmonary edema are most likely indicative of:

  • A. Right ventricular failure
  • B. Tricuspid valve regurgitation
  • C. Mitral valve regurgitation
  • D. Left ventricular failure
Answer: D

Explanation: Only visible for Fast2test members. You can sign-up / login (it's free).

A child's ABG reveals pH 7.58, PaCO# 40, HCO# 30. What electrolyte change is expected?

  • A. Ionized calcium will increase
  • B. Serum potassium will decrease
  • C. Serum magnesium will increase
  • D. Serum potassium will increase
Answer: B

Explanation: Only visible for Fast2test members. You can sign-up / login (it's free).

An 8-year-old patient who sustained intracerebral hemorrhage after a traumatic incident was intubated in the field. Head CT scan showed a 5 mm midline shift. The patient is difficult to arouse but pulls away from noxious stimuli. The most concerning sign of clinical deterioration is:

  • A. BP 138/98 with HR of 50
  • B. Cerebral perfusion pressure (CPP) of 55 mm Hg
  • C. Ecchymosis over the mastoid processes
  • D. Pupils are 5 mm and reactive bilaterally
Answer: A

Explanation: Only visible for Fast2test members. You can sign-up / login (it's free).

Which of the following is a prerenal cause of acute renal failure?

  • A. Lead poisoning
  • B. Transfusion reaction
  • C. Septic shock
  • D. Kidney stones
Answer: C

Explanation: Only visible for Fast2test members. You can sign-up / login (it's free).

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