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AACN CCRN-P (PCCRN) Practice Tests & Test Prep by Exam Edge


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AACN Pediatric, Acute/Critical Care Nursing Certification Sample Test

1 of 5

A 5 year old child has a fever and nonproductive cough. The exam reveals crackles and rhonchi. What is the most likely cause?

Correct Answer:
bacterial pneumonia.


the most likely cause of the symptoms presented by the 5-year-old child, which includes a fever, nonproductive cough, and the presence of crackles and rhonchi on examination, is bacterial pneumonia.

bacterial pneumonia is an infection of the lungs caused by bacteria, which leads to the inflammation of the alveoli. this condition is characterized by symptoms such as a high fever, cough (which may be dry or produce phlegm), difficulty breathing, and sometimes chest pain. the presence of fever is particularly indicative of a bacterial infection, as high fevers are more commonly associated with bacterial pneumonia than with viral infections.

on physical examination, findings such as crackles and rhonchi can be heard through a stethoscope. crackles are short, explosive sounds, while rhonchi are continuous, low-pitched sounds. both these sounds suggest the presence of fluid or mucus in the airways, which is common in pneumonia.

while both bacterial and viral pneumonia can present with similar symptoms, the high fever and specific auscultation findings lean more towards bacterial pneumonia. viral pneumonia might not present with as high a fever and typically has a more varied presentation in terms of respiratory sounds.

bronchiolitis, another potential diagnosis, typically affects children under the age of two and is less likely to be the cause in a 5-year-old. it is primarily a viral infection of the small airways (bronchioles) and is characterized by symptoms such as a wheezing cough and moderate to severe breathing difficulty, but less commonly presents with high fever.

in conclusion, given the age of the child, the symptoms reported, and the physical examination findings, bacterial pneumonia is the most likely cause. it is important to treat bacterial pneumonia promptly with appropriate antibiotics to prevent complications and ensure recovery.
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AACN Pediatric, Acute/Critical Care Nursing Certification Exam Blueprint