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Updated: Oct 21, 2026

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To be eligible to take the AACN CCRN-Pediatric Certification Exam, nurses must have a current, unrestricted RN license in the United States or its territories. They must also have at least 1,750 hours of direct bedside care in a pediatric critical care setting within the previous two years, or at least 2,000 hours of direct bedside care in a pediatric critical care setting within the previous five years. Nurses who meet these eligibility requirements can apply to take the exam online.

AACN CCRN-Pediatric Certification Exam is recognized as a mark of excellence in pediatric critical care nursing. Nurses who pass the exam demonstrate their commitment to providing the highest level of care to their patients and their families. Certification also demonstrates a level of expertise in the field of pediatric critical care nursing, which can lead to career advancement opportunities and increased earning potential.

AACN CCRN-Pediatric Exam Overview:

Certification Vendor:AACN (American Association of Critical-Care Nurses)
Exam Name:CCRN® (Pediatric) Certification Exam
Exam Number:CCRN-Pediatric
Related Certifications:CCRN (Adult)
CCRN-K (Pediatric)
CCRN (Neonatal)
Available Languages:English
Real Exam Qty:150 (125 scored, 25 unscored pretest)
Exam Price:$260 (AACN members) / $375 (non-members)
Certificate Validity Period:3 years
Exam Duration:180 minutes
Exam Format:Multiple-choice questions, Computer-based testing, Clinical scenario-based items
Passing Score:88 out of 125 scored items (~70%)
Recommended Training:AACN Core Curriculum for Pediatric Critical Care Nursing
CCRN (Pediatric) Exam Handbook & Test Plan
Exam Registration:AACN Official Registration
PSI Testing Scheduling
Sample Questions:AACN CCRN-Pediatric Sample Questions
Exam Way:Computer-based testing: in-person at PSI test centers or remote proctored online
Pre Condition:Current, unencumbered U.S. RN or APRN license; AND either: 1,750 direct care hours in pediatric critical care within past 2 years (875 in last year), OR 2,000 hours within past 5 years (144 in last year); hours must be verifiable
Official Syllabus URL:https://www.aacn.org/certification/get-certified/ccrn-peds

AACN CCRN-Pediatric Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Caring & Ethical Practice20%- Collaboration and Systems Thinking
  • 1. Interprofessional teamwork
  • 2. Evidence-based practice
  • 3. Quality improvement and safety
- Ethics and Advocacy
  • 1. End-of-life care and advance directives
  • 2. Legal and ethical standards
  • 3. Organ donation and cultural humility
- AACN Synergy Model
  • 1. Nurse competencies
  • 2. Patient characteristics
Topic 2: Clinical Judgment80%- Neurologic
  • 1. Seizures and meningitis
  • 2. Traumatic brain injury and ICP monitoring
  • 3. GCS assessment and neuro monitoring
  • 4. Neurologic emergencies
- Musculoskeletal
  • 1. Neuromuscular disorders
  • 2. Fractures and soft tissue injury
- Renal
  • 1. Acute kidney injury
  • 2. Electrolyte imbalances
  • 3. Dialysis principles
- Multisystem
  • 1. Trauma, burns, and resuscitation
  • 2. Infection control and immunology
  • 3. Sepsis, SIRS, and MODS
  • 4. Fluid, electrolyte, and acid-base balance
- Cardiovascular
  • 1. Shock recognition and management
  • 2. Dysrhythmias and heart failure
  • 3. Post-cardiac surgery care
  • 4. Congenital heart defects
- Behavioral/Psychosocial
  • 1. Family-centered care
  • 2. Developmental considerations
  • 3. Anxiety and coping mechanisms
- Hematology/Immunology
  • 1. Immunodeficiency and transfusion therapy
  • 2. Coagulation disorders
  • 3. Sickle cell crisis
- Respiratory
  • 1. ABG interpretation
  • 2. Bronchiolitis, RDS, and pneumonia
  • 3. Respiratory failure and mechanical ventilation
  • 4. Airway management and oxygen therapy
- Endocrine
  • 1. Adrenal crisis and thyroid disorders
  • 2. DKA and hypoglycemia
  • 3. Glucose management
- Gastrointestinal
  • 1. NEC and intussusception
  • 2. Dehydration and GI bleeding
  • 3. Liver failure and nutrition support

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