CCN FINAL EXAM | QUESTIONS AND ANSWERS | 2026
UPDATE | SOLVED 100% CORRECT
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome, when is an intravenous (IV) solution that contains dextrose started?
Answer - When the blood glucose reaches 250 mg/dL
***200 mg/dl?
Add dextrose to maintenance IV solutions once serum glucose level reaches
250 mg/dL in DKA or 300 mg/dL in HHS.
In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to
those of diabetic ketoacidosis, with three major exceptions. What differences
would you expect to see in patients with hyperosmolar hyperglycemic
syndrome? Answer - Higher serum glucose, higher osmolality, and no ketosis
The nurse is caring for a burn-injured patient who weighs 70 kg, and the burn
injury covers 45% of his body surface area. The nurse calculates the fluid needs
for the first 24 hours after a burn injury using a standard fluid resuscitation
formula. The nurse plans to administer what amount of fluid in the first 24
hours?
4x70x45? or 2x70x45? Answer - 6300 mL?????
, A definitive diagnosis of pulmonary embolism can be made by Answer -
pulmonary angiogram.
A patient with a 60% burn in the acute phase of treatment develops a tense
abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this
assessment, the nurse anticipates interventions to evaluate and treat the
patient for Answer - intra-abdominal hypertension.
The patient is admitted with end-stage liver disease. The nurse evaluates the
patient for which of the following? (Select all that apply.) Answer -
Malnutrition
Ascites
Disseminated intravascular coagulation
The nurse is managing the pain of a patient with burns. The provider has
prescribed opiates to be given intramuscularly. The nurse contacts the provider
to change the prescription to intravenous administration because Answer -
tissue edema may interfere with drug absorption of injectable routes.
The nurse is caring for a patient with an electrical injury. The nurse understands
that patients with electrical injury are at a high risk for acute kidney injury
secondary to Answer - release of myoglobin from injured tissues.
The nurse is caring for a patient in spinal shock. Vital signs include blood
pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min,
oxygen saturation 95% on room air, and an oral temperature of 96.8° F. Which
intervention is most important for the nurse to include in the patient's plan of
care? Answer - ✓ Application of slow rewarming measures
UPDATE | SOLVED 100% CORRECT
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome, when is an intravenous (IV) solution that contains dextrose started?
Answer - When the blood glucose reaches 250 mg/dL
***200 mg/dl?
Add dextrose to maintenance IV solutions once serum glucose level reaches
250 mg/dL in DKA or 300 mg/dL in HHS.
In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to
those of diabetic ketoacidosis, with three major exceptions. What differences
would you expect to see in patients with hyperosmolar hyperglycemic
syndrome? Answer - Higher serum glucose, higher osmolality, and no ketosis
The nurse is caring for a burn-injured patient who weighs 70 kg, and the burn
injury covers 45% of his body surface area. The nurse calculates the fluid needs
for the first 24 hours after a burn injury using a standard fluid resuscitation
formula. The nurse plans to administer what amount of fluid in the first 24
hours?
4x70x45? or 2x70x45? Answer - 6300 mL?????
, A definitive diagnosis of pulmonary embolism can be made by Answer -
pulmonary angiogram.
A patient with a 60% burn in the acute phase of treatment develops a tense
abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this
assessment, the nurse anticipates interventions to evaluate and treat the
patient for Answer - intra-abdominal hypertension.
The patient is admitted with end-stage liver disease. The nurse evaluates the
patient for which of the following? (Select all that apply.) Answer -
Malnutrition
Ascites
Disseminated intravascular coagulation
The nurse is managing the pain of a patient with burns. The provider has
prescribed opiates to be given intramuscularly. The nurse contacts the provider
to change the prescription to intravenous administration because Answer -
tissue edema may interfere with drug absorption of injectable routes.
The nurse is caring for a patient with an electrical injury. The nurse understands
that patients with electrical injury are at a high risk for acute kidney injury
secondary to Answer - release of myoglobin from injured tissues.
The nurse is caring for a patient in spinal shock. Vital signs include blood
pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min,
oxygen saturation 95% on room air, and an oral temperature of 96.8° F. Which
intervention is most important for the nurse to include in the patient's plan of
care? Answer - ✓ Application of slow rewarming measures
