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CCRN Exam 2025 – Updated Practice Exam with Verified Solutions | Critical Care Nursing & Ventilator Management | Academic Year 2026/2027

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This document contains an updated CCRN exam with verified correct answers, focusing on critical care nursing concepts, ventilator management, toxicology, cardiac assessment, and ARDS management. Topics include plateau pressure measurement and static lung compliance, salicylate overdose treatment, pericardial friction rub detection on EKG, capture threshold determination for pacing, and ARDS tidal volume strategies to prevent volutrauma, making it an essential study resource for the 2026/2027 academic year.

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Page | 1

CCRN EXAM 2025: UPDATED EXAM WITH
VERIFIED SOLUTIONS.




What does Plateau pressure measure? - correct answer -It
reflects lung pressure and is needed to calculate static (lung)
compliance.




Salicylate overdose treatment? - correct answer -Activated
charcoal, urine alkalization, dialysis.




Pericardial friction run would show what on an 12 lead EKG? -
correct answer -ST elevation in II, III, aVF, and V2-V5

, Page | 2



The doc asks the nurse to determine the capture threshold. Which
of the following should the nurse do? - correct answer -Slowly
decrease the mA output until the capture is lost.




A pt with ARDS needs to receive how many ml/kg of tidal
volume? - correct answer -4-5ml/kg tidal volume in order to
prevent volutrauma.


A lower respiratory rate will help provide this. Short expiratory
time, PEEP, and larger tidal volumes will all promote air trapping
or auto peep. Thus increasing intrathoracic pressure and reducing
cardiac output.




Which of the following is an appropriate strategy when providing
mechanical ventilation for the patient with status asthmaticus? -
correct answer -Use lower respiratory rates




A patient is admitted with serum calcium of 15.1 mEq/L. Which of
the following interventions should the nurse anticipate? - correct
answer -Rule out hypokalemia, then administer diuretics.

, Page | 3

Which of the following patients is likely to experience a heart
block? - correct answer -Mitral Valve repair




The patient with chronic alcohol abuse is admitted with a serum
phosphorus of 1.8 mEq/L. The nurse will need to observe the
patient closely for: - correct answer -Hypoventilation




Low phosphorous causes what? - correct answer -constipation,
not diarrhea




Which of following nursing behaviors is usually most helpful to
patients and families regarding end-of-life decisions? - correct
answer -acting as an arbitrator between family members.




Pt receiving PCA, morphine 1 mg per hour IV infusion, and 2 mg
q 15 minutes as PRN doses. Pt is having episodes of sleep apnea
and is arousable only by touch. Priority interventions include: -
correct answer -STOP the continuous infusion and give naloxone
slow IV until patient awakens.

, Page | 4

Which patient according to ranson's criteria has poorest prognosis
when it comes to acute pancreatitis? - correct answer -WBC
32,000; Glucose 220; LDH 400




A shunt requires more than oxygen to correct hypoxemia, for
example: - correct answer -PEEP




Will a V/Q mismatch respond to oxygen administration? - correct
answer -True




What should the patient watch out for when it comes to
Myasthenia gravis: - correct answer -Muscle weakness




Which of the following is the earliest indication that the patient
may be aspirating oral feedings? - correct answer -Tachypnea
and tachycardia




The patient was admitted status post motor vehicle crash. The
patients sustained an intracranial bleed, is hypotensive, and is
tachycardic. The patient's clinical status is most likely due to

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