Page 1 of 115
CCRN EXAM - TEST BANK | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
Which of the following cardiovascular
complications is an expected finding during the
INITIAL stage of spinal shock following a spinal
cord injury?
A. tachycardia
B. hypertension
C. hyperthermia
D. hypotension - ✔✔✔ Correct Answer > D. hypotension
Spinal shock is a form of distributive shock resulting from
autonomic dysfunction secondary to injury to the spinal cord.
Loss of peripheral vascular tone and subsequent
increased venous capacitance leads to relative hypovolemia
caused by expansion of the vascular space. This results in
hypotension, which is usually unresponsive to fluid volume
therapy.
A child is admitted with a diagnosis of hemolytic
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uremic syndrome. In addition to an increased
BUN and creatinine, expected laboratory values
should be
A. Hgb 7.1, Hct 19.5, PLT 58,000, K+ 5.5
B. Hgb 3.1, Hct 36.7, PLT 117,000, K+ 4.5
C. Hgb 7.5, Hct 19.8, PLT 200,000, K+ 5.2
D. Hgb 14.4, Hct 44.7, PLT 90,000, K+ 3.8 - ✔✔✔ Correct Answer > A.
Hgb 7.1, Hct 19.5, PLT 58,000, K+ 5.5
The triad of anemia, thrombocytopenia and
renal failure with associated hyperkalemia is sufficient for a
diagnosis of hemolytic uremic
syndrome.
In the patient with early distributive shock and
low SVR, the nurse would expect which EARLY
physical findings?
A. decreased urine output, hypotension, decreased
level of consciousness and prolonged capillary
refill
B. hypotension, hyperthermia, respiratory distress
and hypoxemia
C. warm skin, flushed extremities, brisk capillary
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refill and hypotension
D. brisk capillary refill, increased urine output,
hypoxemia and hyperthermia - ✔✔✔ Correct Answer > C. warm skin,
flushed extremities, brisk capillary refill and hypotension
Distributive shock causes maldistribution of blood flow and
volume, with peripheral
vasodilation and shunting of blood, which results in relative
hypovolemia. Early symptoms of distributive shock include warm,
flushed skin, brisk capillary refill and hypotension.
In patients with dilated cardiomyopathy, which
of the following intracardiac pressure changes
would be seen?
A. elevated left atrial pressure, decreased right
atrial pressure
B. normal left atrial pressure, decreased right atrial
pressure
C. decreased left atrial pressure, normal right atrial
pressure
D. decreased left atrial pressure, increased right
atrial pressure - ✔✔✔ Correct Answer > A. elevated left atrial
pressure, decreased right atrial pressure
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Depressed cardiac function due to remodeling and progressive
ventricular dilation leads to pooling of blood in the heart
chambers, resulting in increased chamber pressures.
A child has been waiting 2 months for a heart
transplant. A family member angrily tells the
nurse, "This is hopeless!" The nurse's actions
should be based on the knowledge that
A. expressions of frustration are normal and
usually require no nursing intervention.
B. because expressions of hopelessness may
be harmful to the patient, the family member
should be encouraged to keep these statements
out of the patient care area.
C. maintaining the integrity of the family system
is crucial in the transplant process.
D. encouraging discussion of negative emotions
can impede their resolution. - ✔✔✔ Correct Answer > C. maintaining
the integrity of the family system is crucial in the transplant
process.
Maintaining the integrity of the family
CCRN EXAM - TEST BANK | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
Which of the following cardiovascular
complications is an expected finding during the
INITIAL stage of spinal shock following a spinal
cord injury?
A. tachycardia
B. hypertension
C. hyperthermia
D. hypotension - ✔✔✔ Correct Answer > D. hypotension
Spinal shock is a form of distributive shock resulting from
autonomic dysfunction secondary to injury to the spinal cord.
Loss of peripheral vascular tone and subsequent
increased venous capacitance leads to relative hypovolemia
caused by expansion of the vascular space. This results in
hypotension, which is usually unresponsive to fluid volume
therapy.
A child is admitted with a diagnosis of hemolytic
,Page 2 of 115
uremic syndrome. In addition to an increased
BUN and creatinine, expected laboratory values
should be
A. Hgb 7.1, Hct 19.5, PLT 58,000, K+ 5.5
B. Hgb 3.1, Hct 36.7, PLT 117,000, K+ 4.5
C. Hgb 7.5, Hct 19.8, PLT 200,000, K+ 5.2
D. Hgb 14.4, Hct 44.7, PLT 90,000, K+ 3.8 - ✔✔✔ Correct Answer > A.
Hgb 7.1, Hct 19.5, PLT 58,000, K+ 5.5
The triad of anemia, thrombocytopenia and
renal failure with associated hyperkalemia is sufficient for a
diagnosis of hemolytic uremic
syndrome.
In the patient with early distributive shock and
low SVR, the nurse would expect which EARLY
physical findings?
A. decreased urine output, hypotension, decreased
level of consciousness and prolonged capillary
refill
B. hypotension, hyperthermia, respiratory distress
and hypoxemia
C. warm skin, flushed extremities, brisk capillary
,Page 3 of 115
refill and hypotension
D. brisk capillary refill, increased urine output,
hypoxemia and hyperthermia - ✔✔✔ Correct Answer > C. warm skin,
flushed extremities, brisk capillary refill and hypotension
Distributive shock causes maldistribution of blood flow and
volume, with peripheral
vasodilation and shunting of blood, which results in relative
hypovolemia. Early symptoms of distributive shock include warm,
flushed skin, brisk capillary refill and hypotension.
In patients with dilated cardiomyopathy, which
of the following intracardiac pressure changes
would be seen?
A. elevated left atrial pressure, decreased right
atrial pressure
B. normal left atrial pressure, decreased right atrial
pressure
C. decreased left atrial pressure, normal right atrial
pressure
D. decreased left atrial pressure, increased right
atrial pressure - ✔✔✔ Correct Answer > A. elevated left atrial
pressure, decreased right atrial pressure
, Page 4 of 115
Depressed cardiac function due to remodeling and progressive
ventricular dilation leads to pooling of blood in the heart
chambers, resulting in increased chamber pressures.
A child has been waiting 2 months for a heart
transplant. A family member angrily tells the
nurse, "This is hopeless!" The nurse's actions
should be based on the knowledge that
A. expressions of frustration are normal and
usually require no nursing intervention.
B. because expressions of hopelessness may
be harmful to the patient, the family member
should be encouraged to keep these statements
out of the patient care area.
C. maintaining the integrity of the family system
is crucial in the transplant process.
D. encouraging discussion of negative emotions
can impede their resolution. - ✔✔✔ Correct Answer > C. maintaining
the integrity of the family system is crucial in the transplant
process.
Maintaining the integrity of the family
