NUR 4257 EXAM 1 {ACTUAL EXAM} QUESTIONS AND ANSWERS

2025-2026 NUR 4257 EXAM 1 {ACTUAL EXAM} QUESTIONS AND ANSWERS



What .is .the .AACN .(American .Association .of .Critical .Care .Nurses)? .- .CORRECT
.ANSWER-largest .nursing .specialty .organization .with .over .100,000 .members;
.235+ .local .chapters--offers .continuing .education, .educational .scholarships,
.research .grants, .awards, .and .they .publish .journals: .Critical .Care .Nurse,
.American .Journal .of .Critical .Care, .and .AACN .(Advanced .Critical .Care); .holds
.the .annual .National .Teaching .Institute .(NTI) .conference


What .is .the .SCCM .(Society .of .Critical .Care .Medicine)? .- .CORRECT .ANSWER- largest
.critical .care .organization .in .the .world .with .15,000+ .members .in .100
.countries; .multidisciplinary--offers .continuing .education, .research .grants,
.awards, .and .publishes .journals: .Critical .Care .Medicine, .Pediatric .Critical .Care
.Medicine, .and .Critical .Care .Explorations; .holds .the .annual .SCCM .Congress
.conference


What .are .the .different .certifications .that .critical .care .nurses .are .eligible .for? .-
.CORRECT .ANSWER-CCRN .(critical .care--direct .care), .CCRN-E .(Tele-critical
.Care), .PCCN .(progressive .care .units .like .step-down .or .telemetry .units), .CMC
.(cardiac .medicine .certification), .CSC .(cardiac .surgery .certification); .others
.(NICU, .trauma, .stroke, .HF, .perioperative, .emergency, .pediatric .emergency)--by
.AACN


What .are .the .purposes .of .the .different .critical .care .certifications? .- .CORRECT
.ANSWER-validates .knowledge .of .critical .care .nursing, .promotes .professional
.excellence; .helps .nurses .maintain .a .current .knowledge .base; .$$$


Which .of .the .following .clinical .findings .are .most .relevant .and .suggest .that .the
.client .is . developing .sepsis? .(Select .all .that .apply)
A. .Blood .glucose .of .186 .mg/dL
B. .Heart .rate .of .112 .bpm
C. .Temperature .of .102.1°F
D. .BUN .of .32 .mg/dL
E. .Confusion
F. .Blood .pressure .of .86/54 .mmHg .- .CORRECT .ANSWER-B. .Heart .rate .of .112
.bpm
C. .Temperature .of .102.1°F
E. .Confusion
F. .Blood .pressure .of .86/54 .mmHg

,2025-2026 NUR 4257 EXAM 1 {ACTUAL EXAM} QUESTIONS AND ANSWERS




Which .of .the .following .best .explains .the .significance .of .the .patient's .elevated
.lactate .level .( 3.2mmol/L)?
A. .It .suggests .liver .dysfunction.
B. .It .indicates .adequate .perfusion.
C. .It .is .a .normal .age-related .change.
D. .It .reflects .tissue .hypoperfusion .and .anaerobic .metabolism .- .CORRECT
.ANSWER-D. .It .reflects .tissue .hypoperfusion .and .anaerobic .metabolism


Based .on .the .current .clinical .data .(hypotension, .altered .mental .status, .elevated
.lactate, .and .infection .risk .(Foley .catheter)), .which .condition .is .the .most .likely
.cause .of .Mr. .Simmons's .deterioration?
A. .Stroke
B. .Hypoglycemia
C. .Septic .shock
D. .Dehydration .- .CORRECT .ANSWER-C. .Septic .shock

Which .of .the .following .interventions .are .priority .actions .for .this .patient? .(Select
.all .that .apply)
A. .Administer .IV .fluids
B. .Apply .oxygen
C. .Start .enteral .nutrition
D. .Obtain .blood .cultures
E. .Administer .broad-spectrum .antibiotics .- .CORRECT .ANSWER-A. .Administer .IV
. fluids
B. .Apply .oxygen
D. .Obtain .blood .cultures
E. .Administer .broad-spectrum .antibiotics

The .provider .orders .a .30 .mL/kg .bolus .of .IV .fluids. .The .patient .weighs .70 .kg.
.How .many . mL .of .IV .fluid .should .the .nurse .administer?
A. .1050 .mL
B. .1500 .mL
C. .2100 .mL
D. .3000 . mL .- .CORRECT .ANSWER-C. .2100 .mL

After .1 .hour .of .treatment, .which .of .the .following .findings .would .indicate .the
.patient .is .responding .positively .to .interventions? .(Select .all .that .apply)
A. .Blood . pressure .improves .to .102/64 .mmHg
B. .Heart .rate .decreases .to .95 .bpm
C. .Lactate .increases .to .4.0 .mmol/L
D. .Urine .output .increases .to .30 .mL/hr
E. .Temperature .rises .to .103°F .- .CORRECT .ANSWER-A. .Blood .pressure
.improves .to .102/64 .mmHg
B. .Heart .rate .decreases .to .95 .bpm
D. .Urine .output .increases .to .30 .mL/hr

What .are .some .assessment .findings .of .a .failing .airway? .- .CORRECT .ANSWER- shallow

, 2025-2026 NUR 4257 EXAM 1 {ACTUAL EXAM} QUESTIONS AND ANSWERS




.noisy .breathing, .stridor, .accessory .muscle .use, .decreased .level .of