CCRN adult EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




CCRN Questions 2026 A+ GRADE ASSURED COMPLETE S
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OLUTIONS AND VERIFIED ANSWERS (E33C8) vc vc vc vc




QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




A patient experiencing alcohol withdrawal syndrome describes the swirls in the wallpap
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er as being worms. This is an example of which of the following?
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A. Delusion
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B. Hallucination
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C. Illusion
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D. Visual impairment
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ANSWER

C. Illusion An illusion is a misperception or misinterpretation of an actual external stimulus. Illusions an
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d hallucinations (a perception that has no actual external stimulus) are common during alcohol withdra
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wal syndrome.
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QUESTION 3 vc




A patient arrives in the emergency department with multiple gunshot wounds. He requir
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es massive transfusion for blood loss from chest and abdominal wounds. The electrocard
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iogram should be observed closely for changes indicative of which of the following?
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A. Atrioventricular block
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B. Hyperkalemia
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C. Hypercalcemia
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D. Hypomagnesemia
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ANSWER

,Hyperkalemia Banked blood is high in potassium because of hemolysis. Look for tall, peaked T waves an
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d widening of the QRS complex. Other considerations with massive transfusion of banked blood are hyp
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ocalcemia, hypothermia, and decreased tissue oxygen delivery caused by decreased levels of 2,3-
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diphosphoglycerate.



QUESTION 4 vc




A 55-year-
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old patient has headache, nuchal rigidity, photophobia, and positive Kernig's and Brudzi
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nski's signs. These are consistent with which of the following?
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A. Intracranial hemorrhage
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B. Subarachnoid hemorrhage
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C. Epidural hemorrhage
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D. Subdural hemorrhage
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ANSWER

Subarachnoid hemorrhage When there is bleeding from an aneurysm, that blood irritates the meninges.
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The clinical presentation is very similar to meningitis. This clinical presentation is not consistent with in
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tracranial, epidural, or subdural bleeding because the blood is not in contact with the meninges in those
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situations.
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QUESTION 5 vc




An extra heart sound preceding S1 is most likely an S4 if the stethoscope's:
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A. diaphragm is over the apex.
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B. bell is over the aortic area.
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C. diaphragm is over the aortic area.
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D. bell is over the apex.
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ANSWER

bell is over the apex. S3 and S4 are low pitched, so choose options with the bell being used. S3 and S4 a
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re heard at the mitral area (i.e., apex) unless the right ventricular is affected, and then they are heard in
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the tricuspid area. Low-Pitched is best heard with Bell
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QUESTION 6 vc




The charge nurse on the 7 pm to 7 am shift was asked to assist a group of nurses to resol
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ve their conflict so that their two opposing goals are discarded and new goals are adopte
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d. This is an example of which of the following?
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A. Smoothing of conflict
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B. Facilitating collaboration
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C. Encouraging compromise
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D. Democratic approach
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ANSWER

, Facilitating collaboration This is an example of facilitating collaboration. The nurse is, in essence, acting
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as mediator to assist these two groups in developing common goals. In smoothing, you would try to red
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uce the emotional stress of the conflict, but the conflict really would not get resolved. In compromising,
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each group would give up something that it wants. In a democratic approach, majority rules.
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QUESTION 7 vc




Which of the following are the most clinically significant intracranial pressure (ICP) wav
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eforms that require immediate intervention?
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A. A waves
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B. B waves
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C. C waves
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D. D waves
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ANSWER

A waves, or plateau waves, are spontaneous, rapid increases in pressure between 50 and 200 mm Hg th
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at last 5 minutes or more. A waves cause cerebral ischemia and are the most clinically significant ICP w
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aveforms. Immediate intervention is necessary to prevent further brain injury and herniation. A waves a
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re Awful
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QUESTION 8 vc




Which of the following diagnostic tests would provide definitive evidence of a pneumoth
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orax?
A. Arterial blood gases
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B. Chest x-ray film
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C. Pulmonary function studies
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D. Spiral computed tomography
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ANSWER

Chest x-ray film (Which is not really true.. but the test says so..
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QUESTION 9 vc




Which of the following does not shift the oxyhemoglobin dissociation curve to the left or
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the right? vc



A. Blood pH
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B. 2,3-diphosphoglycerate (2,3-DPG) levels
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C. Body temperature
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D. Cardiac output
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ANSWER

Cardiac output Body temperature, body pH, PaCO2 levels, and 2,3-
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DPG levels affect the oxyhemoglobin dissociation curve. Cardiac output does not directly affect the curve
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.