ADULT CCRN LEAKED MULTISYSTEM EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
The patient has a respiratory acidosis, meaning there is CO2 retention.
An increase in the rate is indicated. Since the patient is chemically
paralyzed, there should be no spontaneous breathing. The patient is
receiving the maximum amount of tidal volume (6mL/kg) for a patient
with ARDS. An increase in Fi0 and PEEP are not indicated as the
patient's oxygenation is adequate at this time
A patient with ruptured esophageal varices is obtunded, has shallow
respirations and cool clammy skin. The patient has received 2 liters of
0.9% sodium chloride over the last 30 minutes. Data are:
BP 80/44
HR 136
RR 30
CVP 1.6 mm Hg
CO 3.1 L/min
SR 1850 dynes/sec/cm5
Which of the following should the nurse anticipate FIRST?
A) vitamin K intravenous administration
B) sclerotherapy and nitroglycerin administration
,C) continued rapid infusion of 2 more liters of 0.9% sodium chloride
D) endotracheal intubation and PRBCs endotracheal intubation and
PRBCs
Airway protection is paramount and the administration of PRBCs is
emergent. Sclerotherapy may be indicated once the patient is
stabilized. Nitroglycerin is not indicated. Continued rapid infusion of
0.9% sodium chloride is not indicated. While vitamin K may be needed,
airway management and PRBC administration take precedent.
Which hemodynamic profile is MOST consistent with distributive
shock?
A) BP 75/50, CVP 8, PAOP 8, CI 2.5, SVR 1500, SvO2 68%
B) BP 84/42, CVP 3, PAOP 8, Cl 2.5, SVR 475, SvO2 52%
C) BP 88/44, CVP 15, PAOP 24, CI 1.5, SVR 1200, SVO2 47%
D) BP 85/40, CVP 12, PAOP 20, CI 2.0, SVR 1445, SvO2 50%
BP 84/42, CVP 3, PAOP 8, CI 2.5, SVR 475, Sv02 52%
In distributive shock types (e.g., anaphylactic or neurogenic), there is a
decrease in venous return, which causes a low CVP. Loss of vessel tone
results in a decreased SVR. A higher CVP indicates a high preload. The
Sv02 will be lower in shock states. A 90 kg patient with sepsis has a BP
82/40, HR 116, and a lactate of 5.6 mmol/L (elevated). Administration
of which should the nurse anticipate?
A) 0.9% sodium chloride 2700 mL
B) 5% dextrose in 0.45% sodium chloride 900 mL
,C) 0.45% sodium chloride 1800 mL
D) 5% dextrose in lactated ringers 3500 mL
0.9% sodium chloride 2700 mL
At 30 mL/kg, 2700 mL of intravenous fluid is indicated. Either 0.9%
sodium chloride, lactated ringers or plasmaLyte may be administered.
A patient with acute onset of abdominal pain and a history of chronic
pain is admitted. Which question about chronic pain control is a
priority for the nurse to ask FIRST?
A) What are your usual coping strategies?
B) What types of medications are you taking?
C) Can you point on this pain scale at your usual level?
D) How frequently do you take something for pain?
How frequently do you take something for pain?
Pain can be classified as acute or chronic. Acute pain implies tissue
damage that is usually from an identifiable cause that lasts for the
healing process, which is approximately 30 days. Chronic pain persists
for more than 3 to 6 months. A comprehensive initial assessment of
pain, whenever possible, is important in accurately evaluating pain and
the details of prior interventions. With the use of pharmacological
approaches, the frequency is a priority to determine. Then, the type of
medication and the self-report of pain level are expected to coincide
with the reported frequency. Coping strategies are important to
complete individualized pain control while hospitalized. For patients
who wish to try nonpharmacologic pain control, approaches include
, psychologic support, massage, acupuncture, transcutaneous electrical
nerve stimulation, distraction and cognitivebehavioral therapy.
Ventilator-associated pneumonia (VAP) and ventilatorassociated
events (VAE) are BEST prevented with the implementation of
A) an assessment tool.
B) unit-based checklists.
C) unit-based nursing education.
D) evidence-based bundled care protocols.
evidence-based bundled care protocols.
The implementation of evidence-based bundled care protocols in
conjunction with a multidisciplinary approach has been effective in
decreasing the prevalence of ventilator-associated pneumonia (VAP)
and related events.
A victim of an MVC is admitted with an acute intracranial bleed. The
patient has hypotension and tachycardia. These findings are MOST
LIKELY the result of
A) shock from multiple trauma.
B) increased intracranial pressure.
C) neurogenic shock.
D) extensive bleeding into the intracranial vault.
shock from multiple trauma.
This patient has risk factors for and manifestations of shock. The
patient is hypotensive and tachycardic. Patients with multiple traumas
WITH COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
The patient has a respiratory acidosis, meaning there is CO2 retention.
An increase in the rate is indicated. Since the patient is chemically
paralyzed, there should be no spontaneous breathing. The patient is
receiving the maximum amount of tidal volume (6mL/kg) for a patient
with ARDS. An increase in Fi0 and PEEP are not indicated as the
patient's oxygenation is adequate at this time
A patient with ruptured esophageal varices is obtunded, has shallow
respirations and cool clammy skin. The patient has received 2 liters of
0.9% sodium chloride over the last 30 minutes. Data are:
BP 80/44
HR 136
RR 30
CVP 1.6 mm Hg
CO 3.1 L/min
SR 1850 dynes/sec/cm5
Which of the following should the nurse anticipate FIRST?
A) vitamin K intravenous administration
B) sclerotherapy and nitroglycerin administration
,C) continued rapid infusion of 2 more liters of 0.9% sodium chloride
D) endotracheal intubation and PRBCs endotracheal intubation and
PRBCs
Airway protection is paramount and the administration of PRBCs is
emergent. Sclerotherapy may be indicated once the patient is
stabilized. Nitroglycerin is not indicated. Continued rapid infusion of
0.9% sodium chloride is not indicated. While vitamin K may be needed,
airway management and PRBC administration take precedent.
Which hemodynamic profile is MOST consistent with distributive
shock?
A) BP 75/50, CVP 8, PAOP 8, CI 2.5, SVR 1500, SvO2 68%
B) BP 84/42, CVP 3, PAOP 8, Cl 2.5, SVR 475, SvO2 52%
C) BP 88/44, CVP 15, PAOP 24, CI 1.5, SVR 1200, SVO2 47%
D) BP 85/40, CVP 12, PAOP 20, CI 2.0, SVR 1445, SvO2 50%
BP 84/42, CVP 3, PAOP 8, CI 2.5, SVR 475, Sv02 52%
In distributive shock types (e.g., anaphylactic or neurogenic), there is a
decrease in venous return, which causes a low CVP. Loss of vessel tone
results in a decreased SVR. A higher CVP indicates a high preload. The
Sv02 will be lower in shock states. A 90 kg patient with sepsis has a BP
82/40, HR 116, and a lactate of 5.6 mmol/L (elevated). Administration
of which should the nurse anticipate?
A) 0.9% sodium chloride 2700 mL
B) 5% dextrose in 0.45% sodium chloride 900 mL
,C) 0.45% sodium chloride 1800 mL
D) 5% dextrose in lactated ringers 3500 mL
0.9% sodium chloride 2700 mL
At 30 mL/kg, 2700 mL of intravenous fluid is indicated. Either 0.9%
sodium chloride, lactated ringers or plasmaLyte may be administered.
A patient with acute onset of abdominal pain and a history of chronic
pain is admitted. Which question about chronic pain control is a
priority for the nurse to ask FIRST?
A) What are your usual coping strategies?
B) What types of medications are you taking?
C) Can you point on this pain scale at your usual level?
D) How frequently do you take something for pain?
How frequently do you take something for pain?
Pain can be classified as acute or chronic. Acute pain implies tissue
damage that is usually from an identifiable cause that lasts for the
healing process, which is approximately 30 days. Chronic pain persists
for more than 3 to 6 months. A comprehensive initial assessment of
pain, whenever possible, is important in accurately evaluating pain and
the details of prior interventions. With the use of pharmacological
approaches, the frequency is a priority to determine. Then, the type of
medication and the self-report of pain level are expected to coincide
with the reported frequency. Coping strategies are important to
complete individualized pain control while hospitalized. For patients
who wish to try nonpharmacologic pain control, approaches include
, psychologic support, massage, acupuncture, transcutaneous electrical
nerve stimulation, distraction and cognitivebehavioral therapy.
Ventilator-associated pneumonia (VAP) and ventilatorassociated
events (VAE) are BEST prevented with the implementation of
A) an assessment tool.
B) unit-based checklists.
C) unit-based nursing education.
D) evidence-based bundled care protocols.
evidence-based bundled care protocols.
The implementation of evidence-based bundled care protocols in
conjunction with a multidisciplinary approach has been effective in
decreasing the prevalence of ventilator-associated pneumonia (VAP)
and related events.
A victim of an MVC is admitted with an acute intracranial bleed. The
patient has hypotension and tachycardia. These findings are MOST
LIKELY the result of
A) shock from multiple trauma.
B) increased intracranial pressure.
C) neurogenic shock.
D) extensive bleeding into the intracranial vault.
shock from multiple trauma.
This patient has risk factors for and manifestations of shock. The
patient is hypotensive and tachycardic. Patients with multiple traumas
