CCRN Review Questions And Answers From
Class With Guaranteed Test
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss Correct Answer: C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia Correct Answer: C
Which hemodynamic pressures would be increased in mitral stenosis?
Right atrial and central venous pressure
Left atrial and pulmonary capillary wedge
Left atrial and left ventricular
Systemic arterial and pulmonary capillary wedge Correct Answer: B
Cindy is diagnosed with Kawasaki's disease. While reviewing her clinical exam, the nurse should note
which of the following characteristics of this disease?
Fever > 5 days, unresponsive to antibiotics
Fever > 5 days, unresponsive to antibiotics, rash, oral mucosal changes
Bilateral conjunctivitis
Cervical lymphadenopathy Correct Answer: B
A child is admitted after sustaining a head injury. The most important aspect of the nurse's continuing
neurological assessment is:
Level of consciousness
Pupillary response
Motor response
Assessment of the cranial nerves Correct Answer: A
For the patient in renal failure, potential metabolic derangements include all of the following except:
Metabolic acidosis
Hyperkalemia
Hypocalcemia
Metabolic alkalosis Correct Answer: D
Betsy, age 13 is diagnosed as having a pheochromocytoma. Appropriate initial nursing care would
include:
Administration of large doses of xylometazoline to help control disease symptoms
Close monitoring of Betsy's vital signs, especially blood pressure
Preparing Betsy and her parents for imminent death
,Have the parents discuss the condition with the doctor before informing Betsy of the disease because
of the protracted recovery period after treatment. Correct Answer: B
An 11 year old patient admitted to the PICU in respiratory distress. Patient is sinus tachycardia at 150
BPM with a BP of 89/50 and RR at 48. Patient is diaphoretic and is unable to speak. Patient's parents
are screaming in the background "help my child"! Chest X-ray has not been developed but there are
no audible breath sounds on the left chest after auscultation. ABG reads: pH: 7.3, PaCo2: 75, PaO2:
50, HCO3: 26 This ABG reflects:
Respiratory acidosis with metabolic compensation
Respiratory acidosis with severe hypoxemia
Combined respiratory and metabolic acidosis
Respiratory alkalosis with severe hypoxemia Correct Answer: B
Beyonce is a 15 year old female with nausea and vomiting times 24 hours. She is lethargic, with slow
deep respirations and her lab values are K: 6.2, Bicarb 14, Glu: 455, Based on these findings the RN
should anticipate the following treatments.
D50 IV insulin, kayexalate
Normal saline infusion, SQ insulin
Normal saline infusion, IV insulin
Dextrose infusion, IV insulin Correct Answer: C
Jason has had nausea and vomiting for several days prior to admission. He is diagnosed with acute
tubular necrosis. Which of the following lab abnormalities would the critical care nurse expect?
Hyperkalemia, acidosis, azotemia
Hypocalcemia, alkalosis, anemia
Hypercalcemia, hypertension, acidosis
Hypokalemia, hypotension, alkalosis Correct Answer: A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
Activated Protein C
Antibiotics Correct Answer: D
Early symptoms of fluid overload and pulmonary edema are:
Rales hypoxia
S3 heart sound and tachycardia
Increased respiratory rate and subjective dyspnea
Shortness of breath only Correct Answer: C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products Correct Answer: C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
Epi
Vasopressin
, Amiodarone Correct Answer: D
What level of EtCO2 general indicates inadequate compressions during CPR?
< 5 mmHg
<10 mmHg
<20 mmHg
<30 mmHg Correct Answer: B
Which of the following electrolyte abnormalities is most associated with increased mortality in the
setting of digoxin ingestion?
Hyperkalemia
Hypokalemia
Hypermagnesemia
Hypomagnesemia Correct Answer: A
Simulation of the symptomatic nervous system has which effect on the cardiovascular system?
a) Decreases stroke volume and increases blood pressure
b_ increases stroke volumee and decreases blood pressure
c) slows conduction throug the av node
d) increases stroke volume and heart rate Correct Answer: D
(the sns simulates a fight or flight reaction
ARDS is best desribed as:
A) Hypoxemia, congestive heart failure, bilateral diffuse infiltrates
B) Hypoxemia, elevated wedge pressure in the absence of cardiac disease and bilateral diffuse
infiltrates
C) Hypoxemia, hyperinflation, bilater diffuse infiltrates
D) Hypoxemia, normal pulmonary wedge pressures and bilateral diffuse infiltrates Correct Answer: D
Which of the following are not considered to be potential complication of the management of pediatric
ARDS?
A) Barotrauma, oxygen toxicity, secondary infections and siadh
B) diminished cardiac output, air leaks, acute lung injury and pneumothorax
C) Diminished cardiac output, tracheal ulceration and DI
D) Oxygen toxicity, MOSF, pressure ulcers, pna Correct Answer: C
The patient with acute respiratory distress syndrome would exhibit which of the following symptoms?
A) Decreasing PaO2 levels despite increased FiO2 administration
B) Elevated alveolar surfactant levels
C) Increased lung compliance with increased fiO2 administration
D) Respiratory acidosis associated with hyperventilation Correct Answer: A
Intrapulmonary shunting refers to:
A) Alveoli that are not perfused
B) Blood that is shunted ferom the left side of the heart to the right and causes heart failure
C) Blood that is shunted from the right side of the heart to the left without oxygenation
D) Shunting of blood supply to only one lung Correct Answer: C
When fluid is present in the alveoli
A) Alveoli collapse and atelectasis occurs
Class With Guaranteed Test
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss Correct Answer: C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia Correct Answer: C
Which hemodynamic pressures would be increased in mitral stenosis?
Right atrial and central venous pressure
Left atrial and pulmonary capillary wedge
Left atrial and left ventricular
Systemic arterial and pulmonary capillary wedge Correct Answer: B
Cindy is diagnosed with Kawasaki's disease. While reviewing her clinical exam, the nurse should note
which of the following characteristics of this disease?
Fever > 5 days, unresponsive to antibiotics
Fever > 5 days, unresponsive to antibiotics, rash, oral mucosal changes
Bilateral conjunctivitis
Cervical lymphadenopathy Correct Answer: B
A child is admitted after sustaining a head injury. The most important aspect of the nurse's continuing
neurological assessment is:
Level of consciousness
Pupillary response
Motor response
Assessment of the cranial nerves Correct Answer: A
For the patient in renal failure, potential metabolic derangements include all of the following except:
Metabolic acidosis
Hyperkalemia
Hypocalcemia
Metabolic alkalosis Correct Answer: D
Betsy, age 13 is diagnosed as having a pheochromocytoma. Appropriate initial nursing care would
include:
Administration of large doses of xylometazoline to help control disease symptoms
Close monitoring of Betsy's vital signs, especially blood pressure
Preparing Betsy and her parents for imminent death
,Have the parents discuss the condition with the doctor before informing Betsy of the disease because
of the protracted recovery period after treatment. Correct Answer: B
An 11 year old patient admitted to the PICU in respiratory distress. Patient is sinus tachycardia at 150
BPM with a BP of 89/50 and RR at 48. Patient is diaphoretic and is unable to speak. Patient's parents
are screaming in the background "help my child"! Chest X-ray has not been developed but there are
no audible breath sounds on the left chest after auscultation. ABG reads: pH: 7.3, PaCo2: 75, PaO2:
50, HCO3: 26 This ABG reflects:
Respiratory acidosis with metabolic compensation
Respiratory acidosis with severe hypoxemia
Combined respiratory and metabolic acidosis
Respiratory alkalosis with severe hypoxemia Correct Answer: B
Beyonce is a 15 year old female with nausea and vomiting times 24 hours. She is lethargic, with slow
deep respirations and her lab values are K: 6.2, Bicarb 14, Glu: 455, Based on these findings the RN
should anticipate the following treatments.
D50 IV insulin, kayexalate
Normal saline infusion, SQ insulin
Normal saline infusion, IV insulin
Dextrose infusion, IV insulin Correct Answer: C
Jason has had nausea and vomiting for several days prior to admission. He is diagnosed with acute
tubular necrosis. Which of the following lab abnormalities would the critical care nurse expect?
Hyperkalemia, acidosis, azotemia
Hypocalcemia, alkalosis, anemia
Hypercalcemia, hypertension, acidosis
Hypokalemia, hypotension, alkalosis Correct Answer: A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
Activated Protein C
Antibiotics Correct Answer: D
Early symptoms of fluid overload and pulmonary edema are:
Rales hypoxia
S3 heart sound and tachycardia
Increased respiratory rate and subjective dyspnea
Shortness of breath only Correct Answer: C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products Correct Answer: C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
Epi
Vasopressin
, Amiodarone Correct Answer: D
What level of EtCO2 general indicates inadequate compressions during CPR?
< 5 mmHg
<10 mmHg
<20 mmHg
<30 mmHg Correct Answer: B
Which of the following electrolyte abnormalities is most associated with increased mortality in the
setting of digoxin ingestion?
Hyperkalemia
Hypokalemia
Hypermagnesemia
Hypomagnesemia Correct Answer: A
Simulation of the symptomatic nervous system has which effect on the cardiovascular system?
a) Decreases stroke volume and increases blood pressure
b_ increases stroke volumee and decreases blood pressure
c) slows conduction throug the av node
d) increases stroke volume and heart rate Correct Answer: D
(the sns simulates a fight or flight reaction
ARDS is best desribed as:
A) Hypoxemia, congestive heart failure, bilateral diffuse infiltrates
B) Hypoxemia, elevated wedge pressure in the absence of cardiac disease and bilateral diffuse
infiltrates
C) Hypoxemia, hyperinflation, bilater diffuse infiltrates
D) Hypoxemia, normal pulmonary wedge pressures and bilateral diffuse infiltrates Correct Answer: D
Which of the following are not considered to be potential complication of the management of pediatric
ARDS?
A) Barotrauma, oxygen toxicity, secondary infections and siadh
B) diminished cardiac output, air leaks, acute lung injury and pneumothorax
C) Diminished cardiac output, tracheal ulceration and DI
D) Oxygen toxicity, MOSF, pressure ulcers, pna Correct Answer: C
The patient with acute respiratory distress syndrome would exhibit which of the following symptoms?
A) Decreasing PaO2 levels despite increased FiO2 administration
B) Elevated alveolar surfactant levels
C) Increased lung compliance with increased fiO2 administration
D) Respiratory acidosis associated with hyperventilation Correct Answer: A
Intrapulmonary shunting refers to:
A) Alveoli that are not perfused
B) Blood that is shunted ferom the left side of the heart to the right and causes heart failure
C) Blood that is shunted from the right side of the heart to the left without oxygenation
D) Shunting of blood supply to only one lung Correct Answer: C
When fluid is present in the alveoli
A) Alveoli collapse and atelectasis occurs
