ADULT CCRN CERTIFICATION EXAM
2022/2023(LATEST UPDATE AACN)
A TEMPORARY PPM WAS APPLED TO A PT HR 42, NOW WITH TEMP PPM HR 70 IN ORDER TO
DETERMINE THE THRESHOLD THE NURSE WILL (correct answer)DECREASE THE OUTPUT UNTIL CAPTURE
IS LOST.
A PT W HF IS HYPOTN, TACHYCARDIA, DEC U O COOL CLAMMY SKIN AND DEC LOC. THE RN SHOULD
ADMIN WHAT MEDS (correct answer)POSITIVE INOTROPIC AGENTS, DIURETICS, VASODILATORS
WHICH OF THE FOLLOWING SHOULD THE RN ASSESS FOR COMPLICATIONS REALTED TO AN
ARTERIOGRAM (correct answer)RENAL FUNCTION
THREE DAYS AFTER ADMISSION FROM THE PACUY A PT BECOMES RESTLESS AND ATTEMPTING TO
CLIMB OUT OF BED AND CHEW THE IV LINES. RN SHOULD ASSESS FOR (correct answer)ABILITY TO
CARRY ON A COHERENT CONVERSATION
THE MAJOR EFFECT OF ACUTE LUNG INJURY (ALI) ON THE LUNG TISSUE IS (correct answer)DECRESEAD
COMPLIANCE
A PT W CONGINTIVE IMPAIREMENT FROM MEDICATIONS, FLUID & ELECTROLYTE IMBLANCE ANOXIA OR
SURGERY IS AT HIGH RISK FOR (correct answer)ATTEMPTING SUICIDE
A PT IS ADMITTED WITH SUBARACHNOID HEMORRHAGE. THE NURSE SHOULD ANTICIPATE WITH OF THE
FOLLOWING (correct answer)AVOID HYPOVENTILATION
A MAJOR GOAL FOR A PT WHO IS 48 HOUR POST VALVE REPLACEMENT SURGERY IS TO (correct
answer)PREVENT THROMBUS FORMATION
, WHICH NURSING ACTION MIGHT DECREASE A PT SELF ESTEEM (correct answer)REQUIRING THE PT TO
PARTICIPATE IN ALL TREATMENTS
A PT W END STAGE LIVER & HEP C IS DELCARED BRAIN DEAD. THE PARENTS DECIDE TO DISCONTINUE
FEEDING AND DONATE THEIR DAUGHTERS ORGANS. RN MOST APPROPRIATE ACTION BY THE RN IS TO
(correct answer)CONTACT THE ORGAN PROCUREMENT AGENCY
WHICH OF THE FOLLOWING 12 LEAD ECG CHANGES SHOULD BE EXPECTED IN A PT W ACUTE CORNARY
SYNDROME INVOLVING THE INFERIOR WALL (correct answer)Q WAVE, SEGMENT ELEVATION AND
DEEPLY INVERTED T WAVES IN LEAD II III AND aVF
A DIRECT EFFECT OF SODIUM NITROPRUSSIDE (NIPRIDE) IS TO (correct answer)DECREASE AFTERLOAD
WHICH OF THE FOLLOWING PARAMETERS INDICATES SUCCESSFUL MANAGEMENT OF RIGHT
VENTRICULARE FAILURE (correct answer)DECREASED CVP (CENTRAL VENOUS PRESSURE).
A PT IS CONFUSED ABOUT THE TIME AND PLACE, DESPIRE FREQUENT REORIENTATION. FOR PT SAFTEY
THE RN SHOULD (correct answer)INCREASE THE FREQ OF OBSERVATION OF THE PT.
A PT TRSF OUT OF THE ICU SAYS "WHY CAN'T I JUST STAY". I DON'T FEEL STRONG ENOUGH. WHICH OF
THE FOLLOWIN IS APPROP BY THE RN (correct answer)"YOU SOUND CONCERNED ABOUT LEAVING THE
ICU".
WHICH OF THE FOLLOWING ABG VALUES WOULD B MOST INDICATIVE OF A DIAGNOSIS OF ACUTE
RESPIRATORY FAILURE. 7.18, 70, 26 (correct answer)ACUTE RESP FAILURE
PT WITH BLUNT CHEST INJURY FROM MVC, PT CONFUSED, CYNAOTIC, PT BP FALL 2 HR JVD INCREASING,
MOST LIKELY PT HAS (correct answer)CARDIAC TAMPONADE
2022/2023(LATEST UPDATE AACN)
A TEMPORARY PPM WAS APPLED TO A PT HR 42, NOW WITH TEMP PPM HR 70 IN ORDER TO
DETERMINE THE THRESHOLD THE NURSE WILL (correct answer)DECREASE THE OUTPUT UNTIL CAPTURE
IS LOST.
A PT W HF IS HYPOTN, TACHYCARDIA, DEC U O COOL CLAMMY SKIN AND DEC LOC. THE RN SHOULD
ADMIN WHAT MEDS (correct answer)POSITIVE INOTROPIC AGENTS, DIURETICS, VASODILATORS
WHICH OF THE FOLLOWING SHOULD THE RN ASSESS FOR COMPLICATIONS REALTED TO AN
ARTERIOGRAM (correct answer)RENAL FUNCTION
THREE DAYS AFTER ADMISSION FROM THE PACUY A PT BECOMES RESTLESS AND ATTEMPTING TO
CLIMB OUT OF BED AND CHEW THE IV LINES. RN SHOULD ASSESS FOR (correct answer)ABILITY TO
CARRY ON A COHERENT CONVERSATION
THE MAJOR EFFECT OF ACUTE LUNG INJURY (ALI) ON THE LUNG TISSUE IS (correct answer)DECRESEAD
COMPLIANCE
A PT W CONGINTIVE IMPAIREMENT FROM MEDICATIONS, FLUID & ELECTROLYTE IMBLANCE ANOXIA OR
SURGERY IS AT HIGH RISK FOR (correct answer)ATTEMPTING SUICIDE
A PT IS ADMITTED WITH SUBARACHNOID HEMORRHAGE. THE NURSE SHOULD ANTICIPATE WITH OF THE
FOLLOWING (correct answer)AVOID HYPOVENTILATION
A MAJOR GOAL FOR A PT WHO IS 48 HOUR POST VALVE REPLACEMENT SURGERY IS TO (correct
answer)PREVENT THROMBUS FORMATION
, WHICH NURSING ACTION MIGHT DECREASE A PT SELF ESTEEM (correct answer)REQUIRING THE PT TO
PARTICIPATE IN ALL TREATMENTS
A PT W END STAGE LIVER & HEP C IS DELCARED BRAIN DEAD. THE PARENTS DECIDE TO DISCONTINUE
FEEDING AND DONATE THEIR DAUGHTERS ORGANS. RN MOST APPROPRIATE ACTION BY THE RN IS TO
(correct answer)CONTACT THE ORGAN PROCUREMENT AGENCY
WHICH OF THE FOLLOWING 12 LEAD ECG CHANGES SHOULD BE EXPECTED IN A PT W ACUTE CORNARY
SYNDROME INVOLVING THE INFERIOR WALL (correct answer)Q WAVE, SEGMENT ELEVATION AND
DEEPLY INVERTED T WAVES IN LEAD II III AND aVF
A DIRECT EFFECT OF SODIUM NITROPRUSSIDE (NIPRIDE) IS TO (correct answer)DECREASE AFTERLOAD
WHICH OF THE FOLLOWING PARAMETERS INDICATES SUCCESSFUL MANAGEMENT OF RIGHT
VENTRICULARE FAILURE (correct answer)DECREASED CVP (CENTRAL VENOUS PRESSURE).
A PT IS CONFUSED ABOUT THE TIME AND PLACE, DESPIRE FREQUENT REORIENTATION. FOR PT SAFTEY
THE RN SHOULD (correct answer)INCREASE THE FREQ OF OBSERVATION OF THE PT.
A PT TRSF OUT OF THE ICU SAYS "WHY CAN'T I JUST STAY". I DON'T FEEL STRONG ENOUGH. WHICH OF
THE FOLLOWIN IS APPROP BY THE RN (correct answer)"YOU SOUND CONCERNED ABOUT LEAVING THE
ICU".
WHICH OF THE FOLLOWING ABG VALUES WOULD B MOST INDICATIVE OF A DIAGNOSIS OF ACUTE
RESPIRATORY FAILURE. 7.18, 70, 26 (correct answer)ACUTE RESP FAILURE
PT WITH BLUNT CHEST INJURY FROM MVC, PT CONFUSED, CYNAOTIC, PT BP FALL 2 HR JVD INCREASING,
MOST LIKELY PT HAS (correct answer)CARDIAC TAMPONADE
