ADULT CCRN CERTIFICATION PRACTICE
TEST(UPDATED 2022/2023)/AACN
Which of the following findings is indicative of septic shock (correct answer)Low SVR and High CO
A healthy 75 kg pt was admitted following inhalation of methane gas. The patient has developed acute
lung injury ALI and is being ventilated on the following settings (correct answer)Increase Peep 10 mmhg
A RN has noticed an increase incidence of skin breakdown under the standard wound dressgin protocol
the RN should (correct answer)recommend an evaluation of the present dressing protocol.
Which of the following best defines hypoventilation (correct answer)PaCo2 > 45
A pt is admitted after a percutaneous transluminia coronary angioplasty to the RCA. Four hours later the
pt c/o of flank pain vs are 80/50, hr 120, rr 32. RN should suspect (correct answer)Retroperitoneal
bleeding.
Which of the following results from a PE (correct answer)Increased alveolar death space
Which of the following findings should be expected in a patient with status asthmaticus (correct
answer)pulsus paradoxus.
When teaching a family member to perform an aspect of patient care the nurse understands that a
family member (correct answer)learns best if the perceive a need to learn
Potential sequelae of COPD that predispose the patient to the development of pulmonary embolism
include (correct answer)atrial fibrillation and polycythemia
The emergency drug therapy of choice for polymorphic ventricular tachycardica with a prolong QT
interval is (correct answer)Magnesium
The rationale form using dobutamine at an infusion rate of 10-12mcg/kg/min for cardiogenic shock is to
(correct answer)improve myocardical contraction
Which of the following signs are indicative of a tension pneumothorax (correct answer)Distended neck
veins, absent breath sounds on affected side and hypotension
(correct answer)
A pt with a hx of intermittent claudication to the dorsal foot with minimal activity reports s/sx worsing
at rest. What other assessment finds will appear (correct answer)Cool toes and minimal edema
A pt has HF secondary to ischemic cardiomyopathy. Which agent would be most beneficial at this time
(correct answer)Metoprolol or Catopril to prevent vfib or vtach
, Cor pulmonale is characterized by (correct answer)Enlargement of the right ventricle secondary to
pulmonary disease.
Which of the following findings in most indicative of cardiogenic shock (correct answer)CI less than 2L /
min/ m2
In a pt with ALI which of the following contribute to the development of atelectasis (correct answer)loss
of surfactant and interstitial fluid accumulation.
A Post abd surgery pt has an immediate change in LOC and is Hypotensive and Tachy. (correct answer)
A Post abd surgery pt has an immediate change in LOC and is Hypotensive and Tachy Which of the
following labs indicate an upper GI bleed in this PT (correct answer)Elevated Serum Sodium
Left Ventricular failure can be caused by what (correct answer)Aortic Regurgitation and Hypertension
The daughter of a Mech Vent Pt is to be taught how to suction. When developing a teaching plan, the
nurse must first (correct answer)Assess the knowledge and skills the daughter needs to learn.
The chest pain associated with dissecting aortic aneurysm differs from the chest pain associated with an
AMI, in that the aneurysm pain usually is a (correct answer)Sudden sharp stabbing tearing pain
In a patient who has just sustained a severe head injury in a high speed mvc which of the following
should be high priority (correct answer)cervical injury
A pt is admitted after a mvc . pt is currently aox3, but has sustained a momentary loss of consciuousness
at the accident site. The only significant injury is a linear temporal skull fx. Within 2 hours of admission
the pt's neuro status deteriorates and the rn should (correct answer)Burr holes and clot evacuation
A pt has a syncopal episode. The cardiac mnt revels sbp 78/42, hr 48, 3degree av heart block, rn should
(correct answer)administer transcutaneous pacing
An acutely ill infant is born to Vietnamese family. The father ask questions about the infant. The mother
ask none. Both parents speak English, Which of the following is most useful resource for a rn caring for
infant (correct answer)interpreter who is proficient in the parents language
Torsades can be associated with which medication (correct answer)Procainamide administration
A pt is on a regiment of Nitroprusside and Nitro. (correct answer)Reduced coronary artery perfusion
secondary to hypotension.
A pt is admitted c/o a crushing cp , which began 2 hours ago. An ECG shows ST elevation in leadings II, III
Avf, (correct answer)Co 3.8, SBP 80/50, SVR 2200, PA 40/20
A pt with head trauma is experiencing inc ICP. The ideal level at which to maintine aterial PaCO2 is
(correct answer)30-35
TEST(UPDATED 2022/2023)/AACN
Which of the following findings is indicative of septic shock (correct answer)Low SVR and High CO
A healthy 75 kg pt was admitted following inhalation of methane gas. The patient has developed acute
lung injury ALI and is being ventilated on the following settings (correct answer)Increase Peep 10 mmhg
A RN has noticed an increase incidence of skin breakdown under the standard wound dressgin protocol
the RN should (correct answer)recommend an evaluation of the present dressing protocol.
Which of the following best defines hypoventilation (correct answer)PaCo2 > 45
A pt is admitted after a percutaneous transluminia coronary angioplasty to the RCA. Four hours later the
pt c/o of flank pain vs are 80/50, hr 120, rr 32. RN should suspect (correct answer)Retroperitoneal
bleeding.
Which of the following results from a PE (correct answer)Increased alveolar death space
Which of the following findings should be expected in a patient with status asthmaticus (correct
answer)pulsus paradoxus.
When teaching a family member to perform an aspect of patient care the nurse understands that a
family member (correct answer)learns best if the perceive a need to learn
Potential sequelae of COPD that predispose the patient to the development of pulmonary embolism
include (correct answer)atrial fibrillation and polycythemia
The emergency drug therapy of choice for polymorphic ventricular tachycardica with a prolong QT
interval is (correct answer)Magnesium
The rationale form using dobutamine at an infusion rate of 10-12mcg/kg/min for cardiogenic shock is to
(correct answer)improve myocardical contraction
Which of the following signs are indicative of a tension pneumothorax (correct answer)Distended neck
veins, absent breath sounds on affected side and hypotension
(correct answer)
A pt with a hx of intermittent claudication to the dorsal foot with minimal activity reports s/sx worsing
at rest. What other assessment finds will appear (correct answer)Cool toes and minimal edema
A pt has HF secondary to ischemic cardiomyopathy. Which agent would be most beneficial at this time
(correct answer)Metoprolol or Catopril to prevent vfib or vtach
, Cor pulmonale is characterized by (correct answer)Enlargement of the right ventricle secondary to
pulmonary disease.
Which of the following findings in most indicative of cardiogenic shock (correct answer)CI less than 2L /
min/ m2
In a pt with ALI which of the following contribute to the development of atelectasis (correct answer)loss
of surfactant and interstitial fluid accumulation.
A Post abd surgery pt has an immediate change in LOC and is Hypotensive and Tachy. (correct answer)
A Post abd surgery pt has an immediate change in LOC and is Hypotensive and Tachy Which of the
following labs indicate an upper GI bleed in this PT (correct answer)Elevated Serum Sodium
Left Ventricular failure can be caused by what (correct answer)Aortic Regurgitation and Hypertension
The daughter of a Mech Vent Pt is to be taught how to suction. When developing a teaching plan, the
nurse must first (correct answer)Assess the knowledge and skills the daughter needs to learn.
The chest pain associated with dissecting aortic aneurysm differs from the chest pain associated with an
AMI, in that the aneurysm pain usually is a (correct answer)Sudden sharp stabbing tearing pain
In a patient who has just sustained a severe head injury in a high speed mvc which of the following
should be high priority (correct answer)cervical injury
A pt is admitted after a mvc . pt is currently aox3, but has sustained a momentary loss of consciuousness
at the accident site. The only significant injury is a linear temporal skull fx. Within 2 hours of admission
the pt's neuro status deteriorates and the rn should (correct answer)Burr holes and clot evacuation
A pt has a syncopal episode. The cardiac mnt revels sbp 78/42, hr 48, 3degree av heart block, rn should
(correct answer)administer transcutaneous pacing
An acutely ill infant is born to Vietnamese family. The father ask questions about the infant. The mother
ask none. Both parents speak English, Which of the following is most useful resource for a rn caring for
infant (correct answer)interpreter who is proficient in the parents language
Torsades can be associated with which medication (correct answer)Procainamide administration
A pt is on a regiment of Nitroprusside and Nitro. (correct answer)Reduced coronary artery perfusion
secondary to hypotension.
A pt is admitted c/o a crushing cp , which began 2 hours ago. An ECG shows ST elevation in leadings II, III
Avf, (correct answer)Co 3.8, SBP 80/50, SVR 2200, PA 40/20
A pt with head trauma is experiencing inc ICP. The ideal level at which to maintine aterial PaCO2 is
(correct answer)30-35
