CCRN Nursing Exam Prep - Adult Critical Care
Question / Answer
1.
Which of the following statements would reflect that the patient does not understand the
long term effects of liver failure?
A. “If I stop drinking, my liver will get better.”
B. “I need to monitor and limit my salt intake.”
C. “It is important that I get more rest.”
D. “My skin might become more yellow and change in color.”
EXPLANATION
Answer: A - The statement that reflects that the patient does not understand the long term effects of
liver failure is the statement, “If I stop drinking, my liver will get better.” Damage to the liver is
irreversible. It is important to monitor salt intake, get more rest and be aware of changes that will occur,
such as jaundice, as the disease progresses.
2.
The nurse has just inserted a Nasogastric tube on a patient who is experiencing a severe
gastrointestinal bleed and has been continuously vomiting for 24 hours. She has Hemoglobin
of 6.4. What nursing intervention would be most likely to prevent aspiration?
A. Continue with intravenous fluids.
B. Monitor the electrolyte levels.
C. Administer a proton pump inhibitor via the intravenous route.
, D. Keep the head of the bed elevated.
EXPLANATION
Answer: D - The nursing intervention that would be most likely to prevent aspiration would be to keep
the head of the bed elevated at least 30 degrees. The other options do not help to prevent against
aspiration.
3.
A nurse is educating a patient who has had a stroke on lifestyle adjustments that can be
controlled. The nurse would include all of the following in the teaching plan except:
A. Smoking cessation
B. Exercise
C. Blood pressure control
D. Increase the use of aspirin
EXPLANATION
Answer: D - The nurse would include the importance of smoking cessation, exercise, and blood pressure
control in the teaching plan. Increasing the use of any anticoagulant should be discussed with the doctor
and followed up with their primary care physician.
4.
Which cranial nerve is tested to assess the gag reflex?
A. Trochlear nerve
B. Trigeminal Nerve
C. Vagus Nerve
Question / Answer
1.
Which of the following statements would reflect that the patient does not understand the
long term effects of liver failure?
A. “If I stop drinking, my liver will get better.”
B. “I need to monitor and limit my salt intake.”
C. “It is important that I get more rest.”
D. “My skin might become more yellow and change in color.”
EXPLANATION
Answer: A - The statement that reflects that the patient does not understand the long term effects of
liver failure is the statement, “If I stop drinking, my liver will get better.” Damage to the liver is
irreversible. It is important to monitor salt intake, get more rest and be aware of changes that will occur,
such as jaundice, as the disease progresses.
2.
The nurse has just inserted a Nasogastric tube on a patient who is experiencing a severe
gastrointestinal bleed and has been continuously vomiting for 24 hours. She has Hemoglobin
of 6.4. What nursing intervention would be most likely to prevent aspiration?
A. Continue with intravenous fluids.
B. Monitor the electrolyte levels.
C. Administer a proton pump inhibitor via the intravenous route.
, D. Keep the head of the bed elevated.
EXPLANATION
Answer: D - The nursing intervention that would be most likely to prevent aspiration would be to keep
the head of the bed elevated at least 30 degrees. The other options do not help to prevent against
aspiration.
3.
A nurse is educating a patient who has had a stroke on lifestyle adjustments that can be
controlled. The nurse would include all of the following in the teaching plan except:
A. Smoking cessation
B. Exercise
C. Blood pressure control
D. Increase the use of aspirin
EXPLANATION
Answer: D - The nurse would include the importance of smoking cessation, exercise, and blood pressure
control in the teaching plan. Increasing the use of any anticoagulant should be discussed with the doctor
and followed up with their primary care physician.
4.
Which cranial nerve is tested to assess the gag reflex?
A. Trochlear nerve
B. Trigeminal Nerve
C. Vagus Nerve
