AACN CCRN Review Questions from
Class Questions and Answers.
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss -
\C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia -
\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 -
\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 -
\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 -
\A
For the patient in renal failure, potential metabolic derangements include all of the
following except:
Metabolic acidosis
Hyperkalemia
,Hypocalcemia
Metabolic alkalosis -
\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. -
\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 -
\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 -
\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 -
\A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
, Activated Protein C
Antibiotics -
\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 -
\C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products -
\C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
Epi
Vasopressin
Amiodarone -
\D
What level of EtCO2 general indicates inadequate compressions during CPR?
< 5 mmHg
<10 mmHg
<20 mmHg
<30 mmHg -
\B
Which of the following electrolyte abnormalities is most associated with increased
mortality in the setting of digoxin ingestion?
Hyperkalemia
Hypokalemia
Hypermagnesemia
Hypomagnesemia -
\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 -
Class Questions and Answers.
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss -
\C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia -
\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 -
\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 -
\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 -
\A
For the patient in renal failure, potential metabolic derangements include all of the
following except:
Metabolic acidosis
Hyperkalemia
,Hypocalcemia
Metabolic alkalosis -
\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. -
\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 -
\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 -
\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 -
\A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
, Activated Protein C
Antibiotics -
\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 -
\C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products -
\C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
Epi
Vasopressin
Amiodarone -
\D
What level of EtCO2 general indicates inadequate compressions during CPR?
< 5 mmHg
<10 mmHg
<20 mmHg
<30 mmHg -
\B
Which of the following electrolyte abnormalities is most associated with increased
mortality in the setting of digoxin ingestion?
Hyperkalemia
Hypokalemia
Hypermagnesemia
Hypomagnesemia -
\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 -
