CCRN EXAM LATEST ACTUAL EXAM QUESTIONS WITH
VERIFIED CORRECT DETAILED ANSWERS 2025
The nurse is caring for a client who is receiving a heparin infusion for treatment of
a pulmonary embolism (PE_. Which of the following indicates a therapeutic effect
of treatment?
A. Activated partial thromboplastin time (aPTT) is 72 seconds
B. Platelet count is 160,000.
C. Prothrombin time (PT) is 10.2 seconds
D. D-Dimer level is increased at 600 ng/mL - correct answer -D. D-Dimer level is
increased at 600 ng/mL
The nurse is caring for a client who is 4 days postoperative and suddenly develops
difficulty breathing and sharp chest pain. The nurse has called a rapid response
team, raised the head of the bed, and applied oxygen to the client. Which actions
from the box below should the nurse take next?
1. Auscultate the client's lungs sounds.
- 2.
Initiate continuous cardiac monitoring
3. Prepare to administer IV alteplase Pg 620 rcad *
- 4. Connect the client to continuous pulse oximeter
5. Apply bilateral antiembolism stocking to the legs.
- 6. Assess the clients skin color - correct answer -1,2,4,6
The nurse has provided discharge teaching to a client who developed a pulmonary
embolism
,(PE) following a surgical procedure. The client will be taking newly prescribed
warfarin at home.
Which of the following client statements indicates a correct understating of the
teaching
A. "I wil take this medication for about 1-2 months"
B. "hard candy can be used if develop a dry mouth while taking warfarin"
С.
"The warfarin will continue to break up the clot over the next several months"
D. "I should avoid anything rectally, such as enemas or suppositories." - correct
answer -D. "I should avoid anything rectally, such as enemas or suppositories."
The nurse is caring for a client who appears to have developed a pulmonary
embolism PE. Which of the following arterial blood gas ABG results would the
nurse expect the client to initially have? 1* respiratory alkalosis → then respiratory
acidosis → then metabolic acidosis.
A. ph= 7.45; PaOz= 70 mm HG; PaCO,= 38mm Hg; HCO,= 28MEq/L; SaOz= 86%
B. ph= 7.35; PaOz= 63 mm HG; PaCO,= 42mm Hg; HCO,= 26MEq/L; SaO,= 84%
C. ph= 7.31; Pa02= 73 mm HG; PaCO,= 50mm Hg; HCO,= 22MEq/L; SaO,= 85% D.
ph= 7.50; Pa02= 79mm HG; PaCO2= 32mm Hg; HCO3= 23MEq/L; SaOz= 88% -
correct answer -D.
ph= 7.50; Pa02= 79mm HG; PaCO2= 32mm Hg; HCO3= 23MEq/L; SaOz= 88%
The nurse is working in the mergency department(ED) is caring for a client who
was in a boating crash 3 hours ago and has the following date:
Reports of a headache
Restless and irritable
Arterial blood gases (ABG): pH 7.28, Pa0,= 60 mm HG;
, PaCOz= 52mm Hg; HCO,= 24MEq/L; SaOz= 84%
Pulse 1110
Respirations 10 and dyspneic
Blood pressure 145/86 mm Hg
The nurse conclude that the client is developing
A. Pulmonary Embolism (PE)k?
B. Pleural effusion
C. A tension pneumothorax
D. Acute respiratory failure - correct answer -D. Acute respiratory failure
The nurse is caring for a client who has a chest tube. Which assessment finding(s)
from the box below requires the nurse to immediately notify the primary health
care provider?
1. Continuous bubbling in the suction control chamber
2. Tracheal deviation - closes off aorta- lose pedal puises
3. Tidaling in the water seal chamber with breathing.
4. 100 mL of drainage within an hour.
5. Visibility of the eyelets of the chest tube
6. Low water level in the water seal chamber.
A.1,3,6
B. 1, 2, 4, 3
C. 2, 3, 6
D, 2, 4, 5* - correct answer -D. 2,4,5
VERIFIED CORRECT DETAILED ANSWERS 2025
The nurse is caring for a client who is receiving a heparin infusion for treatment of
a pulmonary embolism (PE_. Which of the following indicates a therapeutic effect
of treatment?
A. Activated partial thromboplastin time (aPTT) is 72 seconds
B. Platelet count is 160,000.
C. Prothrombin time (PT) is 10.2 seconds
D. D-Dimer level is increased at 600 ng/mL - correct answer -D. D-Dimer level is
increased at 600 ng/mL
The nurse is caring for a client who is 4 days postoperative and suddenly develops
difficulty breathing and sharp chest pain. The nurse has called a rapid response
team, raised the head of the bed, and applied oxygen to the client. Which actions
from the box below should the nurse take next?
1. Auscultate the client's lungs sounds.
- 2.
Initiate continuous cardiac monitoring
3. Prepare to administer IV alteplase Pg 620 rcad *
- 4. Connect the client to continuous pulse oximeter
5. Apply bilateral antiembolism stocking to the legs.
- 6. Assess the clients skin color - correct answer -1,2,4,6
The nurse has provided discharge teaching to a client who developed a pulmonary
embolism
,(PE) following a surgical procedure. The client will be taking newly prescribed
warfarin at home.
Which of the following client statements indicates a correct understating of the
teaching
A. "I wil take this medication for about 1-2 months"
B. "hard candy can be used if develop a dry mouth while taking warfarin"
С.
"The warfarin will continue to break up the clot over the next several months"
D. "I should avoid anything rectally, such as enemas or suppositories." - correct
answer -D. "I should avoid anything rectally, such as enemas or suppositories."
The nurse is caring for a client who appears to have developed a pulmonary
embolism PE. Which of the following arterial blood gas ABG results would the
nurse expect the client to initially have? 1* respiratory alkalosis → then respiratory
acidosis → then metabolic acidosis.
A. ph= 7.45; PaOz= 70 mm HG; PaCO,= 38mm Hg; HCO,= 28MEq/L; SaOz= 86%
B. ph= 7.35; PaOz= 63 mm HG; PaCO,= 42mm Hg; HCO,= 26MEq/L; SaO,= 84%
C. ph= 7.31; Pa02= 73 mm HG; PaCO,= 50mm Hg; HCO,= 22MEq/L; SaO,= 85% D.
ph= 7.50; Pa02= 79mm HG; PaCO2= 32mm Hg; HCO3= 23MEq/L; SaOz= 88% -
correct answer -D.
ph= 7.50; Pa02= 79mm HG; PaCO2= 32mm Hg; HCO3= 23MEq/L; SaOz= 88%
The nurse is working in the mergency department(ED) is caring for a client who
was in a boating crash 3 hours ago and has the following date:
Reports of a headache
Restless and irritable
Arterial blood gases (ABG): pH 7.28, Pa0,= 60 mm HG;
, PaCOz= 52mm Hg; HCO,= 24MEq/L; SaOz= 84%
Pulse 1110
Respirations 10 and dyspneic
Blood pressure 145/86 mm Hg
The nurse conclude that the client is developing
A. Pulmonary Embolism (PE)k?
B. Pleural effusion
C. A tension pneumothorax
D. Acute respiratory failure - correct answer -D. Acute respiratory failure
The nurse is caring for a client who has a chest tube. Which assessment finding(s)
from the box below requires the nurse to immediately notify the primary health
care provider?
1. Continuous bubbling in the suction control chamber
2. Tracheal deviation - closes off aorta- lose pedal puises
3. Tidaling in the water seal chamber with breathing.
4. 100 mL of drainage within an hour.
5. Visibility of the eyelets of the chest tube
6. Low water level in the water seal chamber.
A.1,3,6
B. 1, 2, 4, 3
C. 2, 3, 6
D, 2, 4, 5* - correct answer -D. 2,4,5
