CCRN EXAM LATEST ACTUAL EXAM 300 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
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 - 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 - ANSWER: POSITIVE INOTROPIC AGENTS,
DIURETICS, VASODILATORS
WHICH OF THE FOLLOWING SHOULD THE RN ASSESS FOR COMPLICATIONS REALTED
TO AN ARTERIOGRAM - 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 - ANSWER: ABILITY TO CARRY ON A COHERENT CONVERSATION
THE MAJOR EFFECT OF ACUTE LUNG INJURY (ALI) ON THE LUNG TISSUE IS - ANSWER:
DECRESEAD COMPLIANCE
A PT W CONGINTIVE IMPAIREMENT FROM MEDICATIONS, FLUID & ELECTROLYTE
IMBLANCE ANOXIA OR SURGERY IS AT HIGH RISK FOR - ANSWER: ATTEMPTING
SUICIDE
A PT IS ADMITTED WITH SUBARACHNOID HEMORRHAGE. THE NURSE SHOULD
ANTICIPATE WITH OF THE FOLLOWING - ANSWER: AVOID HYPOVENTILATION
A MAJOR GOAL FOR A PT WHO IS 48 HOUR POST VALVE REPLACEMENT SURGERY IS
TO - ANSWER: PREVENT THROMBUS FORMATION
WHICH NURSING ACTION MIGHT DECREASE A PT SELF ESTEEM - 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 - 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 - 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 - ANSWER: DECREASE
AFTERLOAD
, WHICH OF THE FOLLOWING PARAMETERS INDICATES SUCCESSFUL MANAGEMENT
OF RIGHT VENTRICULARE FAILURE - ANSWER: DECREASED CVP (CENTRAL VENOUS
PRESSURE).
A PT IS CONFUSED ABOUT THE TIME AND PLACE, DESPIRE FREQUENT
REORIENTATION. FOR PT SAFTEY THE RN SHOULD - 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 - 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 - 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 - ANSWER: CARDIAC TAMPONADE
WHICH OF THE FOLLOWING FINDING WOULD BE CONSISTENT WITH A DX OF
MASSIVE HEMOTHORAX - ANSWER: DULLNESS TO PERCUSSION AND ABSENT
BREATHSOUNDS ON AFFECTED SIDE WITH TRACHEAL DEVIATION TOWARD
UNAFFECTED SIDE.
SIX MEMBERS OF A TRAUMA PTS FAMILY ARRIVE ASKING QUESTIONS ABOUT THEIR
LOVED ONES CONDITION. THE NURSE MOST APPROPRIATE INITIAL RESPONSE
SHOULD BE TO - ANSWER: ASK FAMILY TO IDENTIFY A FAMILY SPOKESPERSON
WHICH OF THE FOLLOWING ELECTROLYTE ABNOMALITIES SHOULD THE RN
ANTICIPATE IN A PT WITH A CHRONIC ETOH - ANSWER: HYPOMAGNESEMIA
WHICH OF THE FOLLOWING IS A CORRECT STATEMENT ABOUT A SHIFT OF
OXYHEMOGLOBIN DISSOCIATION CURVE TO THE RIGHT? - ANSWER: IT CAN RESULT
FROM AN INCREASE IN BODY TEMP.
A PT W A MITRAL REGURGITATION DEVELOPS A FIB W A RATE OF 88 ( SO
CONTROLED AFIB) BP IS 113/74. THE RN SHOULD ANTICIPATE WHICH MEDICAL
ORDER - ANSWER: CARDIAC GLYCOSIDES AND CALCUIM CHANNEL BLOCKERS
A PT FAIMLY EXPRESSES ANXIETY REGARDING THE MEANING OF A NUBMER ON THE
PT MNTR, AND AS FOR CLARIFICATION, THE RN MOST APPROPRIATE RESPONSE
SHOULD BE - ANSWER: WHICH NUMBER ON THE MONITOR CONCERNS YOU?
THE PURPOSE OF IMPLEMENTING A BOWEL REGIMNE IN A PT WITH DIC IS TO
DECREASE THE RISK OF - ANSWER: INTRACRANIAL HEMORRHAGE
AND CORRECT DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
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 - 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 - ANSWER: POSITIVE INOTROPIC AGENTS,
DIURETICS, VASODILATORS
WHICH OF THE FOLLOWING SHOULD THE RN ASSESS FOR COMPLICATIONS REALTED
TO AN ARTERIOGRAM - 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 - ANSWER: ABILITY TO CARRY ON A COHERENT CONVERSATION
THE MAJOR EFFECT OF ACUTE LUNG INJURY (ALI) ON THE LUNG TISSUE IS - ANSWER:
DECRESEAD COMPLIANCE
A PT W CONGINTIVE IMPAIREMENT FROM MEDICATIONS, FLUID & ELECTROLYTE
IMBLANCE ANOXIA OR SURGERY IS AT HIGH RISK FOR - ANSWER: ATTEMPTING
SUICIDE
A PT IS ADMITTED WITH SUBARACHNOID HEMORRHAGE. THE NURSE SHOULD
ANTICIPATE WITH OF THE FOLLOWING - ANSWER: AVOID HYPOVENTILATION
A MAJOR GOAL FOR A PT WHO IS 48 HOUR POST VALVE REPLACEMENT SURGERY IS
TO - ANSWER: PREVENT THROMBUS FORMATION
WHICH NURSING ACTION MIGHT DECREASE A PT SELF ESTEEM - 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 - 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 - 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 - ANSWER: DECREASE
AFTERLOAD
, WHICH OF THE FOLLOWING PARAMETERS INDICATES SUCCESSFUL MANAGEMENT
OF RIGHT VENTRICULARE FAILURE - ANSWER: DECREASED CVP (CENTRAL VENOUS
PRESSURE).
A PT IS CONFUSED ABOUT THE TIME AND PLACE, DESPIRE FREQUENT
REORIENTATION. FOR PT SAFTEY THE RN SHOULD - 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 - 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 - 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 - ANSWER: CARDIAC TAMPONADE
WHICH OF THE FOLLOWING FINDING WOULD BE CONSISTENT WITH A DX OF
MASSIVE HEMOTHORAX - ANSWER: DULLNESS TO PERCUSSION AND ABSENT
BREATHSOUNDS ON AFFECTED SIDE WITH TRACHEAL DEVIATION TOWARD
UNAFFECTED SIDE.
SIX MEMBERS OF A TRAUMA PTS FAMILY ARRIVE ASKING QUESTIONS ABOUT THEIR
LOVED ONES CONDITION. THE NURSE MOST APPROPRIATE INITIAL RESPONSE
SHOULD BE TO - ANSWER: ASK FAMILY TO IDENTIFY A FAMILY SPOKESPERSON
WHICH OF THE FOLLOWING ELECTROLYTE ABNOMALITIES SHOULD THE RN
ANTICIPATE IN A PT WITH A CHRONIC ETOH - ANSWER: HYPOMAGNESEMIA
WHICH OF THE FOLLOWING IS A CORRECT STATEMENT ABOUT A SHIFT OF
OXYHEMOGLOBIN DISSOCIATION CURVE TO THE RIGHT? - ANSWER: IT CAN RESULT
FROM AN INCREASE IN BODY TEMP.
A PT W A MITRAL REGURGITATION DEVELOPS A FIB W A RATE OF 88 ( SO
CONTROLED AFIB) BP IS 113/74. THE RN SHOULD ANTICIPATE WHICH MEDICAL
ORDER - ANSWER: CARDIAC GLYCOSIDES AND CALCUIM CHANNEL BLOCKERS
A PT FAIMLY EXPRESSES ANXIETY REGARDING THE MEANING OF A NUBMER ON THE
PT MNTR, AND AS FOR CLARIFICATION, THE RN MOST APPROPRIATE RESPONSE
SHOULD BE - ANSWER: WHICH NUMBER ON THE MONITOR CONCERNS YOU?
THE PURPOSE OF IMPLEMENTING A BOWEL REGIMNE IN A PT WITH DIC IS TO
DECREASE THE RISK OF - ANSWER: INTRACRANIAL HEMORRHAGE
