CCRN CRITICAL CARE REGISTERED NURSE EXAM LATEST
2023/2024 QUESTIONS AND 100% CORRECT ANSWERS
TEST BANK
the most important outcome of effective communication is to: - ANSWER: reduce
patient error
as part of nursing management of critically ill patient, orders are written to keep the
head of the bed elevated at 30 degrees, awaken the patient from sedation each
morning to assess readiness to wean from mech vent, and implement oral care
protocol every 4 hours. These intervention are done as a group to reduce the risk of
vent-associated pneumonia. This group of evidence-based interventions is often
called: - ANSWER: bundle of care
working in an intermediate care unit that has experienced high nursing turn over.
the nurse manager is often considered to be an autocratic leader by staff members
and her leadership style is contributing to turnover. you have asked to involve in
developing new guidelines to prevent pressure ulcers in your patient population. The
nurse manager tells you that you do not yet have enough experience to be on the
prevention task force. this situation and setting is an example of: - ANSWER: work
environment that is unhealthy
which nursing interven would best support the family of a critically ill patient? -
ANSWER: give condition update each morning and whenever changes occur
which intervention is appropriate to assist the patient to cope with admission to the
critical care unit - ANSWER: explaining all procedures in easy-to-understand terms
which of the following statement about family assessment is false? - ANSWER:
assessment of structure (who comprises the family) is the last step in assessment
many critically ill patients experience anxiety. the nurse can reduce anxiety with
which approach? - ANSWER: state, "mr J, it's time to turn you. I'm going to ask
another nurse to come in and help me. We will turn you to your left. During the turn,
I'm going to inspect the skin on your back and rub some lotion on your back. This
should help you feel better."
which of the following statement about resuscitation is true? - ANSWER: withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and
physician orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to chemo.
the medical team has determined that there are no additional tx available that will
prolong life or improve the quality of life in any meaningful way. Despite the poor
prognosis, the pt continues to rc'd chemo and full nutrition support. what is this
example of end of life concept? - ANSWER: medical futility
, pt c end stage HF is experiencing considerable dyspnea. which med is appropriate? -
ANSWER: morphing, 5 mg IV, and initiate continuous morphine infusion
neuromuscular blocking agents are used in the management of some vent patient;
their primary mdoe of action is - ANSWER: paralysis
patient on vent, using critical care pain observation tool; which of the following
assessment would indicate the greatest likelihood of pain and need for nursing
intervent? - ANSWER: fighting the vent
best way to administer benzo intermittently is? - ANSWER: titrate to a predefined
endpoint using a standard sedation scale
pt remains npo from abdominal surgery complication; ET tube feeding not possible;
therefore need parenteral feeding. major complication for this therapy? - ANSWER:
fluid and electrolyte imblances and sepsis
a patient's feeding tube has been successfully placed in small intestine with
continuous flow tube feeding. the nurse knows that this approach was chosen
because: - ANSWER: intestinal mucosa normally rc'd nutrient from stomach in
peristaltic waves
which patient at greatest risk for malabsorption of protein? - ANSWER: patient with
ileitis
patient on tube feeding require xray for cough eval; to reduce risk of aspiration, the
nurse: - ANSWER: stops feeding 10-15 minutes before placing flat to obtain the
radiograph
normal rates of the SA node when the patient is at rest is - ANSWER: 60-100 beats
per minute
nurse is examining the patient's cardiac rhythm strip in lead II and notice all P waves
are upright and look the same except one that has a different shape and is inverted.
the nurse realizes that P wave with abnormal shape is probably: - ANSWER: from
some area in the atria other than SA node
20 small boxes between each p wave and 20 boxes between each r waves; what's
the ventricular rate? - ANSWER: 75
0.04x20 = .08
60/.08 = 75
patient's heart rhythm shows an inverted p wave with PR interval of 0.06 seconds.
the heart rate is 54 beats per minute. The nurse recognize the rhythm as a junctional
escape rhythm, and understands that the rhythm is due to the - ANSWER: loss of
sinus node activity
2023/2024 QUESTIONS AND 100% CORRECT ANSWERS
TEST BANK
the most important outcome of effective communication is to: - ANSWER: reduce
patient error
as part of nursing management of critically ill patient, orders are written to keep the
head of the bed elevated at 30 degrees, awaken the patient from sedation each
morning to assess readiness to wean from mech vent, and implement oral care
protocol every 4 hours. These intervention are done as a group to reduce the risk of
vent-associated pneumonia. This group of evidence-based interventions is often
called: - ANSWER: bundle of care
working in an intermediate care unit that has experienced high nursing turn over.
the nurse manager is often considered to be an autocratic leader by staff members
and her leadership style is contributing to turnover. you have asked to involve in
developing new guidelines to prevent pressure ulcers in your patient population. The
nurse manager tells you that you do not yet have enough experience to be on the
prevention task force. this situation and setting is an example of: - ANSWER: work
environment that is unhealthy
which nursing interven would best support the family of a critically ill patient? -
ANSWER: give condition update each morning and whenever changes occur
which intervention is appropriate to assist the patient to cope with admission to the
critical care unit - ANSWER: explaining all procedures in easy-to-understand terms
which of the following statement about family assessment is false? - ANSWER:
assessment of structure (who comprises the family) is the last step in assessment
many critically ill patients experience anxiety. the nurse can reduce anxiety with
which approach? - ANSWER: state, "mr J, it's time to turn you. I'm going to ask
another nurse to come in and help me. We will turn you to your left. During the turn,
I'm going to inspect the skin on your back and rub some lotion on your back. This
should help you feel better."
which of the following statement about resuscitation is true? - ANSWER: withholding
"extraordinary" resuscitation is legal and ethical if specified in advance directives and
physician orders.
65 YO pt c history of metastatic lung carcinoma has been unresponsive to chemo.
the medical team has determined that there are no additional tx available that will
prolong life or improve the quality of life in any meaningful way. Despite the poor
prognosis, the pt continues to rc'd chemo and full nutrition support. what is this
example of end of life concept? - ANSWER: medical futility
, pt c end stage HF is experiencing considerable dyspnea. which med is appropriate? -
ANSWER: morphing, 5 mg IV, and initiate continuous morphine infusion
neuromuscular blocking agents are used in the management of some vent patient;
their primary mdoe of action is - ANSWER: paralysis
patient on vent, using critical care pain observation tool; which of the following
assessment would indicate the greatest likelihood of pain and need for nursing
intervent? - ANSWER: fighting the vent
best way to administer benzo intermittently is? - ANSWER: titrate to a predefined
endpoint using a standard sedation scale
pt remains npo from abdominal surgery complication; ET tube feeding not possible;
therefore need parenteral feeding. major complication for this therapy? - ANSWER:
fluid and electrolyte imblances and sepsis
a patient's feeding tube has been successfully placed in small intestine with
continuous flow tube feeding. the nurse knows that this approach was chosen
because: - ANSWER: intestinal mucosa normally rc'd nutrient from stomach in
peristaltic waves
which patient at greatest risk for malabsorption of protein? - ANSWER: patient with
ileitis
patient on tube feeding require xray for cough eval; to reduce risk of aspiration, the
nurse: - ANSWER: stops feeding 10-15 minutes before placing flat to obtain the
radiograph
normal rates of the SA node when the patient is at rest is - ANSWER: 60-100 beats
per minute
nurse is examining the patient's cardiac rhythm strip in lead II and notice all P waves
are upright and look the same except one that has a different shape and is inverted.
the nurse realizes that P wave with abnormal shape is probably: - ANSWER: from
some area in the atria other than SA node
20 small boxes between each p wave and 20 boxes between each r waves; what's
the ventricular rate? - ANSWER: 75
0.04x20 = .08
60/.08 = 75
patient's heart rhythm shows an inverted p wave with PR interval of 0.06 seconds.
the heart rate is 54 beats per minute. The nurse recognize the rhythm as a junctional
escape rhythm, and understands that the rhythm is due to the - ANSWER: loss of
sinus node activity
