CCRN D EXAM D 2024 D WITH D 100% D ACCURATE D SOLUTIONS
which of the following would be the earliest auscultatory finding in left ventricular
D D D D D D D D D D D D
failure (lvf)?
D D
a. crackles
D
b. s3 D
c. murmur of mitral regurgitation
D D D D
d. pericardial friction rub - correct answer✔✔ b. s3
D D D D D D D D
lvf would be the most subtle because early changes are usually subtle changes. ch
D D D D D D D D D D D D D
oose "s3." D
a patient with a triple-
D D D D
lumen subclavian catheter has been receiving total parenteral nutrition, maintena
D D D D D D D D D
nce fluids, and antibiotics by the catheter. he has been slightly confused. suddenly
D D D D D D D D D D D D
Dhe grasps the catheter and pulls it out. he then complains of shortness of breath,
D D D D D D D D D D D D D D D
and his pulse oximetry indicates an spo2 of 84%. how should this patient be positi
D D D D D D D D D D D D D D
oned?
a. head down, left side
D D D D
D b. head down, right side
D D D D
D c. head of bed elevated, left side
D D D D D D
D d. head of bed elevated, right side - correct answer✔✔ a. head down, left side
D D D D D D D D D D D D D D
,envision a big air bubble in the patient's heart. think: what position would decreas
D D D D D D D D D D D D D
e the movement of the air embolism out of the right side of the heart. chose "hea
D D D D D D D D D D D D D D D D
d down, left side."
D D D
oxygen delivery (do2) is the product of which of the following?
D D D D D D D D D D
a.
pao2, hemoglobin, mean arterial pressure
D D D D
D b.
sao2, hemoglobin, cardiac output
D D D
D c.
svo2, cardiac index, sao2
D D D
D d.
pao2, mean arterial pressure, svo2 -
D D D D D
correct answer✔✔ b. sao2, hemoglobin, cardiac output
D D D D D D D
oxygen is delivered from the arterial end, so choose an option that has sao2
D D D D D D D D D D D D D
which of the following is the most significant complication of status asthmaticus?
D D D D D D D D D D D
a.
pulmonary embolism D
D b.
acute respiratory failure
D D
,D c.
hypertension
D d.
anaphylaxis - correct answer✔✔ b. acute respiratory failure
D D D D D D D
a 22-year-
D
old man is admitted to the critical care unit after a motor vehicle collision. the em
D D D D D D D D D D D D D D D
ergency department nurse reports that he was unconscious at the scene of the ac
D D D D D D D D D D D D D
cident, but he is now alert and oriented. skull films show a linear fracture of the ri
D D D D D D D D D D D D D D D D
ght temporal bone. he is at significant risk for:
D D D D D D D D
a.
scalp hematoma. D
D b.
subdural hematoma. D
D c.
epidural hematoma. D
D d.
intracerebral hematoma. - correct answer✔✔ c. epidural hematoma.
D D D D D D D
linear fractures of the temporal bone frequently disrupt the middle meningeal art
D D D D D D D D D D D
ery and cause epidural hematoma. patients with an epidural hematoma classically
D D D D D D D D D D
Dpresent with a short period of unconsciousness followed by a lucid interval and th
D D D D D D D D D D D D D
en rapid deterioration. an epidural hematoma is usually caused by arterial bleedin
D D D D D D D D D D D
g.
, a patient is admitted to the icu after sustaining a concussion and blunt abdominal
D D D D D D D D D D D D D D
trauma to the right upper quadrant in a domestic dispute. the patient's vital signs
D D D D D D D D D D D D D D
are bp 145/86 mm hg, pulse 86 beats/min, respiration 15 breaths/min, and tempe
D D D D D D D D D D D D
rature 98.8° f. the nurse is monitoring the patient's bowel sounds, abdominal tend
D D D D D D D D D D D D
erness, and abdominal girth frequently. which of the following laboratory parame
D D D D D D D D D D
ters is especially important for the nurse to closely monitor for bleeding in this pat
D D D D D D D D D D D D D D
ient?
a.
platelet count D
D b.
protime
D c.
hematocrit
D d.
mean corpuscular volume - correct answer✔✔ c. hematocrit
D D D D D D D
common injuries resulting from blunt abdominal trauma can include injury to the l
D D D D D D D D D D D D
iver, spleen, mesenteric vessels, pancreas, or kidneys. in a nonoperative approach
D D D D D D D D D D D
to blunt abdominal trauma, observation and monitoring include serial hematocrits
D D D D D D D D D
Dto evaluate for intra-
D D D
abdominal bleeding. the platelet count does not fluctuate unless there is a disease
D D D D D D D D D D D D
Dprocess (e.g. cirrhosis, leukemia) or significant blood loss. protime is a monitor of
D D D D D D D D D D D D D
coagulation status and can be prolonged without active bleeding. mean corpuscul
D D D D D D D D D D
ar volume measures the average volume or size of a single rbc and is used in classi
D D D D D D D D D D D D D D D D
fying anemias. D
which of the following is associated with chest pain, confusion, and petechiae?
D D D D D D D D D D D
which of the following would be the earliest auscultatory finding in left ventricular
D D D D D D D D D D D D
failure (lvf)?
D D
a. crackles
D
b. s3 D
c. murmur of mitral regurgitation
D D D D
d. pericardial friction rub - correct answer✔✔ b. s3
D D D D D D D D
lvf would be the most subtle because early changes are usually subtle changes. ch
D D D D D D D D D D D D D
oose "s3." D
a patient with a triple-
D D D D
lumen subclavian catheter has been receiving total parenteral nutrition, maintena
D D D D D D D D D
nce fluids, and antibiotics by the catheter. he has been slightly confused. suddenly
D D D D D D D D D D D D
Dhe grasps the catheter and pulls it out. he then complains of shortness of breath,
D D D D D D D D D D D D D D D
and his pulse oximetry indicates an spo2 of 84%. how should this patient be positi
D D D D D D D D D D D D D D
oned?
a. head down, left side
D D D D
D b. head down, right side
D D D D
D c. head of bed elevated, left side
D D D D D D
D d. head of bed elevated, right side - correct answer✔✔ a. head down, left side
D D D D D D D D D D D D D D
,envision a big air bubble in the patient's heart. think: what position would decreas
D D D D D D D D D D D D D
e the movement of the air embolism out of the right side of the heart. chose "hea
D D D D D D D D D D D D D D D D
d down, left side."
D D D
oxygen delivery (do2) is the product of which of the following?
D D D D D D D D D D
a.
pao2, hemoglobin, mean arterial pressure
D D D D
D b.
sao2, hemoglobin, cardiac output
D D D
D c.
svo2, cardiac index, sao2
D D D
D d.
pao2, mean arterial pressure, svo2 -
D D D D D
correct answer✔✔ b. sao2, hemoglobin, cardiac output
D D D D D D D
oxygen is delivered from the arterial end, so choose an option that has sao2
D D D D D D D D D D D D D
which of the following is the most significant complication of status asthmaticus?
D D D D D D D D D D D
a.
pulmonary embolism D
D b.
acute respiratory failure
D D
,D c.
hypertension
D d.
anaphylaxis - correct answer✔✔ b. acute respiratory failure
D D D D D D D
a 22-year-
D
old man is admitted to the critical care unit after a motor vehicle collision. the em
D D D D D D D D D D D D D D D
ergency department nurse reports that he was unconscious at the scene of the ac
D D D D D D D D D D D D D
cident, but he is now alert and oriented. skull films show a linear fracture of the ri
D D D D D D D D D D D D D D D D
ght temporal bone. he is at significant risk for:
D D D D D D D D
a.
scalp hematoma. D
D b.
subdural hematoma. D
D c.
epidural hematoma. D
D d.
intracerebral hematoma. - correct answer✔✔ c. epidural hematoma.
D D D D D D D
linear fractures of the temporal bone frequently disrupt the middle meningeal art
D D D D D D D D D D D
ery and cause epidural hematoma. patients with an epidural hematoma classically
D D D D D D D D D D
Dpresent with a short period of unconsciousness followed by a lucid interval and th
D D D D D D D D D D D D D
en rapid deterioration. an epidural hematoma is usually caused by arterial bleedin
D D D D D D D D D D D
g.
, a patient is admitted to the icu after sustaining a concussion and blunt abdominal
D D D D D D D D D D D D D D
trauma to the right upper quadrant in a domestic dispute. the patient's vital signs
D D D D D D D D D D D D D D
are bp 145/86 mm hg, pulse 86 beats/min, respiration 15 breaths/min, and tempe
D D D D D D D D D D D D
rature 98.8° f. the nurse is monitoring the patient's bowel sounds, abdominal tend
D D D D D D D D D D D D
erness, and abdominal girth frequently. which of the following laboratory parame
D D D D D D D D D D
ters is especially important for the nurse to closely monitor for bleeding in this pat
D D D D D D D D D D D D D D
ient?
a.
platelet count D
D b.
protime
D c.
hematocrit
D d.
mean corpuscular volume - correct answer✔✔ c. hematocrit
D D D D D D D
common injuries resulting from blunt abdominal trauma can include injury to the l
D D D D D D D D D D D D
iver, spleen, mesenteric vessels, pancreas, or kidneys. in a nonoperative approach
D D D D D D D D D D D
to blunt abdominal trauma, observation and monitoring include serial hematocrits
D D D D D D D D D
Dto evaluate for intra-
D D D
abdominal bleeding. the platelet count does not fluctuate unless there is a disease
D D D D D D D D D D D D
Dprocess (e.g. cirrhosis, leukemia) or significant blood loss. protime is a monitor of
D D D D D D D D D D D D D
coagulation status and can be prolonged without active bleeding. mean corpuscul
D D D D D D D D D D
ar volume measures the average volume or size of a single rbc and is used in classi
D D D D D D D D D D D D D D D D
fying anemias. D
which of the following is associated with chest pain, confusion, and petechiae?
D D D D D D D D D D D
