(ACCN) PASS THE CCRN! QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS GRADE A+ CERTIFIED

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(ACCN) PASS THE CCRN! QUESTIONS
WITH 100% CORRECT AND VERIFIED
ANSWERS GRADE A+ CERTIFIED 2025-
2026
Ai56iyr-
oldimaleiisiadmitteditoitheiICUiwithiaibloodipressureiofi225/
135iandicomplainsiofiaiheadacheiandinausea.iHeireportsiheir
anioutiofibloodipressureimedsithreeidaysiago,ibutialsoiappea
rsitoibeiconfuseditoitheidateiandisituation.iWhatiisitheimostia
ppropriateitreatmentiapproach?i-
correctiansweriRapidlyiloweritheidiastolicipressureitoi100iwi
thiIViantihypertensiveimeds,ithenicontinueitoigraduallyiredu
ceitheidiastolicipressureitoi85iwithioraliantihypertensiveime
ds.i

Theimaximumiinitialidecreaseishouldibeinoimoreithani25%ir
eductionifromiinitialipresentingivalue.iReducingitheibloodip
ressureitooiquicklyicanileaditoicerebraliedemaiorirenalifailur
e.

Aipatientihasisepsis,ireceivesiLactatediringersi500mliIVibolu
s.iWhichifindingiindicateithatithisiinterventioniisihavingiit'sii
ntendedieffect?i-correctiansweriScvO2iofi72%

Earlyigoalidirecteditherapyiforisepsisiincludesiearlyifluidires
uscitationiati30iml/kgitoimaintainiaiCVPiofi8-12iori12-
15iifimechanicallyiventilated,iMAPigreaterithani65,iScvO2igr
eaterithani70%,iandiurineioutputigreaterithani0.5ikg/hr

72imaleipatientiiniICUifori6idaysionitheiventilatoriforitreatm
entiofiaiCOPDiexacerbation.iHeihasibeenireceivingiVTEiprop
hylaxisiandisubcutaneousiHeparinisinceiadmission.iTodayihi
siplateleticountidecreasedisignificantlyitoi43,000iandiwasifo

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unditoihaveinewiDVTionihisirightiupperiextremity.iWhatidoiy
ouisuspectiisitheimostilikelyicauseiofitheseifindings?i-
correctiansweriHIT

TheihallmarkisigniofiHITiisiaisignificantidecreaseiiniplateleti
countioveriai24ihoursiperiodi(>50%)iwithini5-
10idaysiofiadministeringiHeparin.iTheiotherihallmarkisigniis
iainewidevelopmentiofiDVTidespiteibeingioniVTEiprophylaxis.



TRALI:i-
correctiansweriisiaicomplicationifromiaiblooditransfusionire
action,iwhichicausesiacuteilungiinjuryitypicallyiwithini6ihour
siofiaiblooditransfusion.

2iHallmarkisignsiofiHIT:i-
correctiansweriDecreaseiiniplateleticountioveriai24ihriperiod
.

NewidevelopmentiofiDVTidespiteibeingioniVTEiprophylaxis.

ValuesiiniEarlyicompensatediHypovolemicishock?i-
correctiansweriCOi4.0iL/
min,iHRi135,iSVi65,iSVRi1700,iMAPi65
Inihypovolemicistates,icirculatingivolumeiisidepleteditheref
oreipreloadiandicontractilityiareidecreasediwhichileadsitoiaid
ecreaseiiniSViandiCO.iHRiandiSViincreaseiasicompensatoryi
measureitoipreserveiCO,iMAPiandicerebraliperfusion.

Post-renalifailureivalues:i-
correctiansweriUrineioutputi<i200;iurineisodiumi30;iBUN:iC
reatinineiratioi15:1;iurineispecificigravityi1.010

BUN:iCreatinineiratioiisi15:1,ibutibothitheiBUNi&icreatininei
areielevated.iUrineisodiumiisitypicallyi1-40imEq/L.

WhatitoidoiinitheieventiofiHIT:i-
correctiansweriStopiHepariniandiadministerianialternativeid
irectithrombiniinhibitor.


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WarfariniisicontraindicatediiniHIT?iT/Fi-
correctiansweriTruei-
ithereiisialsoinoievidenceithatishowsiprotamine,icorticostero

ids,iandibenadryliareieffectiveitreatmentsiforiHIT

Patientsiwithirightiventriculariinfarctionsibecomeipreloadid
ependent.iMedsithatidecreaseipreloadishouldibeiavoidedi-
iwhichimedsiareithese?i-

correctiansweriMorphine,iNitro,iBetaiblockersiandidiuretics.

PolymorphiciventricularitachycardiaiakaiTorsadesiisitreatedi
by?i-correctiansweriMagnesium

Myocardialicontusionsigenerallyiimpactiwhichipartsiofitheih
eart?iandiwhatiwoulditheivaluesibe?i-
correctiansweriAtriai&irightiventricleibecauseiofitheiposition
iofitheiheartiinitheichest.i



PAOPi6,iPAiPressurei40/24,iRAiPressurei16

Neurogenicishockisigns?i-
correctiansweriCVP:i3,iCI:i2.5,iSVR:i650,iSBP:i88

Neuroishockiisiassociatediwithiailossiofisympatheticitoneicau
singiextensiveiperipheralivasodilation.iClinicalisignsiandisy
mptomsiincludeihypotension,iailowiSVR,ilowiCVPiandilowinor
maliCI

WhaticausesiailargerithaninormaliAiwaveioniaiPAOP?i-
correctiansweriMitralistenosisi-
icausesiincreasedileftiatrialipressureiduringiatrialicontractio

n.

PulmonaryiHTNiwilliresultiiniwhat?i-
correctiansweriElevatediPAipressuresibutihaveinoiimpactioni
PAOP.

InfectiveiEndocarditisicanicauseiwhatikindiofiimpairment?i-
correctiansweriNeurologiciimpairment.iOneiofitheirisksiofiin

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