2024 CCRN EXAM QUESTIONS
WITH CORRECT ANSWERS
A pt was admitted with hepatic failure, and dehyrdration. Which tx should
the rn anticipate - correct-answerssupplement potassium repletion
A pt with a hx of heroin and etoh abuse is admitted for tx of cellulitis. Pt is
flushed, slighly moist skin, slow to respond affeceted arm is edematous hard
to touch and w yellow exudate from skin puncture wound. Vss bp 88/45, hr
124, rr 26, t 102. - correct-answersblood cultures, abx, rapid iv fluids.
Hemodynamic profile is most consistant with distributive shock, bp 84/42 cvp
6 paop 8 svr 450 - correct-answers
Svr range - correct-answers800-1200
Acute lung injury is characterized by - correct-answersan antecedent event,
refactory hypoxemia and tachypnea
A pt with hx of copd underwent l upper lobectomy, on vent, w nasogastric
feed, on day two rn notes chest tube drng is creamy colored. The pt is
afebrile w stable vss what should the rn anticipate - correct-
answersmonitoring protein and serum electrolyte levels
Which lab determinations is the perferred indicator in distinguishing
bewtween dka and hyperglycemia hyperosmolar state - correct-
answersserum osmolarity
Adb distention, atympanic percussion note and rushes of thigh ptiched
tinking sounds that coincide with abd cramping indicuates what - correct-
answersintestinal obstruction
A pt admitted after a mva. Pt restless cool, clammy skin, complains of chest
and back pain, breath sound diminished over left side, an upright chest x ray
reveals fx on the left 5-7th ribs and a 25% lef hemothorax - correct-
answerschest tube insertion, o2, fluid bolus
In the tx of congestive cardio myopathy appropriate drug therapy should be
aimed at - correct-answersdecrasing afterload and decreasing preload
, Symptoms of a small bowel obstruction are - correct-answerstender abd on
palpation
Which of the following is an advantage of pressure support ventilation -
correct-answersdecreased work of breathing
Cardiac surgery pt should the nurese anticipate to develop a post op heart
block a p with what - correct-answersa mitral valve repair
A pt who is a jehovah witness has hct 18% what should the rn admin -
correct-answersbegin crt autotransfusion
In the assessment of the pt with pulmonary consolidation what will most
likely be heard - correct-answersbronchial breath sounds and whispered
pectoriloquy
A pt with a four year hx of dm i is admitted w flu, pt is lethargic, repsonds to
name and follows commands, skin is dry and poor turgor. What has caused
the pt condition (electroyletes) - correct-answershypovolemia
A pt who does not speak english has just undergone an aortic valve
replacement. The pt is increaseingly restless and slplinting the chest with
both hands. And effective means of communication with this pt would be to -
correct-answerstouch using gestrures
A pt admitted w dx of acute coronary syndrome of the anterior wall. The pt
develops bibasilar crackles and load holosystolic murmur. A dx of ventricular
septal rupture cold be confirmed by - correct-answersincreased o2 saturation
level in the pulmonary artery and right ventricle
Resp therapy physical therpay, occ, and rn are all responsible for discharge
teaching, w each discipline currently docu on it own flow sheet. The best way
to coordinate teaching is to have - correct-answersall disciplines document
pt teaching on the same flow sheet.
The following findings are consistent w septic shock and acute lung injurthe
following findings are consistent w septic shock and acute lung injury -
correct-answerspo2 55 and sv02 86
Po2 ranges - correct-answers80-100 normal
Svo2 ranges - correct-answers60% - 80% normal
What is most indicative of septic shock low svr and high co or high svr and
low co - correct-answerslow svr and high co
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