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2024 CCRN EXAM WITH CORRECT ANSWERS
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2024 CCRN EXAM WITH CORRECT ANSWERS
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2024 CCRN EXAM WITH CORRECTANSWERS
A 2 year old child is admitted with suspected meningococcemia. The parents
deteriorated rapidly in the emergency department and was transferred to
the critical care unit after receiving one 20 mL/kg normal saline bolts and
intravenous antibiotics. Initial assessment reveals a lethargic ill appearing
poorly perfused child with numerous purpuric skin lesions. Heart rate is 195
beats/ min respiratory rate is 44 breaths / min and blood pressure is 70/31
mm Hg. The most appropriate next step in treating this patient's hypotension
is - CORRECT-ANSWERSAdditional 20-40 mL/kg of intravenous normal saline
An intubates patient is monitored with continuous capnography ( end-tidal
carbon dio[EtCO2] monitoring). Which of the following conditions is most
likely to be associated with an increase in the patients baseline measured
EtCO2 - CORRECT-ANSWERSFever and hyperthermia
A healthy toddler is admitted to the critical care unit with a 2 hour history of
lethargy vomiting and bloody diarrhea. The child mother reports that he age
a hamburger for dinner the night before and tried out some of the mother's
prenatal vitamins earlier that day. Assessment reveals a lethargic
tachycardia hypotensive child with poor peripheral perfusion and diffuse
abdominal tenderness. Laboratory evaluation reveals a profound metabolic
acidosis with elevated anion gap elevated white blood cell count and
elevated serum glucose levels. Platelet count hematocrit and serum
creatinine are within normal limits. Given this information the most useful
additional study is - CORRECT-ANSWERSA serum iron level
A 16 month old boy presents with persistent cough after an older sibling
shared peanuts with him earlier in the day. A family member reports that he
had witnessed choking episode without apnea or cyanosis. Physical
examination reveals an alert interactive toddler with mild suprasternal
retractions and a frequent dry cough. Respiratory rate is 36 breaths / min
and oxygen saturation is 96% on room air. Auscultation of the chest reveals
expiratory wheezing in the right side. Standard two-view chest x-rays are
normal. Appropriate management of this patient consist of - CORRECT-
ANSWERSBronchoscopy
The critical care nurse is taking care of a previously healthy 21 month old
child who has been hospitalized for vomiting and dehydration secondary to a
presumed vital illness. His mother reports that the rest of the family has
, been I'll with a stomach virus recently as well. Despite intravenous fluid
resuscitation the nurse notes that the child has not improved clinically. He
continues to have intermittent crampy abdominal pain episodes that are
followed by bilious vomiting and he has grown progressively more listless
over the course of the nurses shift. Several hours into the shift he passes a
small amount of bloody mucus rectally. The most likely explanation for this
patients clinical deterioration is - CORRECT-ANSWERSProgression of an
unrecognized intussusception
A patient with status asthmatic us is intubated respiratory failure. Which of
the following statements about mechanical ventilation of the asthmatic
patient is true - CORRECT-ANSWERSAirway obstruction and air trapping leads
to greater risk of barotrauma with mechanical ventilation
A newborn infant is noted to have copious oral and nasal secretions despite
frequent bulb suctioning. Attempts to feed the infant result in coughing
episodes with associated respiratory distress and transient cyanosis. If this
infants symptoms are the result of a common type of congenital
tracheoesophageal fistula which of the following scenarios is likely after
placement of a nasogastric tube - CORRECT-ANSWERSInability to pass the
nasogastric tube or coiling of the tube in the mediastinal region
I'm which of the following situations would the critical care nurse expect
Helios therapy (inhaler helium -oxygen mixture) to be included in the
treatment plan - CORRECT-ANSWERSCroup
A critical care patient with air-leak syndrome is placed on a high-frequency
oscillatory ventilator. Which of the following statements about high-
frequency ventilation is the most accurate - CORRECT-ANSWERSHigh-
frequency ventilation combines extremely small tidal volumes with high
respiratory rates
A 9 year old child is admitted to the critical care unit for observation after
smoke inhalation secondary to a house fire. Initial assessment reveals an
awake patient with a hoarse voice and audible inspiratory strider who
appears anxious. Respiratory rate is 40 breaths / min and oxygen saturation
is 97% on room air. Given this information which of the following
interventions is most appropriate - CORRECT-ANSWERSIntubation
The critical care nurse is taking care of a critically ill patient with a
pulmonary artery catheter which allows for SvO2 (mixed oxygen saturation)
monitoring. A decrease in SvO2 well below normal is a reflection of which if
the following - CORRECT-ANSWERSExcessive tissue oxygen demand relative
to oxygen supply
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