Exam (elaborations)
2024 CCRN EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 CCRN EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 CCRN EXAM WITH CORRECTANSWERS
ICP Managment - CORRECT-ANSWERSsedation, pain control, proper
head/body alignment. Secondary Tx > hypertonic IVF, hyperventilation
Opiate Withdrawal - CORRECT-ANSWERSpinpoint pupils, diaphoresis,
tachycardia, HTN, PROLONGED QTC, inward deviation of the eye
Cushings Triad - CORRECT-ANSWERSbradycardia, WIDENING pulse pressure,
pinpoint pupils, ELEVATED SVR, decreased RR
Cerebral Vasodilation - CORRECT-ANSWERScompensation for elevated ICP
secondary to hypercarbia. Attempt to increase bloodflow WORSENS ICP
Amniotoc Fluid Rupture - CORRECT-ANSWERSpresents as severe shock
disproportinate to blood loss
Silicate OD - CORRECT-ANSWERSpresents as metabolic acidosis with grossly
failed resp conpensation (low PaCo2). Tx immediate hemodialysis
ITP S/S - CORRECT-ANSWERSpetechial hemorrhages on legs and oral
mucosa, Plts <50 or s/s of bleeding. Priority Tx > IGG and solumedrol
Thoracotomy Prognosis - CORRECT-ANSWERScan be predicted by pt VT post
procedure
ICP S/S - CORRECT-ANSWERSprogression in order from LOC change, pupillary
change, and lastly V.S. changes
qSOFA - CORRECT-ANSWERS3 organ dysfx criteria are SBP <100, RR >20,
GCS <15
Meth OD - CORRECT-ANSWERSinitial Tx priorities are to give fluids and
initate cooling
HCTZ Diuretics - CORRECT-ANSWERScause increased release of thyroid
hormone, HYPOkalemia, HYPOcholeremia which together l/t metabolic
ALKALOSIS
, Massive PE S/S - CORRECT-ANSWERShypotension and hypoxia r/t increased
dead-space ventilation, hypotension, tachycardia, tachypnea. EKG > peaked
p-waves in lead ii, R BBB, STE v1,v2
Anteroseptal AMI - CORRECT-ANSWERSSTE in leads v1, v2, v3. D/t partial
LAD occlusion > l/t 2nd degree AVB type 2
Mediastinal CT - CORRECT-ANSWERSremoves SEROSANGUINOUS fluid from
Sx site, Gently milk clots. IMMEDIATLEY notify MD if output > 100ml/hr X2
Hypercalcemia - CORRECT-ANSWERSassociated w/CHB, HTN, hypokalemia,
bradyarrythmias
Fever - CORRECT-ANSWERSperistent state l/t metabolic acidosis, cardiac
strain intravascular dehydration, RAPID increase in cerebral O2 consumption
Abrupt reclosure of Coronary Artery - CORRECT-ANSWERSpresents w/ S/S of
STEMI WITHOUT chest pain
WPW Syndrome - CORRECT-ANSWERSEKG changes > short PRI, inverted t-
waves. Admin of DIGOXIN/CCB/ADENOSINE during a-fib may induce V-fib.
High risk of sudden cardiac arrest, delta waves, onset usually presents
before age 30
SCI Complications - CORRECT-ANSWERSMOST COMMON IS
3333333333 UTI, then PNA, sepsis, decubitus ulcers, paralytic illeus, and
arrythmias
Ventriculostomy Clamping - CORRECT-ANSWERSintolerance assessed by
leakage from ventriculostomy site
Dantrolene - CORRECT-ANSWERSNEVER admin CCB's high likelihood of
deterioration to v-fib
ETOH Abuse - CORRECT-ANSWERShyperphosphatemia l/t hypomagnesia,
increased ADH l/t fluid retention. Tachycardia, diaphoresis, dilated pupils.
Hyponatremia and hypokalemia
Hemodynamic measurements - CORRECT-ANSWERSare more accurate if
done after end of t-wave
Pelvic Fx - CORRECT-ANSWERSimmediate priorities are volume/blood
replacement followed by adequate nutrition
Tidal Volume - CORRECT-ANSWERSnot based on actual weight, based on IBW
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now