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ccrn aacn practice questions with correct answers

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ccrn aacn practice questions with correct answers A patient with a history of bronchogenic carcinoma is admitted with respiratory failure. the patient is intubated and on mechanical ventilation. the patient develops lethargy, headache, slight confusion and abdominal cramping urinary output is de...

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  • October 23, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AACN
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ccrn aacn practice questions with correct answers


A patient with a history of bronchogenic carcinoma is admitted with respiratory failure. the patient is

intubated and on mechanical ventilation. the patient develops lethargy, headache, slight confusion and

abdominal cramping urinary output is decreasing and significant lab data includes


Serum Na+ 127


Serum osmolality 270


urine specific gravity elevated - Ans:✔✔-Initiation of fluid restriction -


this pt has risk factors signs and symptoms of SIADH


fluid restriction slows glomerular filtration and blood flow enhances proximal reabsorption of sodium

and water increases aldosterone secretion and enhances distal tubule sodium reabsorption. chemo may

alleviate some of the water retention caused by some cancers but non will completely inhibit ADH

secretions. three percent saline administration in severe case only


A pt is being admitted in HHS with dehydration and a serum glucose level of 836 mg/dl. Which additional

laboratory findings should the nurse anticipate? - Ans:✔✔-> elevated BUN > Elevated creatinine

>elevated osmolality




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




HHNS - Hyperosmolar hyperglycemic nonketonic state


A 49 year old patient male recently admitted with an inferiors wall MI resulting from 100% occlusion of

the right coronary artery (RCA). The 12 lead ECG reveals ST elevation in leads 11, 111, and aVf. you would

expect to see reciprocal changes in which leads? - Ans:✔✔-1 and aVL the RCA perfuses the inferior wall

and the mirror image or reciprocal changes would be seen in the the high lateral wall, which is reflected

in leads 1 and avl on the 12 lead ECG. Lead v1 and v2 correlate with the septal area, lead v 3 and v4

correlate with the anterior area of the heart


a patient is admitted following a MVA , Lab data reveal elevated creatinine phosphokinase and

myoglobin. What should the nurse anticipate? - Ans:✔✔-Rhabdomyolysis -MVA is a risk factor for

rhabdomyolysis and lab data consistent with condition


a patient is admitted with pulmonary hypertension. What should lead the nurse to suspect pulmonary

fibrosis - Ans:✔✔-dyspnea at rest


a patient is admitted 2 days ago with a large subdural hematoma has a rectal temp of 104. the fever is

treated with iv acetaminophen and ice packs. Two hours later the fever increased to 104.9 what should

the nurse be most concerned for .... - Ans:✔✔-central nervous system ischemia - the patient most likely

has a neurogenic fever due to injury of the hypothalamus


A patient is at greatest risk for developing critical illness polyneuropathy? a patient with - Ans:✔✔-

Lactate of 4.6 - sepsis has a strong link to the development of critical illness polyneuropathy



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