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CCRN GI Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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You have a pt you are admitting that suffered an assault from which an individual used a metal pipe. You assess your patient to have ecchymosis to his left flank. You determine that your pt most likely has which of the following? a) hypocalcemia b) a ruptured spleen c) hemorrhagic pancreatitis...

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  • September 9, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ccrn gi

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  • CCRN GI
  • CCRN GI

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CCRN GI Questions
You have a pt you are admitting that suffered an assault from which an individual used a metal pipe. You
assess your patient to have ecchymosis to his left flank. You determine that your pt most likely has which
of the following?



a) hypocalcemia

b) a ruptured spleen

c) hemorrhagic pancreatitis

d)retroperitoneal bleeding - d) retroperitoneal bleeding



--The flank ecchymosis is indicative of Grey Turner's sign in the setting of recent trauma, this may have
lead to the retroperitoneal bleeding. Although Grey Turner's sign may be due to acute hemorrhagic
pancreatitis, the patient trauma is a more likely etiology.



Your coworker goes on break and asks you to "look out" for her patients. Her pt then calls you to the
room w/a complaint of "something doesn't feel right in my abdomen". After auscultating the pt's bowel
sounds, which of the following is present in an early mechanical bowel obstruction?



a) normal bowel sounds

b) hypoactive bowel sounds

c) hyperactive bowel sounds

d) absent bowel sounds - c) hyperactive bowel sounds



--In early bowel obstruction, the bowel sounds become hyperactive. In a late bowel obstruction, bowel
sounds become hypoactive or absent.



Upon your assessment of your patient, who has pancreatitis, you find the following values:

temp 37.1C, BP 98/64, HR 110, RR 28, SpO2 88% on 2L NC.

Her labs are WBC 19,000, Hgb 8.9, HCT 39%, Na 144, K 3.1, Ca 7.7, and glucose 224.

, Your remaining assessment reveals LLL crackles of the lungs and her abdomen w/ Cullen's sign. Besides
pancreatitis, what else do you think your patient may have?



a) SIRS, hemorrhagic pancreatitis, MODs and needing fluids

b) hemorrhagic shock, stress hyperglycemia, hypoxemia, and needing blood

c) dehydration, ARDS, stress hyperglycemia, and needs intubation

d) hypovolemic shock, diabetes, severe sepsis, and needing antibiotics - a) SIRS, hemorrhagic
pancreatitis, MODS and needing fluids



--Your patient has SIRS bc of the increased RR, HR, and WBC. Due to the Cullen's sign, your patient most
likely has hemorrhagic pancreatitis, w/signs of MODS by the low SpO2 and the low BP. Fluids are needed
r/t the massive fluid shifts in acute pancreatitis



--This pt does not have diabetes and does not need antibiotics. However, is at a high risk of ARDS but
does not have bilateral infiltrates or refractory hypoxemia



A new patient just arrived to the hospital s/p acute abdominal trauma. The patient is now experiencing
Kehr's sign. Which of the following may be the cause of Kehr's sign?



a) diaphragmatic irritation

b) liver contusion

c) ruptured kidney

d) ruptured bladder - a) diaphragmatic irritation



--Trauma that causes splenic rupture also causes diaphragmatic irritation and subsequent referred pain
to the left shoulder (Kehr's sign). The other choices do not cause Kehr's sign.




You are assisting on the admission of a new patient into the ICU for a diagnosis of bleeding esophageal
varies and hypovolemic shock. Which of the following closely resembles compensation for the
hypovolemic shock?

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