Neuro CCRN- Critical Care Registered Nurse Study Questions 2024/2025 Fully Solved 100%
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Module
Neuro CCRN- Critical Care Registered Nurse
Institution
Neuro CCRN- Critical Care Registered Nurse
Neuro CCRN- Critical Care Registered Nurse Study Questions 2024/2025 Fully Solved 100%
The CCRN certification exam assesses a nurse’s knowledge and expertise in caring for critically ill patients, including topics such as hemodynamics, pharmacology, and patient assessment. Nurses who pass the e...
NEURO CCRN- CRITICAL CARE REGISTERED NURSE STUDY QUESTIONS
Neuro CCRN- Critical Care
Registered Nurse Study Questions
2024/2025 Fully Solved 100%
A Post craniotomy Patient Develops Respiratory Failure And Requires Emergency
Intubation. Rapid Sequence Intubation (RSI) Is Proposed For The Intubation Process.
Which Of The Following Drugs Would Be The Preferred Induction Drug In
Neurological Patients?
A. Succinylcholine
B. PROPOFOL
C. Vecuronium
D. Midazolam
The Preferred Induction For RSI In Patients With Increased ICP Is A Short-Acting
Agent Such As Propofol Or Etomidate. Midazolam Is A Longer Acting Sedative And
May Interfere With Neurological Assessment. A Paralytic Agent May Be Added But
Should Also Be A Short-Acting Nondepolarizing Agent. Succinylcholine Is Short
Acting But Is A Depolarizing NMB Agent. It Can Cause Hyperkalemia, Malignant
Hyperthermia, And Increased ICP In Patients With Intracerebral Lesions. A Short-
Acting Nondepolarizing Agent Is Rocuronium. Vecuronium Is A Longer Acting NMB
Agent With A Potential For Prolonged Paralysis.
A Patient Is Admitted To The ICU With An ICH From Chronic HTN. His BP Is
Currently 210/108 Mmhg. The Physician Has Ordered BP Parameters Of 130-150
Mmhg. Which Of The Following Antihypertensives Would More Likely Exacerbate
Cerebral Edema And Increase ICP?
A. Labetalo
Lb. Nicardipine
C. Esmolol
D. NIPRIDE
When Maintaining A Lower BP To Manage Hemorrhagic Strokes, The Most
Commonly Used Antihypertensives Are Β-Blockers And Calcium Channel Blockers.
Alpha-Blockers, Such As Nipride, Can Cause Significant Vasodilation Of The
Cerebral Vessels, Resulting In An Increase In Cerebral Edema And ICP. Continuous
Infusion Of Antihypertensive Agents Would Indicate The Need To Use Shorter
, NEURO CCRN- CRITICAL CARE REGISTERED NURSE STUDY QUESTIONS
Acting, More Titratable Drugs Such As Nicardipine Or Esmolol. Labetalol Is
Commonly Used As An IV Prn Medication To Lower BP In Neurological Patients.
Following An SAH, A Patient Has Been Noted To Have A Sodium Level Of 124 Meq/L.
He Was Found To Have Cerebral Salt Wasting Syndrome And 3% Hypertonic Nacl
Was Ordered To Correct The Sodium Level. Which Of The Following Can Be A
Complication Of Administering The Hypertonic Solution Too Rapidly?
A. Cerebral Herniation
B. Coma
C. CPM
D. Cerebral Edema
CPM Is A Complication That Results From Increasing Serum Sodium Levels Too
Rapidly. This Increases Serum Osmolality. Serum Sodium Levels Should Not Be
Increased More Than 12 Meq/L Over A 24-Hour Period. Frequent Sodium-Level
Checks Should Be Followed During The Infusion Of 3% Nacl. Cerebral Edema, Coma,
And Cerebral Herniation Are Potential Complications When Serum Osmolality Is
Lowered Too Rapidly, Causing Fluid To Shift Out Of The Vascular Space Into The
Tissue.
A Patient With A History Of MG Is Admitted Because Of Increased Weakness. His
Vital Capacity And Negative Inspiratory Force Were Evaluated By The Respiratory
Therapist And Impending Respiratory Failure Was Predicted. He Stated He Had Been
Feeling Bad Lately And Had Been Doubling His Dose Of Pyridostigmine. Which Of
The Following Is The Most Likely Cause For The Respiratory Failure?
A. Cushing's Syndrome
B. Steroid Overdose
C. Myasthenia Crisis
D. CHOLINERGIC CRISIS
In An MG Patient, Both A Myasthenia Crisis And A Cholinergic Crisis Can Result In
Respiratory Weakness And Failure. The Hint In This Question Is That The Patient
Was Taking Double His Dose Of Pyridostigmine, Which Is An Anticholinesterase
Inhibitor. Cholinergic Crisis Is A Result Of Exaggerated Cholinergic Activity And Is
Characterized By Respiratory Failure, Bradycardia, Urinary Retention, And Increased
Oral Secretions. Myasthenia Crisis Is Typically A Result Of Failure To Take
Medications Or Ineffectiveness Of The Medications.
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