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2024 PASS CCRN TEST BANK EXAM WITH CORRECT ANSWERS
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2024 PASS CCRN TEST BANK EXAM WITH CORRECT ANSWERS
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2024 PASS CCRN TEST BANKEXAM WITH CORRECT ANSWERS
These are symptoms that may indicate the serious adverse effect of
metformin of lactic acidosis and rhabdomyolysis.
A.
Decreased urine specific gravity
B.
Increased hematocrit
C.
Central venous pressure greater than 8 mm Hg
D.
Decreased systemic vascular resistance (SVR) - CORRECT-ANSWERSB.
Increased hematocrit
The patient lost fluid, so the hematocrit would be increased because the
blood is hemoconcentrated. If the patient had lost blood, the hematocrit
would be decreased.
Platelet-activating factor, development of microclots, and activation of the
fibrinolytic system in septic shock set the stage for which of the following?
A.
Disseminated intravascular coagulation (DIC)
B.
Pulmonary embolism
C.
Acute arterial occlusion
D.
Myocardial infarction - CORRECT-ANSWERSA. Disseminated intravascular
coagulation (DIC)
A sound occurring in early diastole caused by a rapid opening of a stenotic
mitral valve is which of the following?
A.
An S4
B.
A pansystolic murmur
,C.
An ejection click
D.
An opening snap - CORRECT-ANSWERSD.
An opening snap
A 54-year-old man is admitted to the critical care unit with acute kidney
injury resulting from a bladder tumor. This would be classified as which type
of acute kidney injury?
A.
Prerenal
B.
Intrarenal—medullary
C.
Intrarenal—cortical
D.
Postrenal - CORRECT-ANSWERSD. Post renal
Which of the following would not be an important aspect of care for a patient
having bariatric surgery?
A.
Having appropriate bariatric equipment available
B.
Preventing prejudice based on size and weight
C.
Ensuring privacy for procedures
D.
Maintaining confidentiality - CORRECT-ANSWERSB.
Preventing prejudice based on size and weight
A patient had a nephrectomy 2 days ago. He is reluctant to breathe deeply
because he says it hurts, despite narcotic administration by patient-
controlled analgesia. It is suspected that he has developed atelectasis. Which
of the following is not characteristic of atelectasis?
A.
Crackles audible over lung bases
B.
Decrease in SpO2
C.
Temperature of 38.3° C (101° F)
D.
Dullness on percussion - CORRECT-ANSWERSD. Dullness on percussion
,Which of the following would be contraindicated in a patient with Wolff-
Parkinson-White (WPW) syndrome?
A.
Amiodarone
B.
Lidocaine
C.
Adenosine
D.
Verapamil - CORRECT-ANSWERSD. Verapamil
A 27-year-old woman arrives in the emergency department 3 weeks after the
vaginal delivery of her first child. She is transferred to the critical care unit
after an acute onset of dyspnea and chest pain. Vital signs are blood
pressure, 120/88 mm Hg; heart rate, 122 beats/min; and respiratory rate, 32
breaths/min. Arterial blood gases reveal a pH of 7.48, a PaCO2 of 30 mm Hg,
an HCO3 of 24 mEq/L, a PaO2 of 55 mm Hg, and an arterial oxygen
saturation of 89% on 100% oxygen by nonrebreathing mask. Jugular venous
distention is evident, and cardiac auscultation reveals an accentuated P2 and
a right-sided S3 and S4. A ventilation/perfusion scan indicates high
probability of a pulmonary embolism. Which of the following is not evident by
the heart sound changes?
A.
Pulmonary hypertension
B.
Right ventricular strain and noncompliance
C.
Right ventricular failure
D.
Pulmonary edema - CORRECT-ANSWERSD. Pulmonary edema
Which of the following produces intrapulmonary shunt?
A.
Pulmonary embolism
B.
Shock
C.
Pneumonia
D.
Hypoxemia - CORRECT-ANSWERSC. Pneumonia
, In giving his health history, a 65-year-old man states that he has pain in his
legs when he walks fast or uphill. He says the pain goes away when he slows
down or stops to rest. This is an indication of which of the following?
A.
Acute arterial occlusion
B.
Chronic arterial insufficiency
C.
Deep vein thrombophlebitis
D.
Varicose veins - CORRECT-ANSWERSB. Chronic arterial insufficiency
Which of the following drugs may increase the QT interval by 50% or more?
A.
Verapamil
B.
Metoprolol
C.
Lidocaine
D.
Procainamide - CORRECT-ANSWERSD. Procainamide
Which of the following is not a cause of metabolic acidosis?
A.
Diuretics
B.
Hypoperfusion
C.
Insulin deficiency
D.
Starvation - CORRECT-ANSWERSA. Diuretics
A 52-year-old man is admitted with hepatic failure caused by chronic
alcoholism. He is nonresponsive to verbal stimuli at this time. Which
intervention would not specifically decrease serum ammonia levels in
patients with hepatic encephalopathy?
A.
Administration of rifaximin
B.
Administration of lactulose
C.
Provision of adequate caloric intake
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