CCRN EXAM LATEST 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+
Terms in this set (41)
An 18 year old is admitted (A) Abnormal sodium does NOT cause QT
with a history of syncopal prolongation. In contrast, a low magnesium,
episode at the mall and potassium, or calcium, may cause QT prolongation
has a history of an eating and may result in TORSADES DE POINTES ventricular
disorder. The nurse notes tachycardia and, if self-limiting, transient syncopal
a prolonged QT on the 12- episodes.
lead EKG and anticipates a
reduction in an electrolyte
to be the cause. Which of
the following is LEAST
likely to cause this
patient's problems?
(A) sodium
(B) magnesium
(C) potassium
(D) calcium
,A 29 year old female has (B) The motor vehicle crash most likely resulted in a
been in the critical care crash injury with destruction of skeletal muscle cells
unit for 2 days after a (rhabdomyolysis). This results in the release of massive
motor vehicle crash and amounts of creatinine kinase (CK) that, in turn, may
has developed acute CLOG renal tubules and lead to acute tubular
tubular necrosis (ATN). necrosis (ATN). Choice (A) is not correct as there is no
She was normotensive on history of bleeding. Choice (C), creatinine release, is
admission. What would be too vague, could be minor, and does not cause ATN.
the most likely cause of Arrhythmias, choice (D), are not included in the
ATN? scenario.
(A) hemorrhage
(B) rhabdomyolysis
(C) creatinine release
(D) cardiac dysthymias
A 52 year old male (A) The patient has signs of organ dysfunction (heart
presents with complaints failure) secondary to extreme hypertension.
of blurred vision and Therefore, he has hypertension crisis or emergency.
shortness of breath. B/P is The B/P needs to be emergently decreased. Most
232/136, heart rate 102, often this treatment is best done in an ICU.
respiratory rate 28 with
crackles in lower lung
fields bilaterally, with S3
and S4 heart sounds on
auscultation. Which of the
following would be
indicated for this patient?
(A) nitroprusside drip,
admit to critical care unit
(B) digoxin, furosemide
(C) labetalol drip, admit to
a medical unit
(D) lisinopril, calcium
channel blocker
, A 58 year old patient (D) The clinical description may be that of acute
developed chest pain that coronary syndrome complicated by hypotension.
he scored as an "8" Rapid Addressing the hypotension is a priority as this is
assessment included further decreasing coronary artery perfusion. A fluid
profuse diaphoresis, B/P bolus would address hypotension, and no
78/52, heart rate contraindications seem to be present for a fluid bolus
104/minute, respiratory as lungs are clear. Aspirin is indicated for acutely
rate 20/minute, lungs chest pain and could be given while preparing to do
clear, and SpO2 98%. The the EKG, which is needed to help make the diagnosis.
patient is currently
connected to the bedside
monitor with a nasal
cannula at 2 L/min in place
and intravenous fluids, 0.9
NS at a rate of 10 ml/hour.
Which of the following
sequences of
interventions would be the
most appropriate for the
nurse at this time?
(A) give a chewable
aspirin, do an EKG, and
start a fluid bolus
(B) give NTG sublingual,
increase the FiO2 and give
morphine
(C) do an EKG, give NTG
sublingual, and give a
chewable aspirin
(D) start a fluid bolus, give
a chewable aspirin, and do
an EKG
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