CCRN EXAM EXAM 2024-2025 QUESTIONS AND CORRECT
VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY
GRADED A+
When administering sodium pentobarbital (Nembutal) to a patient with a closed-head injury,
the goal is ? - ANSWER--Reduce cerebral metabolism
This med will decrease seizure activity which are important to stop in this kind of injury.
A patient with longstanding COPD is currently intubated and mechanically ventilated, has a
cardiac monitor, and has an arterial line in his left radial artery. A nurse should be concerned
with monitoring the ? - ANSWER--Telemetry for arrhythmias
A patient with a history of HTN and renal failure reports a headache: BP: is 210/126 HR: 106 RR:
22 - Which drug is the preferred choice?
- ANSWER--Labetalol (Trandate) is the drug of choice.
giving Nitroprusside would be bad due to patient having renal failure.
A patient with an inferior wall MI has sinus bradycardia with a BP 110/70 and HR 52. A nurse
should plan to ? - ANSWER--Continue to monitor vital signs
A patient is at the highest risk of developing aspiration pneumonia?
- ANSWER--Pt with endotracheal intubation with nasogastric tube
Which of the following physiological changes should a nurse anticipate when caring for a
postoperative pt with morbid obesity ?
- ANSWER--Decreased functional residual capacity
Which fluid is the initial treatment for severe DKA? - ANSWER--IV fluids 0.9%
Which of the following complicating factors is the most crucial in the care of a critically ill
patient with CKD? - ANSWER--Volume status, electrolyte imbalance, and vascular access
,A pt with a diagnosis of small bowel obstruction has a Miller-Abbott tube in place. A nurse's
first priority in the management of this tube is to? - ANSWER--Connect the tube to low
intermittent suction
A pt who is suspected to have developing SIRS, a nurse should monitor for? - ANSWER--WBC of
14,000 and HR 123
Leukocytosis and tachycardia, along with hyper/hypothermia and tachypnea, are the defining
criteria for SIRS
ABG of early STATUS ASTHMATICUS? - ANSWER--Respiratory Alkalosis
Lab values of increased INR, PTT, and FSP. Hgb, platelets, and fibrinogen are decreased. These
values indicate what? - ANSWER-- DIC
The goal of permissive hypothermia is to do what? - ANSWER-- decrease the ICP 15 or less.
Higher readings exert pressure on the structures of the brain and impede adequate blood flow
to the brain.
During resuscitation phase of caring for a patient with a liver injury from acute abdominal blunt
force trauma, the focus should be to ? - ANSWER--stabilize hemodynamics
What lab value is consistent with Rhabdomyolysis? - ANSWER-- hyperkalemia and hypocalcemia
Is pulmonary fibrosis related to Status Asthmaticus? - ANSWER--PF is generally idiopathic and
unrelated to Status Asthmaticus
Which of the following alterations in pulmonary status is most likely to occur in a pt with status
asthmaticus? - ANSWER--Hyperinflation
Which acid-base problem is mostly seen in pts with renal failure? - ANSWER--metabolic acidosis
, A pt develops extreme dyspnea, anxiety and coughing, with expectoration of pink frothy
sputum. Also has s3 gallop. What do you think this is? - ANSWER--Pulmonary edema
Use of histamine blockers can increase the risk of ? - ANSWER-- nosocomial pneumonia
A patient with a history of a-fib developed arm weakness, blurred vision, and facial droop 5
hours ago. What should the nurse initially anticipate? - ANSWER--a non-contrast CT scan to
determine if it is ischemic or hemorrhagic stroke
What signs would indicate that the pt is not tolerating the ventriculostomy? - ANSWER--
Leakage from the ventriculostomy site.
Causes of Pancreatitis ? - ANSWER--*Destruction of gallstones and pancreatic ducts
*Alcoholism
Trauma
What disturbances do you develop during pancreatitis? - ANSWER-- Hypocalcemia and HHNK
(hyperglycemia),left sided atelectasis and left sided pleural effusion and bilateral rales.
What do people with pancreatitis die from? - ANSWER--ARDS - it kills type II alveolar cells
Why do people with liver dz not clot well? - ANSWER--they don't have prothrombin and
fibrinogen
High levels of ammonia leads to what? - ANSWER--hepatic encephalopathy
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