adult CCRN/PCCN certification practice EXAM 2025
QUESTIONS AND CORRECT ANSWER
Which scenario would be the best example of secondary MODS?
A. Respiratory failure due to pneumonia
B. Acute respiratory distress syndrome secondary to pancreatitis
C. Neurologic anoxia due to hypoxemia
D. Renal Failure due to prolonged hypovolemic shock - answer>>>B. Acute respiratory distress
syndrome secondary to pancreatitis
Example of catecholamines are:
A. Mast cells, basophils, and eosinophils
B. Histamine, tryptase, and heparin
C. Histamine, epinephrine, and steroids
D. Epinephrine, norepinephrine, and dopamine - answer>>>D. Epinephrine, norepinephrine,
and dopamine
Which of following is a nursing priority when providing care to a patient during a seizure?
A. Ensure the patient has an open airway
B. Stay away from the patient
C. Administer Haldol
D. Padded tongue blade in mouth - answer>>>A. Ensure the patient has an open airway
The nurse assesses damage to the right cerebral hemisphere in a patient. Assessment finding
would include
,A. Deviation of the eyes to the left
B. Left homonymous hemianopia
C. Right hemi paresis
D. Right hemiplegia - answer>>>B. Left homonymous hemianopia
ICP continued to climb in a patient who has become unresponsive and vitals signs are as follows
B/P 190-70 Heart rate 45. The nurse understands this reflex to be:
A. Vaso-vagal response
B. Cushing's response
C. Slurred speech
D. Hypertensive crisis - answer>>>B. Cushing's response
Management of a patient with a subarachnoid hemorrhage would include the following
A. KVO Intravenous fluids
B. Beta blockers
C. Maintaining mean arterial blood pressure greater than 90
D. Hyperventilation - answer>>>C. Maintaining mean arterial blood pressure greater than 90
A 14-year-old with diabetes is admitted for hypoglycemia. The patient admits to the nurse that
he does not take insulin or check is blood sugar at school. Which of the following should the
nurse do?
A. Arrange for the patient to attend a diabetes support group for teenagers
B. Encourage the parents to take disciplinary action
C. Counsel the patient on the long term consequences of not taking insulin
, D. Hold a conference with the school nurse regarding the need for monitoring students with
diabetes - answer>>>A. Arrange for the patient to attend a diabetes support group for
teenagers
Mrs. Wethersby was admitted to the ICU with severe hypoxia due to bilateral pneumonia. She
was emergently intubated and placed on the following ventilator settings: Mode: Assist Control,
FiO2 100%, Rate 12, Tidal Volume 400, Peep 10. Thirty minutes later you draw an arterial blood
gas and the results are the following: pH 7.25, PaO2 180, PaCO2 50, HCO3 28.You anticipate
which of the following ventilator changes?
A. Decrease the tidal volume
B. Decrease the rate
C. Decrease the PEEP
D. Increase the rate - answer>>>D. Increase the rate
Your patient was recently told he has portal hypertension. You know that which of the
following statements about portal hypertension is true?
A. Portal hypertension may lead to an enlargement of the kidneys
B. Patients should adhere to a cardiac diet.
C. The most common cause of portal hypertension is hepatitis
D. Patients with portal hypertension are at risk for developing esophageal varices -
answer>>>D. Patients with portal hypertension are at risk for developing esophageal varices
Which of the following might cause a shift to the RIGHT on the oxyhemoglobin dissociation
curve?
A. Low 2, 3-DPG levels
B. Acidosis
C. Low pCO2
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