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CCRN 185 Questions With Answers |Success Guaranteed |2025
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Which of following nursing behaviors is usually most helpful to patients and families regarding end-of-life decisions? - ️️acting as an arbitrator between family members. Which of the following heart block complications would you monitor for in the setting of an anterior wall MI? - ️️2nd d...

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  • November 4, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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CCRN 185 Questions With Answers

Which of following nursing behaviors is usually most helpful to patients
and families regarding end-of-life decisions? - ✔ ✔ acting as an
arbitrator between family members.
Which of the following heart block complications would you monitor
for in the setting of an anterior wall MI? - ✔ ✔ 2nd degree Type II

Which of the following is an appropriate strategy when providing
mechanical ventilation for the patient with status asthmaticus? - ✔ ✔
Use lower respiratory rates
Which of the following is indicated during the embolization of an AV
malformation? - ✔ ✔ Heparin - anticoagulation will prevent clot
formation.
Which of the following is the earliest indication that the patient may be
aspirating oral feedings? - ✔ ✔ Tachypnea and tachycardia

Which of the following parameters most accurately estimates end-organ
perfusion? - ✔ ✔ Urinary output, lactate, ScvO2

Which of the following patients is likely to experience a heart block? -
✔ ✔ Mitral Valve repair

Which of the following would be expected in a patient experiencing
herniation & Cushing's triad? - ✔ ✔ Wide pulse pressure,
bradycardia, increased systolic pressure
Which patient according to ranson's criteria has poorest prognosis when
it comes to acute pancreatitis? - ✔ ✔ WBC 32,000; Glucose 220;
LDH 400

,2 Hallmark signs of HIT: - ✔ ✔ Decrease in platelet count over a 24
hr period.


New development of DVT despite being on VTE prophylaxis.
72 male patient in ICU for 6 days on the ventilator for treatment of a
COPD exacerbation. He has been receiving VTE prophylaxis and
subcutaneous Heparin since admission. Today his platelet count
decreased significantly to 43,000 and was found to have new DVT on
his right upper extremity. What do you suspect is the most likely cause
of these findings? - ✔ ✔ HIT


The hallmark sign of HIT is a significant decrease in platelet count over
a 24 hours period (>50%) within 5-10 days of administering Heparin.
The other hallmark sign is a new development of DVT despite being on
VTE prophylaxis.
78 yr old female fell at home 1 wk ago. She has been on Coumadin for
A-fib for over 1 year. She presents with a complaint of headache. Her
family states: "Mom has been acting weird for the past couple days."
Scenario is consistent with? - ✔ ✔ Subdural hematoma


A subdural bleed is usually a slow accumulating, venous bleed.
Abnormal neuro changes may not be seen for days or weeks.
A 56 yr male presents in heart block with a ventricular rate of 38 caused
from an intentional overdose from CCB. What is appropriate antidote? -
✔ ✔ Calcium

, A 56 yr-old male is admitted to the ICU with a blood pressure of
225/135 and complains of a headache and nausea. He reports he ran out
of blood pressure meds three days ago, but also appears to be confused
to the date and situation. What is the most appropriate treatment
approach? - ✔ ✔ Rapidly lower the diastolic pressure to 100 with IV
antihypertensive meds, then continue to gradually reduce the diastolic
pressure to 85 with oral antihypertensive meds.


The maximum initial decrease should be no more than 25% reduction
from initial presenting value. Reducing the blood pressure too quickly
can lead to cerebral edema or renal failure.
A continous infusion of Lorazepam for greater than 3 days can lead to an
accumulation of? - ✔ ✔ Propylene glycol.

A mechanically ventilated patient has been started on inhaled (Flolan)
for the tx of ARDS and refractory hypoxemia. Which hemodynamic
value evaluates the effectiveness of this intervention? - ✔ ✔
Decreased PAP
A medication regimen for a patient with hypertrophic Cardiomyopathy
would include? - ✔ ✔ CCB & Beta blockers

A patient has sepsis, receives Lactated ringers 500ml IV bolus. Which
finding indicate that this intervention is having it's intended effect? - ✔
✔ ScvO2 of 72%


Early goal directed therapy for sepsis includes early fluid resuscitation at
30 ml/kg to maintain a CVP of 8-12 or 12-15 if mechanically ventilated,

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