CCRN EXAM QUESTIONS AND ANSWERS, Exams of Nursing

Download CCRN EXAM QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity! CCRN EXAM QUESTIONS AND ANSWERS A temporary ppm was appled to a pt hr 42, now with temp ppm hr 70 in order to determine the threshold the nurse will - answers -decrease the output until capture is lost. A pt w hf is hypotn, tachycardia, dec u o cool clammy skin and dec loc. The rn should admin what meds - answers -positive inotropic agents, diuretics, vasodilators Which of the following should the rn assess for complications realted to an arteriogram - answers -renal function Which of the following abg values would b most indicative of a diagnosis of acute respiratory failure. 7.18, 70, 26 - answers -acute resp failure Pt with blunt chest injury from mvc, pt confused, cynaotic, pt bp fall 2 hr jvd increasing, most likely pt has - answers -cardiac tamponade Which of the following finding would be consistent with a dx of massive hemothorax - answers -dullness to percussion and absent breathsounds on affected side with tracheal deviation toward unaffected side. On the fith day post admission a pt w q wave in v1, v2, v3 develops hypotn and pansystolic murmur this is loudest at the lower left sternal border. The pt has mose likely developed - answers -a ruptured interventricular septum Which of the following artery cathereter findins would be anticipated in a pt with chronic emphysema - answers -increased cvp (central venouse pressure) Pt has been waiting ofr two months for a heart transplant. Family tells rn this is hopless the rn takes action to - answers -help maintian the intergity of the family system which is crucial in the transplant process. Which of the following lab results should be expected in a pt with severe acute pancreatitis - answers -elevated serum amylase, decreased serum clacium decdreased total protein A pt who does not speak or understand english is admitted to the unit guidelines for using a translator may include - answers -standing next to the translator and as close to the pt as possible. Which of the following abg results should the rn anticipate in a pt with a hitstory of chronic alcholosh - answers -7.25 37, 18, etoh are always acidodtic Which medication is most important in the emergency tx of asthma - answers -bronchodilators Which finding is most consistent with high left ventricular filling pressure - answers -bibasilar crackles Medistinal chest tubes are used to - answers -remove serosanguineous fluid from the operative site Kehr sign in a pt with blunt abd trauma most likely indicates which of the following - answers -diaphragm irritation Kehr sign is - answers -is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classical symptom of a ruptured spleen. The most appropriate initial intervention for an unstable pt with second degree av heart block type ii should be - answers -transcutaneous pacing Hypokalemia can be caused by - answers -diuretics and alkalosis When assessing a chest tube setup. The rn notes that the water rises during inspiration and falls during expiration this indicates - answers - normal pleural changes. An elderly pt in etoh wd is hallucinating about puppies bilting his toes. The rn should - answers -talk concertely about actual circumstances A pt is admitted co chest pain and n/v. Ecg reveals 2nd degreee av heart block type ii, as a result of an occulsion at which coronary artery - answers -left anterior descending A ami pt is critical and the wife is at the beside, the estranged wife arrives and demands the other woman be removed, the rn should - answers - request a multi disc care coference to discuss visitation and communicaton of pt status. A pt with hyperosmolare hyperglycemic state bg 836 is admitted for dehydration , what other lab values might rn anticipate - answers -elevated serum k+ and decreased serum na+ levels A vented pt is reciving tube feeds and has suspected aspiration. Which of the following pulmonary parameters should the nurse expect to observe - answers -increased pip (pulmonary interstital pressure) <3-5 cmh20 Which of the following is the treatment of choice for inadequate heparin reversal - answers -protamine sulfate Two hours after a permanent ddd ppm is inserted for a sick sinus syndrome the patient goes into afib, what pacing mode is indicated for pt - answers - vvi A primary concern when caring for a pt diagnosed with pancreatitits is to mntr fluid and electrolyte level closely because - answers -plasma vol is lost as pancreatic enzymes increase capillary premalbility During an assessment a pt with pancreatitis , a rn notes a spasm in the pt hand when a bp is inflated. This finding indicates which low electrolyte balance na+ or ca+ - answers -low serum ca++ A teenager post cardiac arrest has a new dx of hypertrophic cardiomyopathy. The parents are concerned about what to do if the pt collapses again. The rns best response would be - answers -would teachign you cpr help ease your anxieties/ Heparin should be used to tx pt with acute pulmonary embolus because it - answers -prevetns plts aggregation on an embolus Which mechainsms contributes to hypotension in septic shock - answers - peripheral vasodilation In the presence of blunt cardica trauma which finding supports the dx of myocardical contusion - answers -cardiac dysrhythmias Pt post op repair to great vessel from knift wound. Vs bp 60/40 hr 136. C xray wide mediastinum. Next intervention would be - answers -prepare for sternal re-exploration Pt 70kg w arf is mech vented on the following settings fio2 40, rate 6, vt 600 - answers -increase r rate to t12 also decrease vt 450 or 500 In a pt verapamil (ccb) one fothe following cardiovascular findings should be expected - answers -prolonged pr interval Which one can be effect of positive pressure ventilation - answers - decreased carbon dioxide < co2 A pt involve din a mva had severe head trauma, her father threatens to hurt someone if the staff does not save is daughter. Your best response is - answers -stand at right and to the father and say i can see you are upset about your daughter can we go to a conference room and talk. Following an abd aortic aneurysm repair a patient is confused and combative. After speaking with the family the nurse determines that the patient has delirium - answers -the speech is incoherent and rambling. The pt admitted to the unit with dyspnea and tachypnea and pulmonary congestion. A loud pansystolic murmur at the apex with a thrill develops. Prominet large v waves appear when a pulmonary artery occlusion pressure reading is done the rn should expect the pt has developed - answers -mitral valuve reguritation Death from status epilepticus is usually due to - answers -cerebral hypermetabolism A pt co of polyuria and polydipsia for the past several days is admt for obs. The pt take phenytonin 100 mg po tid, for sz, how would serium osmolaitly and serum na + be impacted decreased or increased - answers -serum osmolaity increased serum na+ increased A pt od is admitted sz on arrival vs bp 190/110, hr 125, rr 10, t 98.6 flushed dry skin, eyes are flickering up and down. Pupils 3mm dilated uds shows - answers -pcp In a pt w pe arterial hypoxemia may be due to a/an - answers -ventilation perfusion mismatch Which one is a definaitive procedure for dx pe - answers -pulmonary angiography A pt w hx of angian is admitted to unit after surgical repair of aaa. The pt recv nipride gtt for post op hypertension. 12 hr later pt co of back pain - answers -discontinue drip and prepare pt fore surgery After a right thoracotomy for removal of the middle and lower lobe, two chest tubes are attached to a chest drain system to - answers -re-establish negative pleural pressure The purpose of using peep in the tx of ali ansd pneumonia is to - answers - increase alveolar recruitment Which lab data is concsisten with dic - answers -decreased ptt, increased fibrin split products A pt is admitted to for od of methamphetamines. The rn should anticipate what - answers -provide volume repletion and beginning cooling A pt is admitted w femur fx. A cartoid pulse is not palpable and no spons resp are noted. The ecg showes nsr hr 130 - answers -cpr, epi, iv fluids A rn caring for a pt w a t5 spinal cord injury. To trnsf pt safely the rn should - answers -consult with the rehab staff regarding transfer critieria Nitrate therapy is indicated for the treatment of unstable angina because it - answers -decreases preload and decreased myocardial o2 demand