CCRN Practice Test 1 Questions and Answers

CCRN Practice Test 1 Questions and
Answers
AfterMattendingManMeducationalMsessionMthatMreviewedMdrugMdosingMandMprovidedMaMr
eviewMofMtheMliterature,MtheMnurseMwouldMlikeMtoMstartMusingMtheMadmissionMweight
MtoMcalculateMdrugMdosingMduringMtitrationMofMvasoactiveMdrugsMratherMthanMtheMcurr
entMpracticeMofMusingMdailyMweights.MWhatMwouldMbeMtheMmostMeffectiveMnextMstep
MforMtheMnurseMtoMtakeMtoMimplementMthisMchange?

(A)MBeginMtheMadaptationMofMtheMpracticeMbyMusingMtheMadmissionMweightMforMpatien
ts.M

(B)MIdentifyMtheMkeyMstakeholdersMrelatedMtoMtheMproposedMchangeMinMpractice.M

(C)MAskMtheMattendingMphysicianMonMroundsMwhatMherMthoughtsMareMaboutMtheMpract
ice.M

(D)MDiscussMtheMeducationalMsessionMwithMnurseMcolleagues.M-
MAnswerM(B)MIdentifyMtheMkeyMstakeholdersMrelatedMtoMtheMproposedMchangeMinMprac
tice.



AMpatientMpresentsMwithMaMproductiveMcough,Mhypoxemia,MaMfever,Mhypotension,Mtachy
cardia,MandMtachypnea.MHypoxemiaMwasMcorrectedMwithMtheMadministrationMofMoxygen.
MWhichMofMtheMfollowingMshouldMbeMdoneMnext?

(A)MAdministerMantibiotics.

(B)MStartMaMvasopressor.M

(C)MCollectMaMsputumMculture.M

(D)MInitiateM0.9MnormalMsaline.M-MAnswerM(D)MInitiateM0.9MnormalMsaline.



AMpatientMwithMaMurinaryMtractMinfectionMpresentedMwithMaMtemperatureMofM39°CM(10
2.2°F),MaMheartMrateMofM132Mbeats/minute,MaMrespiratoryMrateMofM24Mbreaths/minute,
MaMBPMofM78/49M(aMMAPMofM59MmmHg),MandMaMlactateMofM2.8Mmmol/L.MTheMpatie
ntMreceivedM2MLMofM0.9MNSMwithinM1Mhour.MTheMBPMisMnowM100/52M(theMMAPMis
M68MmmHg),MtheMheartMrateMisM118Mbeats/minute,MtheMrespiratoryMrateMisM20Mbreat
hs/minute,MandMtheMlactateMisM2.1Mmmol/L.MTheMpatientMrequiresMtreatmentMfor:

(A)Mbacteremia.M

(B)Msepsis.M

(C)MSIRS.

(D)MsepticMshock.M-MAnswerM(B)Msepsis.

,AMpatientMisM48MhoursMpostMaorticMvalveMreplacement.MWhichMofMtheMfollowingMwoul
dMbeMaMmajorMgoalMforMthisMpatient?

(A)MdiureticMtherapyM

(B)MstabilizingMtheMbloodMpressureM

(C)MprophylacticMantibioticsM

(D)MpreventingMaMthrombusM-MAnswerM(D)MpreventingMaMthrombus



AMpatientMwithMhypoxicMencephalopathyMhasMbeenMopeningMhisMeyesMtoMtouchMforMt
heMpastM24Mhours.MTheMpatientMnowMwithdrawsMtoMpainfulMstimuli,MhasMdevelopedMu
nequalMpupils,MandMhasMaMpositiveMBabinskiMreflex.MWhichMofMtheMfollowingMinterventi
onsMshouldMtheMnurseManticipate?

(A)Mventriculostomy,Moxygen,Msteroids

(B)Msedation,MvasopressinM(Pitressin),MthiazideMdiuretic

(C)MosmoticMdiuretic,Mintubation,MandMmonitorMtheMpCO2

(D)MlumbarMpunctureMandMincreaseMtheMFiO2M-
MAnswerM(C)MosmoticMdiuretic,Mintubation,MandMmonitorMtheMpCO2



AM19-year-
oldMpatientMwhoMwasMadmittedMwithMsickleMcellMcrisisMandMacuteMkidneyMinjuryMreque
stsMtoMuseMaMphoneMtoMupdateMherMfriendsMonMherMcondition.MTheMnurse'sMbestMre
sponseMwouldMbeMto:

(A)MexplainMtoMtheMpatientMthatMcallsMcanMbeMmadeMwhenMsheMisMtransferredMoutM
ofMtheMcriticalMcareMunit.

(B)MallowMtheMpatientMtoMmakeMtheMcallsMinMorderMtoMmeetMtheMpatient'sMneedMfor
MsocialMsupport.

(C)MexplainMtoMtheMpatientMthatMsheMneedsMtoMrestMinMorderMforMtheManalgesicMme
dicationMtoMtakeMeffect.

(D)MallowMtheMpatientMtoMmakeMtheMcallsMinMorderMtoMreduceMtheMpatient'sManxiety.
M-
MAnswerM(B)MallowMtheMpatientMtoMmakeMtheMcallsMinMorderMtoMmeetMtheMpatient's
MneedMforMsocialMsupport.



TheMunitMqualityMcouncilMwantsMtoMreduceMtheMnumberMofMCAUTIS.MWhichMofMtheMf
ollowingMstrategiesMhasMbeenMdemonstratedMtoMreduceMincidencesMofMCAUTIS?

(A)MRemoveMtheMindwellingMurinaryMcatheterMonMdayM3Mpost-op.

(B)MPlaceMtheMdrainageMcollectionMsystemMonMtheMpatient'sMabdomenMduringMtransport.

,(C)MAssessMtheMcompetencyMofMtheMstaffMusingMaMsimulatedMenvironment.

(D)MAvoidMtheMuseMofMintermittentMstraightMcatheterization.M-
MAnswerM(C)MAssessMtheMcompetencyMofMtheMstaffMusingMaMsimulatedMenvironment.



AMpatientMhasMcardiogenicMshockMandMcardiogenicMpulmonaryMedema.MWhichMofMtheMf
ollowingMtherapiesMwouldMbeMmostMeffectiveMforMthisMpatient?

(A)ManMintra-aorticMballoonMpumpMtoMincreaseMcoronaryMarteryMperfusion

(B)MaMbetaMblockerMtoMincreaseMcardiacMcontractility

(C)ManMalpha-adrenergicMdrugMtoMincreaseMcoronaryMarteryMperfusion

(D)Mangiotensin-convertingMenzymeMinhibitorsMtoMdecreaseMafterloadM-
MAnswerM(A)ManMintra-aorticMballoonMpumpMtoMincreaseMcoronaryMarteryMperfusion



TheMcareMteamMisMconsideringMwhetherMaMpatientMisMaMcandidateMforMhospiceMcare.M
WhichMofMtheMfollowingMisMaMspecificMserviceMprovidedMbyMhospiceMcare?

(A)MadvanceMcareMplanning

(B)MsymptomMmanagementM

(C)McareMforMaMterminalMillnessM

(D)MconsiderationMofMpatient/familyMwishesM-MAnswerM(C)McareMforMaMterminalMillness



AMpatientMhasMaMhistoryMofMchronicMrespiratoryMfailureMsecondaryMtoMCOPDMandMnow
MhasMacuteMrespiratoryMfailureMsecondaryMtoMpneumonia.MUponMarrivalMatMtheMcritical
McareMunit,MhisMABGsMwereMaMpHMofM7.29,MaMPaCO2MofM77,MaMPaO2MofM51,Mand
ManMHCO3MofM31.MHeMisMreceivingMnoninvasiveMventilationMwithMsettingsMthatMreadMa
sMfollows:MFiO2M0.40,MIPAPM12Mcm,MandMEPAPM5Mcm.MAfterM1MhourMofMtherapy,Mth
eMpatient'sMABGMresultsMareMaMpHMofM7.20,MaMPaCO2MofM89,MaMPaO2MofM48,Mand
ManMHCO3MofM32.

WhatMisMtheMcorrectMevaluationMofMthisMdata?

(A)MAlveolarMhyperventilationMisMgettingMworse;MtheMBiPAPMsettingsMneedMadjustment.

(B)MMetabolicMacidosisMisMworse;MtheMFiO,MneedsMtoMbeMincreased.

(C)MAlveolarMhypoventilationMisMgettingMworse;MtheMpatientMneedsMtoMbeMintubated.

(D)MTheMpHMisMacceptableMforMaMpatientMwithMCOPD;McontinueMtheMcurrentMtherapy.
M-
MAnswerM(C)MAlveolarMhypoventilationMisMgettingMworse;MtheMpatientMneedsMtoMbeMint
ubated.



WhichMofMtheMfollowingMisMtrueMregardingMplateauMpressure?

, (A)MItMisMaMpressureMthatMisMusedMtoMcalculateMstaticMcomplianceMandMreflectsMpress
ureMinMtheMlungs.

(B)MItMisMaMpressureMthatMisMusedMtoMcalculateMvitalMcapacityMandMreflectsMpressure
MinMtheMlungs.

(C)MItMisMaMpressureMthatMisMusedMtoMcalculateMdynamicMcomplianceMandMreflectsMpr
essureMinMtheMairways.

(D)MItMisMaMpressureMthatMisMusedMtoMmeasureMtidalMvolumeMandMreflectsMpressureM
inMtheMairways.M-
MAnswerM(A)MItMisMaMpressureMthatMisMusedMtoMcalculateMstaticMcomplianceMandMrefl
ectsMpressureMinMtheMlungs.



AMpatientMisMadmittedMwithMaMsalicylateMoverdose.MWhichMofMtheMfollowingMtreatment
sMisMmostMeffectiveMforMthisMpatient?

(A)MN-acetylcysteine,MsupportMtheMairway,Mfluids

(B)MgastricMlavage,ManMantidote,Mfluids

(C)MactivatedMcharcoal,MurineMalkalinization,Mdialysis

(D)MsupportMtheMairway,MgastricMlavage,MethanolM-
MAnswerM(C)MactivatedMcharcoal,MurineMalkalinization,Mdialysis



WhichMofMtheMfollowingMpatientsMwhoMhaveMsustainedMmultipleMtraumaMisMmostMlikely
MhowMtoMhaveMaMpoorMoutcomeMbasedMonMpatientMcharacteristics?

(A)MtheMcollegeMgraduate

(B)MtheMownerMofMaMsuccessfulMbusinessM

(C)MtheMmarriedMman

(D)MtheMhomelessMmanM-MAnswerM(D)MtheMhomelessMman



WhichMofMtheMfollowingMmayMbeMaMreasonMtoMuseMrestraintsMforMaMpatient?

(A)MTheMpatientMisMscreamingMobscenities.M

(B)MTheMpatientMisMspitting.

(C)MTheMpatientMisMpullingMatMhisMcentralMvenousMcatheter.

(D)MTheMpatientMhasManMendotrachealMtube.M-
MAnswerM(C)MTheMpatientMisMpullingMatMhisMcentralMvenousMcatheter.



AMpatientMhasMacuteMrightMventricularMinfarctMandMRVMfailure.MWhichMofMtheMfollowin
gMisManMindicationMthatMthisMpatient'sMconditionMhasMimproved?