CCRN Test Bank
Study online at https://quizlet.com/_8w1wr4
1. Which 12-lead ECG changes Correct Answer: ST segment elevation and deeply inverted T waves
should be expected in a pa- in leads II, III and AvF
tient with ACS involving the
inferior wall? An inferior wall MI is associated with changes in leads II, III and
a) ST segment elevation in aVF. ST segment elevation in leads V4-V6 and aVL are associated
leads II, III and all the pre- with an anterolateral MI. ST elevation in leads II, III, and all of the
cordial leads precordial leads are consistent with a lateral wall MI. ACS is not
b) ST segment elevation and associated with changes in leads II, III and aVL. Leads I and aVL are
deeply inverted T waves in the lateral leads. ST segment depression is indicative of ischemia
leads II, III and AvF or an NSTEMI.
c) ST segment elevation and REF: Morton PG, Fontaine DK. 2018.
deeply inverted T waves in
leads V4-V6, I and aVL
d) ST segment depression
and T wave elevation in
leads II, III and AvL
2. When teaching a family Learn best if they percieve a need to learn;
member to perform an as- Family members learn best if they perceive a need to learn. This is
pect of patient care, the consistent with adult learning theory. Establishing a "need to know"
nurse should understand is an important first step for optimal educational efforts. The timing
that family members... of education is important for an optimal outcome to be realized.
Teaching unrelated tasks will not enhance learning and is a waste
a) learn best if shown a com- of the family's and provider's time. Learners are goal-oriented and
plex procedure all at once. want to make a connection between what they are being taught
b) are unaffected by the tim- and the goal (skill or knowledge) needed to solve a problem. If
ing of teaching. they recognize the relevance of the task, they are more likely to be
c) learn unrelated tasks successful
first.
d) learn best if they perceive
a need to learn.
, CCRN Test Bank
Study online at https://quizlet.com/_8w1wr4
3. Which may cause the devel- Hypothermia;
opment of fixed pupils?
Hypothermia may cause fixed pupils. Hyperoxia (oxygen toxicity)
a) hyperoxia does not result in fixed pupils. However, hypoxia may cause wide
b) olfactory damage and fixed pupils due to midbrain damage. Opiates may cause
c) hypothermia pinpoint pupils, but they are not fixed. The olfactory nerve is re-
d) opiates sponsible for the sense of smell.REF: Morton PG, Fontaine DK.
2018.
4. Which places the older Use of psychotropic drugs is a risk factor for older adults develop-
adult at greater risk for alco- ing alcohol-induced disease. This is due to the synergetic effects
hol-induced disease? of psychotropic drugs and alcohol. Alcohol enhances the sedative
effects of frequently used psychotropic drugs. Older adults have a
slower metabolism, a smaller volume of body water, and a decrease
in lean body tissue associated with aging.
5. Following hip replacement Anticipate a return to the operating room.
surgery, an elderly patient
with a history of diabetes, The patient has risk factors (elderly, diabetes, alcohol and liver dis-
hepatic insufficiency and al- ease) and signs ( Staph infection) of necrotizing fasciitis. Necrotic
cohol abuse has a post- tissue must be completely excised and explored to clean tissue and
operative course complicat- ensure the infection does not directly inoculate bone tissue. Strict
ed by the development of isolation is not required as necrotizing fasciitis is not contagious.
a STAPHYLOCOCCUS infec- Negative-pressure wound therapy could be used once the wound
tion at the surgical site. has undergone debridement of necrotic tissue. Local and systemic
Which intervention has the infection must be completely controlled before wound closure is
highest priority? a) Antici- addressed.REF: Morton, P.G. & Fontaine, D.K. (2018).
pate a return to the operat-
ing room.
b) Prepare the patient for
wound closure.
c) Apply negative-pressure
Study online at https://quizlet.com/_8w1wr4
1. Which 12-lead ECG changes Correct Answer: ST segment elevation and deeply inverted T waves
should be expected in a pa- in leads II, III and AvF
tient with ACS involving the
inferior wall? An inferior wall MI is associated with changes in leads II, III and
a) ST segment elevation in aVF. ST segment elevation in leads V4-V6 and aVL are associated
leads II, III and all the pre- with an anterolateral MI. ST elevation in leads II, III, and all of the
cordial leads precordial leads are consistent with a lateral wall MI. ACS is not
b) ST segment elevation and associated with changes in leads II, III and aVL. Leads I and aVL are
deeply inverted T waves in the lateral leads. ST segment depression is indicative of ischemia
leads II, III and AvF or an NSTEMI.
c) ST segment elevation and REF: Morton PG, Fontaine DK. 2018.
deeply inverted T waves in
leads V4-V6, I and aVL
d) ST segment depression
and T wave elevation in
leads II, III and AvL
2. When teaching a family Learn best if they percieve a need to learn;
member to perform an as- Family members learn best if they perceive a need to learn. This is
pect of patient care, the consistent with adult learning theory. Establishing a "need to know"
nurse should understand is an important first step for optimal educational efforts. The timing
that family members... of education is important for an optimal outcome to be realized.
Teaching unrelated tasks will not enhance learning and is a waste
a) learn best if shown a com- of the family's and provider's time. Learners are goal-oriented and
plex procedure all at once. want to make a connection between what they are being taught
b) are unaffected by the tim- and the goal (skill or knowledge) needed to solve a problem. If
ing of teaching. they recognize the relevance of the task, they are more likely to be
c) learn unrelated tasks successful
first.
d) learn best if they perceive
a need to learn.
, CCRN Test Bank
Study online at https://quizlet.com/_8w1wr4
3. Which may cause the devel- Hypothermia;
opment of fixed pupils?
Hypothermia may cause fixed pupils. Hyperoxia (oxygen toxicity)
a) hyperoxia does not result in fixed pupils. However, hypoxia may cause wide
b) olfactory damage and fixed pupils due to midbrain damage. Opiates may cause
c) hypothermia pinpoint pupils, but they are not fixed. The olfactory nerve is re-
d) opiates sponsible for the sense of smell.REF: Morton PG, Fontaine DK.
2018.
4. Which places the older Use of psychotropic drugs is a risk factor for older adults develop-
adult at greater risk for alco- ing alcohol-induced disease. This is due to the synergetic effects
hol-induced disease? of psychotropic drugs and alcohol. Alcohol enhances the sedative
effects of frequently used psychotropic drugs. Older adults have a
slower metabolism, a smaller volume of body water, and a decrease
in lean body tissue associated with aging.
5. Following hip replacement Anticipate a return to the operating room.
surgery, an elderly patient
with a history of diabetes, The patient has risk factors (elderly, diabetes, alcohol and liver dis-
hepatic insufficiency and al- ease) and signs ( Staph infection) of necrotizing fasciitis. Necrotic
cohol abuse has a post- tissue must be completely excised and explored to clean tissue and
operative course complicat- ensure the infection does not directly inoculate bone tissue. Strict
ed by the development of isolation is not required as necrotizing fasciitis is not contagious.
a STAPHYLOCOCCUS infec- Negative-pressure wound therapy could be used once the wound
tion at the surgical site. has undergone debridement of necrotic tissue. Local and systemic
Which intervention has the infection must be completely controlled before wound closure is
highest priority? a) Antici- addressed.REF: Morton, P.G. & Fontaine, D.K. (2018).
pate a return to the operat-
ing room.
b) Prepare the patient for
wound closure.
c) Apply negative-pressure
