AACN CCRN FINAL MOCK EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
1. A patient in septic shock has a MAP of 55 mmHg despite fluids. What is the
next best intervention?
A. Administer furosemide
B. Start norepinephrine infusion
C. Give beta-blocker
D. Restrict fluids
Septic shock with persistent hypotension requires vasopressor support after fluid
resuscitation.
Correct answer: B. Start norepinephrine infusion
2. Which ABG indicates respiratory acidosis?
A. pH 7.48, PaCO₂ 30
B. pH 7.30, PaCO₂ 55
C. pH 7.50, HCO₃ 30
D. pH 7.40, PaCO₂ 40
Respiratory acidosis is characterized by low pH and elevated CO₂.
Correct answer: B. pH 7.30, PaCO₂ 55
3. Priority intervention for ventricular fibrillation?
A. Amiodarone
B. Defibrillation
C. Atropine
D. Adenosine
,VF is a pulseless shockable rhythm requiring immediate defibrillation.
Correct answer: B. Defibrillation
4. Sign of early hypovolemic shock?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Warm skin
Compensatory tachycardia is an early sign.
Correct answer: C. Tachycardia
5. Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
Hyperkalemia affects cardiac conduction causing peaked T waves.
Correct answer: B. Hyperkalemia
6. First-line drug for anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Steroids
Epinephrine reverses bronchospasm and vasodilation.
Correct answer: B. Epinephrine
7. Which condition causes Kussmaul respirations?
, A. COPD
B. DKA
C. Asthma
D. Pneumonia
Kussmaul breathing is compensatory for metabolic acidosis in DKA.
Correct answer: B. DKA
8. Best indicator of tissue perfusion?
A. Blood pressure
B. Heart rate
C. Urine output
D. Respiratory rate
Urine output reflects renal perfusion and overall tissue perfusion.
Correct answer: C. Urine output
9. Most appropriate fluid for initial sepsis resuscitation?
A. D5W
B. 0.9% Normal saline
C. 3% saline
D. Albumin only
Isotonic crystalloids are first-line in sepsis.
Correct answer: B. 0.9% Normal saline
10. Signs of increased intracranial pressure (ICP)?
A. Bradycardia, hypertension
B. Tachycardia, hypotension
C. Fever and rash
D. Polyuria
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
1. A patient in septic shock has a MAP of 55 mmHg despite fluids. What is the
next best intervention?
A. Administer furosemide
B. Start norepinephrine infusion
C. Give beta-blocker
D. Restrict fluids
Septic shock with persistent hypotension requires vasopressor support after fluid
resuscitation.
Correct answer: B. Start norepinephrine infusion
2. Which ABG indicates respiratory acidosis?
A. pH 7.48, PaCO₂ 30
B. pH 7.30, PaCO₂ 55
C. pH 7.50, HCO₃ 30
D. pH 7.40, PaCO₂ 40
Respiratory acidosis is characterized by low pH and elevated CO₂.
Correct answer: B. pH 7.30, PaCO₂ 55
3. Priority intervention for ventricular fibrillation?
A. Amiodarone
B. Defibrillation
C. Atropine
D. Adenosine
,VF is a pulseless shockable rhythm requiring immediate defibrillation.
Correct answer: B. Defibrillation
4. Sign of early hypovolemic shock?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Warm skin
Compensatory tachycardia is an early sign.
Correct answer: C. Tachycardia
5. Which electrolyte imbalance causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
Hyperkalemia affects cardiac conduction causing peaked T waves.
Correct answer: B. Hyperkalemia
6. First-line drug for anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Steroids
Epinephrine reverses bronchospasm and vasodilation.
Correct answer: B. Epinephrine
7. Which condition causes Kussmaul respirations?
, A. COPD
B. DKA
C. Asthma
D. Pneumonia
Kussmaul breathing is compensatory for metabolic acidosis in DKA.
Correct answer: B. DKA
8. Best indicator of tissue perfusion?
A. Blood pressure
B. Heart rate
C. Urine output
D. Respiratory rate
Urine output reflects renal perfusion and overall tissue perfusion.
Correct answer: C. Urine output
9. Most appropriate fluid for initial sepsis resuscitation?
A. D5W
B. 0.9% Normal saline
C. 3% saline
D. Albumin only
Isotonic crystalloids are first-line in sepsis.
Correct answer: B. 0.9% Normal saline
10. Signs of increased intracranial pressure (ICP)?
A. Bradycardia, hypertension
B. Tachycardia, hypotension
C. Fever and rash
D. Polyuria
