CCRN EXAM &A 2023

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 - answer- 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 - answer- positive inotropic agents, diuretics, vasodilators Which of the following should the rn assess for complications realted to an arteriogram - answer- renal function Three days after admission from the pacuy a pt becomes restless and attempting to climb out of bed and chew the iv lines. Rn should assess for - answer- ability to carry on a coherent conversation The major effect of acute lung injury (ali) on the lung tissue is - answer- decresead compliance A pt w congintive impairement from medications, fluid & electrolyte imblance anoxia or surgery is at high risk for - answer- attempting suicide A pt is admitted with subarachnoid hemorrhage. The nurse should anticipate with of the following - answer- avoid hypoventilation A major goal for a pt who is 48 hour post valve replacement surgery is to - answer- prevent thrombus formation Which nursing action might decrease a pt self esteem - answer- requiring the pt to participate in all treatments A pt w end stage liver & hep c is delcared brain dead. The parents decide to discontinue feeding and donate their daughters organs. Rn most appropriate action by the rn is to - answer- contact the organ procurement agency Which of the following 12 lead ecg changes should be expected in a pt w acute cornary syndrome involving the inferior wall - answer- q wave, segment elevation and deeply inverted t waves in lead ii iii and avf A direct effect of sodium nitroprusside (nipride) is to - answer- decrease afterload Which of the following parameters indicates successful management of right ventriculare failure - answer- decreased cvp (central venous pressure). A pt is confused about the time and place, despire frequent reorientation. For pt saftey the rn should -