CCRN PRACTICE QUESTIONS WITH 100%
SOLUTIONS 2024 LATEST UPDATED
GRADED 100% PASS.
A 47-year-old male has been admitted to the CCU from the emergency
room with a history of sudden diaphoresis, nausea, vomiting and radiating
pain down his left arm. He reports no significant medical history, and has
been a two PPD smoker since his early twenties. His admitting diagnosis is
UA/NSTEMI and he is being prepped for cardiac catheterization for
possible angioplasty with stent placement. What type of medication orders
might the nurse see prior to his procedure?
a. Clopidogrel and ASA
b. Clopidogrel and prasugrel
c. Clopidogrel and meperidine
d. Prasugrel, ASA, and hyoscyamine - Solution a. Clopidogrel and ASA
Agnes is a 65-year-old white female who has a history of pulmonary
fibrosis with steroid use for the past two years with concomitant
hypertension. She has been on oxygen therapy at 4L per nasal cannula for
the past 3 years. Recently, her first great-grandchild was born, and she
decided to quit smoking. Three days ago, she experienced nausea and
dizziness and was admitted to the CCU with a diagnosis of acute
myocardial infarction. During shift change, Agnes' low blood pressure alarm
sounds. Upon assessment, she is diaphoretic and has severe dyspnea.
What is the most likely cause of her symptoms?
a. Exacerbation of pulmonary fibrosis
b. Pulmonary embolism
c. Recurrent myocardial infarction
d. Papillary muscle rupture - Solution d. Papillary muscle rupture
Norman is a 65-year-old paraplegic who resides in a nursing home. He
presents with a 3-day history of increased temperature, productive cough,
and increased weakness. His caregiver states that he had developed a
decubitis ulcer, and has not been able to tolerate sitting in his wheelchair,
so has been in bed for the past week. Bibasilar crackles are audible on
,auscultation, with overall diminished breath sounds bilaterally. Obvious
respiratory distress is apparent with tachypnea, suprasternal retractions
and use of accessory muscles. Vitals: T-100.2F, HR-120, RR-28, BP
104/50, O2 Sat on RA - 88%. An initial chest x-ray reveals the "spine sign"
and a normal cardiac silhouette. What is the most likely cause of Norman's
condition?
a. CAP
b. HCAP
c. NHAP
d. HAP - Solution c. NHAP - Nursing home acquired pneumonia
What does the finding of "spine sign" on a chest x-ray indicate?
a. Pre-existing spinal injury
b. Kyphosis
c. Pneumonia
d. Scoliosis - Solution c. Pneumonia
If a patient is suspected of having an episode of acute hypoglycemia, which
of the following is NOT the most appropriate first intervention?
a. Draw a STAT blood glucose level.
b. Give the patient a ½ glass of orange juice.
c. Give the patient IV dextrose or IM glucagon.
d. Check the blood glucose with a glucometer. - Solution a. Draw a STAT
blood glucose level.
Marilyn is a Type I diabetic who has been admitted to the unit after a
severe hypoglycemic episode in which she lost consciousness. She states
that she has had many episode of hypoglycemia, but just does not seem to
know when they are coming on anymore. What is the term for this
phenomenon?
a. Hypoglycemia tolerance
b. Hypoglycemia unawareness
c. Hypoglycemia latency
d. Hypoglycemia neurosis - Solution b. Hypoglycemia unawareness
,Of the following, which is included in the etiology of idiopathic
thrombocytopenic purpura (ITP)?
a. Splenomegaly
b. Hepatomegaly
c. IgG autoantibodies
d. Bone marrow depression - Solution c. IgG autoantibodies
Of the following, which is NOT a consideration when administering IVIg
therapy?
a. Patient's age and comorbidities
b. Brand of IVIg product used
c. Patient's socioeconomic status
d. Access to emergency medications - Solution c. Patient's socioeconomic
status
What is the most common site of rupture of a cerebral aneurysm with
resulting subarachnoid hemorrhage (SAH)?
a. Anterior cerebral artery
b. Middle cerebral artery
c. Anterior communicating artery
d. Posterior communicating artery - Solution c. Anterior communicating
artery
Donna is a 43-year-old teacher who was admitted 6 days ago with a
ruptured middle cerebral artery (MCA) aneurysm with subarachnoid
hemorrhage (SAH). She underwent surgery for aneurysm clipping 12 hours
after admission, and has had an excellent post-operative course. However,
this morning, she complained of a severe headache, became acutely
confused and quickly progressed to unresponsiveness. What is the likely
cause for Donna's change of status?
a. Expansion of her original SAH
b. Uncal herniation
c. Cerebral vasospasm
d. Medication reaction - Solution c. Cerebral vasospasm
, Matthew is a 26-year-old who has been admitted to the ICU following a
motor vehicle accident. Upon assessment, it is noted that he has a positive
Cullen sign. What does this indicate?
a. Basilar skull fracture
b. Retroperitoneal hemorrhage
c. Pelvic fracture
d. Aortic tear - Solution b. Retroperitoneal hemorrhage
If bowel sounds are audible when auscultating Matthew's lungs, what injury
may he have sustained?
a. Ruptured spleen
b. Ruptured liver
c. Diaphragmatic injury
d. Gastric tear - Solution c. Diaphragmatic injury
If a patient sustains acute renal failure (ARF) secondary to cardiogenic
shock, what type of renal failure is this considered?
a. Intrinsic
b. Prerenal
c. Postrenal
d. Iatrogenic - Solution b. Prerenal
The RIFLE classification system provides a definition and classification
system for acute renal failure (ARF). What does the "R" in the RIFLE
acronym refer to?
a. Risk of renal dysfunction
b. Rapid response to failure
c. Role of dialysis
d. Recurrence of intrinsic disease - Solution a. Risk of renal dysfunction
Andrew is a 47-year-old with advanced amyotrophic lateralizing sclerosis
(ALS). He requires total assistance for positioning, bathing and mobility. His
swallowing is impaired, so he takes nothing by mouth and receives nutrition
through tube feedings via a gastrostomy tube. Based on his current
condition, what type of asphyxia may Andrew be most susceptible to?
SOLUTIONS 2024 LATEST UPDATED
GRADED 100% PASS.
A 47-year-old male has been admitted to the CCU from the emergency
room with a history of sudden diaphoresis, nausea, vomiting and radiating
pain down his left arm. He reports no significant medical history, and has
been a two PPD smoker since his early twenties. His admitting diagnosis is
UA/NSTEMI and he is being prepped for cardiac catheterization for
possible angioplasty with stent placement. What type of medication orders
might the nurse see prior to his procedure?
a. Clopidogrel and ASA
b. Clopidogrel and prasugrel
c. Clopidogrel and meperidine
d. Prasugrel, ASA, and hyoscyamine - Solution a. Clopidogrel and ASA
Agnes is a 65-year-old white female who has a history of pulmonary
fibrosis with steroid use for the past two years with concomitant
hypertension. She has been on oxygen therapy at 4L per nasal cannula for
the past 3 years. Recently, her first great-grandchild was born, and she
decided to quit smoking. Three days ago, she experienced nausea and
dizziness and was admitted to the CCU with a diagnosis of acute
myocardial infarction. During shift change, Agnes' low blood pressure alarm
sounds. Upon assessment, she is diaphoretic and has severe dyspnea.
What is the most likely cause of her symptoms?
a. Exacerbation of pulmonary fibrosis
b. Pulmonary embolism
c. Recurrent myocardial infarction
d. Papillary muscle rupture - Solution d. Papillary muscle rupture
Norman is a 65-year-old paraplegic who resides in a nursing home. He
presents with a 3-day history of increased temperature, productive cough,
and increased weakness. His caregiver states that he had developed a
decubitis ulcer, and has not been able to tolerate sitting in his wheelchair,
so has been in bed for the past week. Bibasilar crackles are audible on
,auscultation, with overall diminished breath sounds bilaterally. Obvious
respiratory distress is apparent with tachypnea, suprasternal retractions
and use of accessory muscles. Vitals: T-100.2F, HR-120, RR-28, BP
104/50, O2 Sat on RA - 88%. An initial chest x-ray reveals the "spine sign"
and a normal cardiac silhouette. What is the most likely cause of Norman's
condition?
a. CAP
b. HCAP
c. NHAP
d. HAP - Solution c. NHAP - Nursing home acquired pneumonia
What does the finding of "spine sign" on a chest x-ray indicate?
a. Pre-existing spinal injury
b. Kyphosis
c. Pneumonia
d. Scoliosis - Solution c. Pneumonia
If a patient is suspected of having an episode of acute hypoglycemia, which
of the following is NOT the most appropriate first intervention?
a. Draw a STAT blood glucose level.
b. Give the patient a ½ glass of orange juice.
c. Give the patient IV dextrose or IM glucagon.
d. Check the blood glucose with a glucometer. - Solution a. Draw a STAT
blood glucose level.
Marilyn is a Type I diabetic who has been admitted to the unit after a
severe hypoglycemic episode in which she lost consciousness. She states
that she has had many episode of hypoglycemia, but just does not seem to
know when they are coming on anymore. What is the term for this
phenomenon?
a. Hypoglycemia tolerance
b. Hypoglycemia unawareness
c. Hypoglycemia latency
d. Hypoglycemia neurosis - Solution b. Hypoglycemia unawareness
,Of the following, which is included in the etiology of idiopathic
thrombocytopenic purpura (ITP)?
a. Splenomegaly
b. Hepatomegaly
c. IgG autoantibodies
d. Bone marrow depression - Solution c. IgG autoantibodies
Of the following, which is NOT a consideration when administering IVIg
therapy?
a. Patient's age and comorbidities
b. Brand of IVIg product used
c. Patient's socioeconomic status
d. Access to emergency medications - Solution c. Patient's socioeconomic
status
What is the most common site of rupture of a cerebral aneurysm with
resulting subarachnoid hemorrhage (SAH)?
a. Anterior cerebral artery
b. Middle cerebral artery
c. Anterior communicating artery
d. Posterior communicating artery - Solution c. Anterior communicating
artery
Donna is a 43-year-old teacher who was admitted 6 days ago with a
ruptured middle cerebral artery (MCA) aneurysm with subarachnoid
hemorrhage (SAH). She underwent surgery for aneurysm clipping 12 hours
after admission, and has had an excellent post-operative course. However,
this morning, she complained of a severe headache, became acutely
confused and quickly progressed to unresponsiveness. What is the likely
cause for Donna's change of status?
a. Expansion of her original SAH
b. Uncal herniation
c. Cerebral vasospasm
d. Medication reaction - Solution c. Cerebral vasospasm
, Matthew is a 26-year-old who has been admitted to the ICU following a
motor vehicle accident. Upon assessment, it is noted that he has a positive
Cullen sign. What does this indicate?
a. Basilar skull fracture
b. Retroperitoneal hemorrhage
c. Pelvic fracture
d. Aortic tear - Solution b. Retroperitoneal hemorrhage
If bowel sounds are audible when auscultating Matthew's lungs, what injury
may he have sustained?
a. Ruptured spleen
b. Ruptured liver
c. Diaphragmatic injury
d. Gastric tear - Solution c. Diaphragmatic injury
If a patient sustains acute renal failure (ARF) secondary to cardiogenic
shock, what type of renal failure is this considered?
a. Intrinsic
b. Prerenal
c. Postrenal
d. Iatrogenic - Solution b. Prerenal
The RIFLE classification system provides a definition and classification
system for acute renal failure (ARF). What does the "R" in the RIFLE
acronym refer to?
a. Risk of renal dysfunction
b. Rapid response to failure
c. Role of dialysis
d. Recurrence of intrinsic disease - Solution a. Risk of renal dysfunction
Andrew is a 47-year-old with advanced amyotrophic lateralizing sclerosis
(ALS). He requires total assistance for positioning, bathing and mobility. His
swallowing is impaired, so he takes nothing by mouth and receives nutrition
through tube feedings via a gastrostomy tube. Based on his current
condition, what type of asphyxia may Andrew be most susceptible to?
