CCRN GI QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALE
CCRN EXAM
@LOS LIBROS
, Upon your assessment of your a) SIRS, hemorrhagic pancreatitis, MODS and needing fluids
patient, who has
pancreatitis, you find the --Your patient has SIRS bc of the increased RR, HR, and WBC. Due
following values: to the Cullen's sign, your patient most likely has hemorrhagic
temp 37.1C, BP 98/64, HR 110, RR pancreatitis, w/signs of MODS by the low SpO2 and the low BP.
28, SpO2 88% on Fluids are needed r/t the massive fluid shifts in acute
2L NC. pancreatitis
Her labs are WBC 19,000, Hgb 8.9,
HCT39%, Na
--This pt does not have diabetes and does not need antibiotics.
144, K 3.1, Ca 7.7, and
However, is at a high risk of ARDS but does not have bilateral
glucose 224. infiltrates or refractory hypoxemia
Your remaining
assessment reveals LLL
crackles of the lungs and her
abdomen w/ Cullen's sign. Besides
pancreatitis, what else do you
think your patient may have?
a) SIRS, hemorrhagic
pancreatitis, MODs and
needing fluids
b) hemorrhagic shock,
stress hyperglycemia,
hypoxemia, and needing
blood
c) dehydration, ARDS,
stress hyperglycemia, and
needs intubation
d) hypovolemic shock,
diabetes, severe sepsis, and
needing antibiotics
1
©®™
, A new patient just arrived to a) diaphragmatic irritation
the hospital s/p acute
abdominal trauma. The
--Trauma that causes splenic rupture also causes diaphragmatic
patient is now
irritation and subsequent referred pain to the left shoulder
experiencing Kehr's sign. Which of
(Kehr's sign). The other choices do not cause Kehr's sign.
the following may be the cause
of
Kehr's sign?
a) diaphragmatic irritation
b) liver contusion
c) ruptured kidney
d) ruptured bladder
Your coworker goes on c) hyperactive bowel sounds
break and asks you to
"look out" for her patients.
--In early bowel obstruction, the bowel sounds become
Her pt then calls you to the
hyperactive. In a late bowel obstruction, bowel sounds become
room w/a
hypoactive or absent.
complaint of "something doesn't
feel right in my abdomen". After
auscultating the pt's bowel
sounds, which of the following
is present in an early
mechanical bowel
obstruction?
a) normal bowel sounds
b) hypoactive bowel
sounds
c) hyperactive bowel
sounds
d) absent bowel sounds
2
©®™
CORRECT ANSWERS WITH
RATIONALE
CCRN EXAM
@LOS LIBROS
, Upon your assessment of your a) SIRS, hemorrhagic pancreatitis, MODS and needing fluids
patient, who has
pancreatitis, you find the --Your patient has SIRS bc of the increased RR, HR, and WBC. Due
following values: to the Cullen's sign, your patient most likely has hemorrhagic
temp 37.1C, BP 98/64, HR 110, RR pancreatitis, w/signs of MODS by the low SpO2 and the low BP.
28, SpO2 88% on Fluids are needed r/t the massive fluid shifts in acute
2L NC. pancreatitis
Her labs are WBC 19,000, Hgb 8.9,
HCT39%, Na
--This pt does not have diabetes and does not need antibiotics.
144, K 3.1, Ca 7.7, and
However, is at a high risk of ARDS but does not have bilateral
glucose 224. infiltrates or refractory hypoxemia
Your remaining
assessment reveals LLL
crackles of the lungs and her
abdomen w/ Cullen's sign. Besides
pancreatitis, what else do you
think your patient may have?
a) SIRS, hemorrhagic
pancreatitis, MODs and
needing fluids
b) hemorrhagic shock,
stress hyperglycemia,
hypoxemia, and needing
blood
c) dehydration, ARDS,
stress hyperglycemia, and
needs intubation
d) hypovolemic shock,
diabetes, severe sepsis, and
needing antibiotics
1
©®™
, A new patient just arrived to a) diaphragmatic irritation
the hospital s/p acute
abdominal trauma. The
--Trauma that causes splenic rupture also causes diaphragmatic
patient is now
irritation and subsequent referred pain to the left shoulder
experiencing Kehr's sign. Which of
(Kehr's sign). The other choices do not cause Kehr's sign.
the following may be the cause
of
Kehr's sign?
a) diaphragmatic irritation
b) liver contusion
c) ruptured kidney
d) ruptured bladder
Your coworker goes on c) hyperactive bowel sounds
break and asks you to
"look out" for her patients.
--In early bowel obstruction, the bowel sounds become
Her pt then calls you to the
hyperactive. In a late bowel obstruction, bowel sounds become
room w/a
hypoactive or absent.
complaint of "something doesn't
feel right in my abdomen". After
auscultating the pt's bowel
sounds, which of the following
is present in an early
mechanical bowel
obstruction?
a) normal bowel sounds
b) hypoactive bowel
sounds
c) hyperactive bowel
sounds
d) absent bowel sounds
2
©®™
