CCRN practice test questions & answers
A patient with a history of coronary artery disease and fib is admitted with severe abdominal
pain, N/V/D, Angiography confirms a mesenteric artery occlusion. The nurse should anticipate
the priority treatment to be: - ANSWERSsurgery
NOT anticoagulation
Which parameter indicated successful management of right ventricular failure?
-decreased PAOP
-decreased CVP
-increased PAD - ANSWERSdecreased CVP
PAOP and PAD are not elevated in right ventricular failure
A patient is admitted with chest heaviness, muffled heart sounds, jugular venous distention and
hypotension following a stab wound to the chest. For which should the nurse INITIALLY prepare
the patient?
-titrate levo
-echocardiogram
-judicious iv fluid management - ANSWERSechocardiogram
risk for cardiac tamponade, echo is most accurate diagnosis, levo not indicated at this time,
aggressive fluid should precede the administration of vasoactive agents
Immediate treatment for malignant hyperthermia. - ANSWERSDantrolene (Dantrium)
,Which critically ill patient history should alert the nurse to assess for potential chronic kidney
disease prior to the patient receiving an injection of dye prior to a procedure? A history of
-20 years of uncontrolled hypertension and diabetes mellitus
- 5 years of diabetes mellitus and glomerulonephritis - ANSWERSdiabetes mellitus and
uncontrolled hypertension for 20 years
patient with comorbidities for longer times have a higher right of injury to the glomerulus
A patient with prolonged immobility should be monitored for: - ANSWERSdecreased CVP
also increased HR or reface tachy, negative nitrogen state, and decrease in functional residual
capacity, pain, urine retention
A patient who works the night shift is accustomed to taking medication at night instead of in the
morning and needs to get back on a regular schedule. The first dose is scheduled for 0900. The
most appropriate response would be to: - ANSWERScontact the pharmacy and request that
administration times be changed to meet the patients individual needs
consistent with caring practices, participation in care, and participation in decision making, the
patients wishes should be granted
Patient with rapid shallow breathing index greater than _______, a PaO2/FiO2 ration less than
________ and VT less ________ than all indicates high risk for extubation failure. -
ANSWERS105
150
5ml/kg
,Vital capacity is the maximum amount of air the patient can exhale following maximum
inhalation. The minimum vital capacity is _________.
A PaO2/Fi02 ration of less an 300 is indicative of ARDS.
A normal minute ventilation is __________. - ANSWERS15 mL/kg
5-8L/min
Which is the initial treatment for severe diabetic ketoacidiosis?
-oral fluids
-iv fluids- normal saline
-subq insulin
- dextrose - ANSWERSiv fluids normal saline
-fluid replacement should be first until adequate perfusion is restored
-pt with severe hypernatremia may be stared on 0.45% saline infusion
-iv insulin for severe DKA
-no oral many pt leathery coma nausea and vomiting
A patient with a history of chronic heart failure is intubated and received a 500 ml IV bolus of
0.9% sodium chloride is now anxious and restless. The ventilator is alarming with high pressure
limit. Data are:
160/92, HR122, RR 30 SaO2 90%
Nurse she anticipate an order to administer:
- hydralazine
-lorazapam- Ativan
, -furosemide -lasix
-albuterol - ANSWERSfurosemide (lasix)
pt with history of heart failure are susceptible to developing acute pulmonary edema when
receiving iv fluids. diuretics are the preferred treatment. antihypertensive medications and
sedatives will not treat the underlying cause
A patient is admitted following a colon resection with a midline abdominal incision.
Postoperativiley acute surgical would dehiscence occurs and negative pressure wound
treatment therapy is facilitate wound closure is in progress. Nursing management should
include: - ANSWERSensuring drape is occlusive and foam is collapsed
foam should not be left in place
dressing changes every 48-72 hours
A patient who is ventilatory dependent has been hospitalized. The provider has indicated that
the patient will be discharged home in one week with a tracheostomy's and gastrostomy. In
order to determine the discharge needs of the patient, the nurse should arrange for:
- a multidisciplinary care conference prior to discharge
- an outreach educator to determine the learning needs of the family
-a social worker to meet with the family and assess the adequacy of the home environment
-home nursing care for the first few days following discharge - ANSWERSa social worker to meet
with them family ad assess the adequacy of the home environment
A patient was admitted for a c7 fracture two weeks ago. Which is a priority assessment for
prevention of complications?
-chest xray
- examine sacral skin
-pedal pulse checks
A patient with a history of coronary artery disease and fib is admitted with severe abdominal
pain, N/V/D, Angiography confirms a mesenteric artery occlusion. The nurse should anticipate
the priority treatment to be: - ANSWERSsurgery
NOT anticoagulation
Which parameter indicated successful management of right ventricular failure?
-decreased PAOP
-decreased CVP
-increased PAD - ANSWERSdecreased CVP
PAOP and PAD are not elevated in right ventricular failure
A patient is admitted with chest heaviness, muffled heart sounds, jugular venous distention and
hypotension following a stab wound to the chest. For which should the nurse INITIALLY prepare
the patient?
-titrate levo
-echocardiogram
-judicious iv fluid management - ANSWERSechocardiogram
risk for cardiac tamponade, echo is most accurate diagnosis, levo not indicated at this time,
aggressive fluid should precede the administration of vasoactive agents
Immediate treatment for malignant hyperthermia. - ANSWERSDantrolene (Dantrium)
,Which critically ill patient history should alert the nurse to assess for potential chronic kidney
disease prior to the patient receiving an injection of dye prior to a procedure? A history of
-20 years of uncontrolled hypertension and diabetes mellitus
- 5 years of diabetes mellitus and glomerulonephritis - ANSWERSdiabetes mellitus and
uncontrolled hypertension for 20 years
patient with comorbidities for longer times have a higher right of injury to the glomerulus
A patient with prolonged immobility should be monitored for: - ANSWERSdecreased CVP
also increased HR or reface tachy, negative nitrogen state, and decrease in functional residual
capacity, pain, urine retention
A patient who works the night shift is accustomed to taking medication at night instead of in the
morning and needs to get back on a regular schedule. The first dose is scheduled for 0900. The
most appropriate response would be to: - ANSWERScontact the pharmacy and request that
administration times be changed to meet the patients individual needs
consistent with caring practices, participation in care, and participation in decision making, the
patients wishes should be granted
Patient with rapid shallow breathing index greater than _______, a PaO2/FiO2 ration less than
________ and VT less ________ than all indicates high risk for extubation failure. -
ANSWERS105
150
5ml/kg
,Vital capacity is the maximum amount of air the patient can exhale following maximum
inhalation. The minimum vital capacity is _________.
A PaO2/Fi02 ration of less an 300 is indicative of ARDS.
A normal minute ventilation is __________. - ANSWERS15 mL/kg
5-8L/min
Which is the initial treatment for severe diabetic ketoacidiosis?
-oral fluids
-iv fluids- normal saline
-subq insulin
- dextrose - ANSWERSiv fluids normal saline
-fluid replacement should be first until adequate perfusion is restored
-pt with severe hypernatremia may be stared on 0.45% saline infusion
-iv insulin for severe DKA
-no oral many pt leathery coma nausea and vomiting
A patient with a history of chronic heart failure is intubated and received a 500 ml IV bolus of
0.9% sodium chloride is now anxious and restless. The ventilator is alarming with high pressure
limit. Data are:
160/92, HR122, RR 30 SaO2 90%
Nurse she anticipate an order to administer:
- hydralazine
-lorazapam- Ativan
, -furosemide -lasix
-albuterol - ANSWERSfurosemide (lasix)
pt with history of heart failure are susceptible to developing acute pulmonary edema when
receiving iv fluids. diuretics are the preferred treatment. antihypertensive medications and
sedatives will not treat the underlying cause
A patient is admitted following a colon resection with a midline abdominal incision.
Postoperativiley acute surgical would dehiscence occurs and negative pressure wound
treatment therapy is facilitate wound closure is in progress. Nursing management should
include: - ANSWERSensuring drape is occlusive and foam is collapsed
foam should not be left in place
dressing changes every 48-72 hours
A patient who is ventilatory dependent has been hospitalized. The provider has indicated that
the patient will be discharged home in one week with a tracheostomy's and gastrostomy. In
order to determine the discharge needs of the patient, the nurse should arrange for:
- a multidisciplinary care conference prior to discharge
- an outreach educator to determine the learning needs of the family
-a social worker to meet with the family and assess the adequacy of the home environment
-home nursing care for the first few days following discharge - ANSWERSa social worker to meet
with them family ad assess the adequacy of the home environment
A patient was admitted for a c7 fracture two weeks ago. Which is a priority assessment for
prevention of complications?
-chest xray
- examine sacral skin
-pedal pulse checks
