ACCN CCRN PRACTICE TEST 1 QUESTIONS WITH 100% CORRECT AND VERIFIED ANSWERS GRADE A CERTIFIED

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ACCN CCRN PRACTICE TEST 1 QUESTIONS
WITH 100% CORRECT AND VERIFIED
ANSWERS GRADE A CERTIFIED 2025-2026

Afteriattendingianieducationalisessionithatireviewedidrugido
singiandiprovidediaireviewiofitheiliterature,itheinurseiwouldil
ikeitoistartiusingitheiadmissioniweightitoicalculateidrugidosi
ngiduringititrationiofivasoactiveidrugsiratherithanitheicurre
ntipracticeiofiusingidailyiweights.iWhatiwouldibeitheimostieff
ectiveinextistepiforitheinurseitoitakeitoiimplementithisichang
e?
(A)iBeginitheiadaptationiofitheipracticeibyiusingitheiadmissi
oniweightiforipatients.i
(B)iIdentifyitheikeyistakeholdersirelateditoitheiproposedicha
ngeiinipractice.i
(C)iAskitheiattendingiphysicianioniroundsiwhatiherithoughts
iareiaboutitheipractice.i

(D)iDiscussitheieducationalisessioniwithinurseicolleagues.i-
icorrectianswer(B)iIdentifyitheikeyistakeholdersirelateditoith

eiproposedichangeiinipractice.

Aipatientipresentsiwithiaiproductiveicough,ihypoxemia,iaifev
er,ihypotension,itachycardia,ianditachypnea.iHypoxemiaiwas
icorrectediwithitheiadministrationiofioxygen.iWhichiofitheifo

llowingishouldibeidoneinext?
(A)iAdministeriantibiotics.
(B)iStartiaivasopressor.i
(C)iCollectiaisputumiculture.i
(D)iInitiatei0.9inormalisaline.i-
icorrectianswer(D)iInitiatei0.9inormalisaline.



Aipatientiwithiaiurinaryitractiinfectionipresentediwithiaitemp
eratureiofi39°Ci(102.2°F),iaiheartirateiofi132ibeats/
minute,iairespiratoryirateiofi24ibreaths/
minute,iaiBPiofi78/49i(aiMAPiofi59immHg),iandiailactateiofi2.
8immol/

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L.iTheipatientireceivedi2iLiofi0.9iNSiwithini1ihour.iTheiBPiisi
nowi100/52i(theiMAPiisi68immHg),itheiheartirateiisi118ibeat
s/minute,itheirespiratoryirateiisi20ibreaths/
minute,ianditheilactateiisi2.1immol/
L.iTheipatientirequiresitreatmentifor:
(A)ibacteremia.i
(B)isepsis.i
(C)iSIRS.
(D)isepticishock.i-icorrectianswer(B)isepsis.

Aipatientiisi48ihoursipostiaorticivalveireplacement.iWhichiofi
theifollowingiwouldibeiaimajorigoaliforithisipatient?
(A)idiureticitherapyi
(B)istabilizingitheibloodipressurei
(C)iprophylacticiantibioticsi
(D)ipreventingiaithrombusi-
icorrectianswer(D)ipreventingiaithrombus



Aipatientiwithihypoxiciencephalopathyihasibeeniopeningihisi
eyesitoitouchiforitheipasti24ihours.iTheipatientinowiwithdra
wsitoipainfulistimuli,ihasidevelopediunequalipupils,iandihasi
aipositiveiBabinskiireflex.iWhichiofitheifollowingiinterventio
nsishoulditheinurseianticipate?
(A)iventriculostomy,ioxygen,isteroids
(B)isedation,ivasopressini(Pitressin),ithiazideidiuretic
(C)iosmoticidiuretic,iintubation,iandimonitoritheipCO2
(D)ilumbaripunctureiandiincreaseitheiFiO2i-
icorrectianswer(C)iosmoticidiuretic,iintubation,iandimonitor

itheipCO2



Ai19-year-
oldipatientiwhoiwasiadmittediwithisickleicellicrisisiandiacutei
kidneyiinjuryirequestsitoiuseiaiphoneitoiupdateiherifriendsio
nihericondition.iTheinurse'sibestiresponseiwouldibeito:
(A)iexplainitoitheipatientithaticallsicanibeimadeiwhenisheiisit
ransferredioutiofitheicriticalicareiunit.
(B)iallowitheipatientitoimakeitheicallsiiniorderitoimeetitheipa
tient'sineediforisocialisupport.


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(C)iexplainitoitheipatientithatisheineedsitoirestiiniorderiforith
eianalgesicimedicationitoitakeieffect.
(D)iallowitheipatientitoimakeitheicallsiiniorderitoireduceithei
patient'sianxiety.i-
icorrectianswer(B)iallowitheipatientitoimakeitheicallsiiniorde

ritoimeetitheipatient'sineediforisocialisupport.

TheiunitiqualityicounciliwantsitoireduceitheinumberiofiCAUT
IS.iWhichiofitheifollowingistrategiesihasibeenidemonstratedi
toireduceiincidencesiofiCAUTIS?
(A)iRemoveitheiindwellingiurinaryicatheterionidayi3ipost-op.
(B)iPlaceitheidrainageicollectionisystemionitheipatient'siabd
omeniduringitransport.
(C)iAssessitheicompetencyiofitheistaffiusingiaisimulatedienvi
ronment.
(D)iAvoiditheiuseiofiintermittentistraighticatheterization.i-
icorrectianswer(C)iAssessitheicompetencyiofitheistaffiusingia

isimulatedienvironment.



Aipatientihasicardiogenicishockiandicardiogenicipulmonaryi
edema.iWhichiofitheifollowingitherapiesiwouldibeimostieffec
tiveiforithisipatient?
(A)ianiintra-
aorticiballoonipumpitoiincreaseicoronaryiarteryiperfusion
(B)iaibetaiblockeritoiincreaseicardiacicontractility
(C)ianialpha-
adrenergicidrugitoiincreaseicoronaryiarteryiperfusion
(D)iangiotensin-
convertingienzymeiinhibitorsitoidecreaseiafterloadi-
icorrectianswer(A)ianiintra-

aorticiballoonipumpitoiincreaseicoronaryiarteryiperfusion

Theicareiteamiisiconsideringiwhetheriaipatientiisiaicandidate
iforihospiceicare.iWhichiofitheifollowingiisiaispecificiserviceip

rovidedibyihospiceicare?
(A)iadvanceicareiplanning
(B)isymptomimanagementi
(C)icareiforiaiterminaliillnessi


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(D)iconsiderationiofipatient/familyiwishesi-
icorrectianswer(C)icareiforiaiterminaliillness



Aipatientihasiaihistoryiofichronicirespiratoryifailureiseconda
ryitoiCOPDiandinowihasiacuteirespiratoryifailureisecondaryit
oipneumonia.iUponiarrivaliatitheicriticalicareiunit,ihisiABGsi
wereiaipHiofi7.29,iaiPaCO2iofi77,iaiPaO2iofi51,iandianiHCO3i
ofi31.iHeiisireceivinginoninvasiveiventilationiwithisettingsith
atireadiasifollows:iFiO2i0.40,iIPAPi12icm,iandiEPAPi5icm.iAft
eri1ihouriofitherapy,itheipatient'siABGiresultsiareiaipHiofi7.2
0,iaiPaCO2iofi89,iaiPaO2iofi48,iandianiHCO3iofi32.
Whatiisitheicorrectievaluationiofithisidata?
(A)iAlveolarihyperventilationiisigettingiworse;itheiBiPAPisett
ingsineediadjustment.
(B)iMetaboliciacidosisiisiworse;itheiFiO,ineedsitoibeiincrease
d.
(C)iAlveolarihypoventilationiisigettingiworse;itheipatientinee
dsitoibeiintubated.
(D)iTheipHiisiacceptableiforiaipatientiwithiCOPD;icontinueith
eicurrentitherapy.i-
icorrectianswer(C)iAlveolarihypoventilationiisigettingiworse;

itheipatientineedsitoibeiintubated.



Whichiofitheifollowingiisitrueiregardingiplateauipressure?
(A)iItiisiaipressureithatiisiuseditoicalculateistaticicompliancei
andireflectsipressureiinitheilungs.
(B)iItiisiaipressureithatiisiuseditoicalculateivitalicapacityiandi
reflectsipressureiinitheilungs.
(C)iItiisiaipressureithatiisiuseditoicalculateidynamicicomplia
nceiandireflectsipressureiinitheiairways.
(D)iItiisiaipressureithatiisiuseditoimeasureitidalivolumeiandir
eflectsipressureiinitheiairways.i-
icorrectianswer(A)iItiisiaipressureithatiisiuseditoicalculateist

aticicomplianceiandireflectsipressureiinitheilungs.

Aipatientiisiadmittediwithiaisalicylateioverdose.iWhichiofithei
followingitreatmentsiisimostieffectiveiforithisipatient?
(A)iN-acetylcysteine,isupportitheiairway,ifluids
(B)igastricilavage,ianiantidote,ifluids

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