CCRN LEAKED DEFINITIONS RETAKE ACTUAL ASSESSMENT EXAM
2025 UPDATED QUESTIONS AND CORRECT R, Exams of Nursing
A teenager, post cardiac arrest has a new diagnosis of hypertrophic cardiomyopathy. The
parents are concerned about what to do if the patient collapses again. The nurses best response
should be.
A. "Now that your son has been diagnosed and treated, you need not worry"
B. "Would teaching your CPR help ease your anxieties?"
C. "Do you know how to access the EMS system?"
D. "I Will have your son's cardiologist speak with you" B. "Would teaching your CPR help
ease your anxieties?"
A patient transferring out of the ICU says, "Why can't I jus t stay a few days longer? I don't feel
strong enough." Which of the following is the most appropriate response?
A. "There's a very sick patient who needs this bed"
B. "You sound concerned about leaving the ICU."
C. "Most people do just fine after transfer"
D. "Your insurance limits the time you can stay in the ICU." B. "You sound concerned about
leaving the ICU."
A critically ill patient has a stage III pressure ulcer involving a large amount of tissue loss and
exudate. The nurse should anticipate management to include
A. use of calcium alignates on the surrounding tissue
B. application of a hydrofiber dressing in the wound bed
C. application of a wet-to-dry dressing
D. use of a topical ointment such as bacitracin B. application of a hydrofiber dressing in the
wound bed
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,A 15 year old with acute leukemia has undergone multiple rounds of chemo. One night, the
patient tells the nurse, "I'm tired of all the chemo and I want to stop, but no one is listening to
me." The nurse should
A. explain that adolescent patients cannot legally make healthcare decisions
B. encourage the patient to "express these feelings to your parents
C. arrange for the patient to discuss the treatment plan with the physicians
D. ask the patient, "Do you realize you could die if you stop chemo?" B. encourage the
patient to "express these feelings to your parents
An alert patient is emergently intubated during an episode of pulmonary edema. When family
members come to visit the patient, they cry out/ "talk to me, talk to me!" The nurse should tell
the family that
A. they must not excite the patient while visiting
B. communication is not a priority at this time
C. the patient is too exhausted to converse with them
D. the breathing tube temporarily prevents the patient from speaking D. the breathing tube
temporarily prevents the patient from speaking
To promote effective grieving in a 6 year old sibling following the death of a neonate the nurse
should
A. recommend that the sibiling not attend the baby's memorial service
B. encourage the parents to minimize their expression of grief when with the sibiling
C. explain to the sibling that the baby went ot heaven
D. explain to the sibling that thoughts and wises did not cause the baby's death D. explain to
the sibling that thoughts and wises did not cause the baby's death
A patient's family expresses anxiety regarding the meaning of numbers on the patient's monitor
and asks the nurse for clarification. The nurse's most appropriate response would be
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,A. "The numbers indicate when the patient is having problems."
B. The numbers help us determine the best treatment"
C. "Which numbers on the monitor concern you?"
D. "What don't you understand about the monitor?" C. "Which numbers on the monitor
concern you?"
A hospital's current policy states that medication drips should be changed within 24 hrs after
surgery. Nurses not that many postoperative cardiac patients develop blood pressure instability
after inotrope syringes are changed. The best approach to solving this problem is to
A. notify the physician of patient's blood pressure instability
B. disregard the policy and wait for syringes to empty
C. bring the issue to the attention of the nurse manager and offer to form a committee to
examine the problem
D. give a bolus of inotrope prior to changing a drip C. bring the issue to the attention of the
nurse manager and offer to form a committee to examine the problem
A patient who is stable after an AMI is to be transferred. The patient's spouse says, "I don't want
my spouse moved; it's too soon." Discussing with the patient and spouse should focus on
A. improvements in the patient's condition
B. reviewing acuity of the other patients
C. the spouse's ability to act as a caregiver
D. the contrasting staffing ratios of the units A. improvements in the patient's condition
A patient with end-stage liver failure secondary to hepatitis C virus has been declared brain
dead. The parents decide to discontinue feedings and donate their daughter's organs. In
response to the parents; request, the most appropriate action by the nurse would be to
A. contact the organ procurement agency
B. convene a multidisciplinary care conference
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, C. discuss that their daughters' condition
D. discontinue feedings per the parents' request A. contact the organ procurement agency
A major trauma victim is transported from a rural hospital. The patient died prior to the wife's
arrival to the unit. The nurse should best prepare for the wife's arrival by
A. arranging for a physician to speak with her when she enters the unit
B. Planning to escort her to the waiting room to await the physician's arrival
C. preparing to give her information about the care her husband received prior to death
D. planning to escort her to the morgue to see her husband C. preparing to give her
information about the care her husband received prior to death
A patient has been waiting two months for a heart transplant. A family member angrily tells the
nurse, "This is hopeless!" The nurse's actions should be based on the knowledge that
A. expressions of frustration are normal and usually require no nursing intervention
B. because expressions of hopelessness may be harmful to the patient, the family member
should be encouraged to keep these statement out of the patient care area
C. maintaining the integrity of the family system is crucial in the transplant process
D. encouraging discussion of the negative emotions can impede their resolution C. maintaining
the integrity of the family system is crucial in the transplant process
Which of the following may cause development of fixed pupils?
A. hyperoxia (O2 toxicity)
B. opiates (cause pinpoint pupils, but they are not fixed)
C. hypothermia
D. oculomotor damage C. hypothermia
Respiratory therapists, physical therapists, occupational therapists, and nurses are all
responsible for discharge teaching, with each discipline currently documenting on its own flow
sheet. The best way to coordinate teaching is to have
4|Page
2025 UPDATED QUESTIONS AND CORRECT R, Exams of Nursing
A teenager, post cardiac arrest has a new diagnosis of hypertrophic cardiomyopathy. The
parents are concerned about what to do if the patient collapses again. The nurses best response
should be.
A. "Now that your son has been diagnosed and treated, you need not worry"
B. "Would teaching your CPR help ease your anxieties?"
C. "Do you know how to access the EMS system?"
D. "I Will have your son's cardiologist speak with you" B. "Would teaching your CPR help
ease your anxieties?"
A patient transferring out of the ICU says, "Why can't I jus t stay a few days longer? I don't feel
strong enough." Which of the following is the most appropriate response?
A. "There's a very sick patient who needs this bed"
B. "You sound concerned about leaving the ICU."
C. "Most people do just fine after transfer"
D. "Your insurance limits the time you can stay in the ICU." B. "You sound concerned about
leaving the ICU."
A critically ill patient has a stage III pressure ulcer involving a large amount of tissue loss and
exudate. The nurse should anticipate management to include
A. use of calcium alignates on the surrounding tissue
B. application of a hydrofiber dressing in the wound bed
C. application of a wet-to-dry dressing
D. use of a topical ointment such as bacitracin B. application of a hydrofiber dressing in the
wound bed
1|Page
,A 15 year old with acute leukemia has undergone multiple rounds of chemo. One night, the
patient tells the nurse, "I'm tired of all the chemo and I want to stop, but no one is listening to
me." The nurse should
A. explain that adolescent patients cannot legally make healthcare decisions
B. encourage the patient to "express these feelings to your parents
C. arrange for the patient to discuss the treatment plan with the physicians
D. ask the patient, "Do you realize you could die if you stop chemo?" B. encourage the
patient to "express these feelings to your parents
An alert patient is emergently intubated during an episode of pulmonary edema. When family
members come to visit the patient, they cry out/ "talk to me, talk to me!" The nurse should tell
the family that
A. they must not excite the patient while visiting
B. communication is not a priority at this time
C. the patient is too exhausted to converse with them
D. the breathing tube temporarily prevents the patient from speaking D. the breathing tube
temporarily prevents the patient from speaking
To promote effective grieving in a 6 year old sibling following the death of a neonate the nurse
should
A. recommend that the sibiling not attend the baby's memorial service
B. encourage the parents to minimize their expression of grief when with the sibiling
C. explain to the sibling that the baby went ot heaven
D. explain to the sibling that thoughts and wises did not cause the baby's death D. explain to
the sibling that thoughts and wises did not cause the baby's death
A patient's family expresses anxiety regarding the meaning of numbers on the patient's monitor
and asks the nurse for clarification. The nurse's most appropriate response would be
2|Page
,A. "The numbers indicate when the patient is having problems."
B. The numbers help us determine the best treatment"
C. "Which numbers on the monitor concern you?"
D. "What don't you understand about the monitor?" C. "Which numbers on the monitor
concern you?"
A hospital's current policy states that medication drips should be changed within 24 hrs after
surgery. Nurses not that many postoperative cardiac patients develop blood pressure instability
after inotrope syringes are changed. The best approach to solving this problem is to
A. notify the physician of patient's blood pressure instability
B. disregard the policy and wait for syringes to empty
C. bring the issue to the attention of the nurse manager and offer to form a committee to
examine the problem
D. give a bolus of inotrope prior to changing a drip C. bring the issue to the attention of the
nurse manager and offer to form a committee to examine the problem
A patient who is stable after an AMI is to be transferred. The patient's spouse says, "I don't want
my spouse moved; it's too soon." Discussing with the patient and spouse should focus on
A. improvements in the patient's condition
B. reviewing acuity of the other patients
C. the spouse's ability to act as a caregiver
D. the contrasting staffing ratios of the units A. improvements in the patient's condition
A patient with end-stage liver failure secondary to hepatitis C virus has been declared brain
dead. The parents decide to discontinue feedings and donate their daughter's organs. In
response to the parents; request, the most appropriate action by the nurse would be to
A. contact the organ procurement agency
B. convene a multidisciplinary care conference
3|Page
, C. discuss that their daughters' condition
D. discontinue feedings per the parents' request A. contact the organ procurement agency
A major trauma victim is transported from a rural hospital. The patient died prior to the wife's
arrival to the unit. The nurse should best prepare for the wife's arrival by
A. arranging for a physician to speak with her when she enters the unit
B. Planning to escort her to the waiting room to await the physician's arrival
C. preparing to give her information about the care her husband received prior to death
D. planning to escort her to the morgue to see her husband C. preparing to give her
information about the care her husband received prior to death
A patient has been waiting two months for a heart transplant. A family member angrily tells the
nurse, "This is hopeless!" The nurse's actions should be based on the knowledge that
A. expressions of frustration are normal and usually require no nursing intervention
B. because expressions of hopelessness may be harmful to the patient, the family member
should be encouraged to keep these statement out of the patient care area
C. maintaining the integrity of the family system is crucial in the transplant process
D. encouraging discussion of the negative emotions can impede their resolution C. maintaining
the integrity of the family system is crucial in the transplant process
Which of the following may cause development of fixed pupils?
A. hyperoxia (O2 toxicity)
B. opiates (cause pinpoint pupils, but they are not fixed)
C. hypothermia
D. oculomotor damage C. hypothermia
Respiratory therapists, physical therapists, occupational therapists, and nurses are all
responsible for discharge teaching, with each discipline currently documenting on its own flow
sheet. The best way to coordinate teaching is to have
4|Page
