CCRN PRACTICE TEST
QUESTIONS EXAM ONE QUESTIONS AND CORRECT DETAILED
ANSWERS | {VERIFIED ANSWERS} |ALREADY GRADED A+
|NEWEST UPLOAD
After attending an educational session that reviewed drug dosing and provided a
review of the literature, the nurse would like to start using the admission weight
to calculate drug dosing during titration of vasoactive drugs rather than the
current practice of using daily weights. What would be the most effective next
step for the nurse to take to implement this change?
(A) Begin the adaptation of the practice by using the admission weight for
patients.
(B) Identify the key stakeholders related to the proposed change in practice.
(C) Ask the attending physician on rounds what her thoughts are about the
practice.
(D) Discuss the educational session with nurse colleagues. - CORRECT ANSWERS -
(B) Identify the key stakeholders related to the proposed change in practice.
A patient present with a productive cough, hypoxemia, a fever, hypotension,
tachycardia, and tachypnea. Hypoxemia was corrected with the administration of
oxygen. Which of the following should be done next?
(A) Administer antibiotics.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Initiate 0.9 normal saline. - CORRECT ANSWERS - (D) Initiate 0.9 normal saline.
A patient with a urinary tract infection presented with a temperature of 39°C
(102.2°F), a heart rate of 132 beats/minute, a respiratory rate of 24
,breaths/minute, a BP of 78/49 (a MAP of 59 mmHg), and a lactate of 2.8 moll/L.
The patient received 2 L of 0.9 NS within 1 hour. The BP is now 100/52 (the MAP
is 68 mmHg), the heart rate is 118 beats/minute, the respiratory rate is 20
breaths/minute, and the lactate is 2.1 moll/L. The patient requires treatment for:
(A) bacteremia.
(B) sepsis.
(C) SIRS.
(D) septic shock. - CORRECT ANSWERS - (B) sepsis.
A patient is 48 hours post aortic valve replacement. Which of the following would
be a major goal for this patient?
(A) diuretic therapy
(B) stabilizing the blood pressure
(C) prophylactic antibiotics
(D) preventing a thrombus - CORRECT ANSWERS - (D) preventing a thrombus
A patient with hypoxic encephalopathy has been opening his eyes to touch for the
past 24 hours. The patient now withdraws to painful stimuli, has developed
unequal pupils, and has a positive Babinski reflex. Which of the following
interventions should the nurse anticipate?
(A) ventriculostomy, oxygen, steroids
(B) sedation, vasopressin (Putrescin), thiazide diuretic
(C) osmotic diuretic, intubation, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - CORRECT ANSWERS - (C) osmotic
diuretic, intubation, and monitor the pCO2
,A 19-year-old patient who was admitted with sickle cell crisis and acute kidney
injury requests to use a phone to update her friends on her condition. The nurse's
best response would be to:
(A) explain to the patient that calls can be made when she is transferred out of
the critical care unit.
(B) allow the patient to make the calls in order to meet the patient's need for
social support.
(C) explain to the patient that she needs to rest in order for the analgesic
medication to take effect.
(D) allow the patient to make the calls in order to reduce the patient's anxiety. -
CORRECT ANSWERS - (B) allow the patient to make the calls in order to meet the
patient's need for social support.
The unit quality council wants to reduce the number of CAUTIS. Which of the
following strategies has been demonstrated to reduce incidences of CAUTIS?
(A) Remove the indwelling urinary catheter on day 3 post-op.
(B) Place the drainage collection system on the patient's abdomen during
transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermittent straight catheterization. - CORRECT ANSWERS -
(C) Assess the competency of the staff using a simulated environment.
A patient has cardiogenic shock and cardiogenic pulmonary edema. Which of the
following therapies would be most effective for this patient?
(A) an intra-aortic balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contractility
(C) an alpha-adrenergic drug to increase coronary artery perfusion
, (D) angiotensin-converting enzyme inhibitors to decrease afterload - CORRECT
ANSWERS - (A) an intra-aortic balloon pump to increase coronary artery perfusion
The care team is considering whether a patient is a candidate for hospice care.
Which of the following is a specific service provided by hospice care?
(A) advance care planning
(B) symptom management
(C) care for a terminal illness
(D) consideration of patient/family wishes - CORRECT ANSWERS - (C) care for a
terminal illness
A patient has a history of chronic respiratory failure secondary to COPD and now
has acute respiratory failure secondary to pneumonia. Upon arrival at the critical
care unit, his ABGs were a pH of 7.29, a PaCO2 of 77, a PaO2 of 51, and an HCO3
of 31. He is receiving noninvasive ventilation with settings that read as follows:
FiO2 0.40, IPAP 12 cm, and EPAP 5 cm. After 1 hour of therapy, the patient's ABG
results are a pH of 7.20, a PaCO2 of 89, a PaO2 of 48, and an HCO3 of 32.
What is the correct evaluation of this data?
(A) Alveolar hyperventilation is getting worse; the Bopp settings need adjustment.
(B) Metabolic acidosis is worse; the FiOS, needs to be increased.
(C) Alveolar hypoventilation is getting worse; the patient needs to be intubated.
(D) The pH is acceptable for a patient with COPD; continue the current therapy. -
CORRECT ANSWERS - (C) Alveolar hypoventilation is getting worse; the patient
needs to be intubated.
Which of the following is true regarding plateau pressure?
(A) It is a pressure that is used to calculate static compliance and reflects pressure
in the lungs.
QUESTIONS EXAM ONE QUESTIONS AND CORRECT DETAILED
ANSWERS | {VERIFIED ANSWERS} |ALREADY GRADED A+
|NEWEST UPLOAD
After attending an educational session that reviewed drug dosing and provided a
review of the literature, the nurse would like to start using the admission weight
to calculate drug dosing during titration of vasoactive drugs rather than the
current practice of using daily weights. What would be the most effective next
step for the nurse to take to implement this change?
(A) Begin the adaptation of the practice by using the admission weight for
patients.
(B) Identify the key stakeholders related to the proposed change in practice.
(C) Ask the attending physician on rounds what her thoughts are about the
practice.
(D) Discuss the educational session with nurse colleagues. - CORRECT ANSWERS -
(B) Identify the key stakeholders related to the proposed change in practice.
A patient present with a productive cough, hypoxemia, a fever, hypotension,
tachycardia, and tachypnea. Hypoxemia was corrected with the administration of
oxygen. Which of the following should be done next?
(A) Administer antibiotics.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Initiate 0.9 normal saline. - CORRECT ANSWERS - (D) Initiate 0.9 normal saline.
A patient with a urinary tract infection presented with a temperature of 39°C
(102.2°F), a heart rate of 132 beats/minute, a respiratory rate of 24
,breaths/minute, a BP of 78/49 (a MAP of 59 mmHg), and a lactate of 2.8 moll/L.
The patient received 2 L of 0.9 NS within 1 hour. The BP is now 100/52 (the MAP
is 68 mmHg), the heart rate is 118 beats/minute, the respiratory rate is 20
breaths/minute, and the lactate is 2.1 moll/L. The patient requires treatment for:
(A) bacteremia.
(B) sepsis.
(C) SIRS.
(D) septic shock. - CORRECT ANSWERS - (B) sepsis.
A patient is 48 hours post aortic valve replacement. Which of the following would
be a major goal for this patient?
(A) diuretic therapy
(B) stabilizing the blood pressure
(C) prophylactic antibiotics
(D) preventing a thrombus - CORRECT ANSWERS - (D) preventing a thrombus
A patient with hypoxic encephalopathy has been opening his eyes to touch for the
past 24 hours. The patient now withdraws to painful stimuli, has developed
unequal pupils, and has a positive Babinski reflex. Which of the following
interventions should the nurse anticipate?
(A) ventriculostomy, oxygen, steroids
(B) sedation, vasopressin (Putrescin), thiazide diuretic
(C) osmotic diuretic, intubation, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - CORRECT ANSWERS - (C) osmotic
diuretic, intubation, and monitor the pCO2
,A 19-year-old patient who was admitted with sickle cell crisis and acute kidney
injury requests to use a phone to update her friends on her condition. The nurse's
best response would be to:
(A) explain to the patient that calls can be made when she is transferred out of
the critical care unit.
(B) allow the patient to make the calls in order to meet the patient's need for
social support.
(C) explain to the patient that she needs to rest in order for the analgesic
medication to take effect.
(D) allow the patient to make the calls in order to reduce the patient's anxiety. -
CORRECT ANSWERS - (B) allow the patient to make the calls in order to meet the
patient's need for social support.
The unit quality council wants to reduce the number of CAUTIS. Which of the
following strategies has been demonstrated to reduce incidences of CAUTIS?
(A) Remove the indwelling urinary catheter on day 3 post-op.
(B) Place the drainage collection system on the patient's abdomen during
transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermittent straight catheterization. - CORRECT ANSWERS -
(C) Assess the competency of the staff using a simulated environment.
A patient has cardiogenic shock and cardiogenic pulmonary edema. Which of the
following therapies would be most effective for this patient?
(A) an intra-aortic balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contractility
(C) an alpha-adrenergic drug to increase coronary artery perfusion
, (D) angiotensin-converting enzyme inhibitors to decrease afterload - CORRECT
ANSWERS - (A) an intra-aortic balloon pump to increase coronary artery perfusion
The care team is considering whether a patient is a candidate for hospice care.
Which of the following is a specific service provided by hospice care?
(A) advance care planning
(B) symptom management
(C) care for a terminal illness
(D) consideration of patient/family wishes - CORRECT ANSWERS - (C) care for a
terminal illness
A patient has a history of chronic respiratory failure secondary to COPD and now
has acute respiratory failure secondary to pneumonia. Upon arrival at the critical
care unit, his ABGs were a pH of 7.29, a PaCO2 of 77, a PaO2 of 51, and an HCO3
of 31. He is receiving noninvasive ventilation with settings that read as follows:
FiO2 0.40, IPAP 12 cm, and EPAP 5 cm. After 1 hour of therapy, the patient's ABG
results are a pH of 7.20, a PaCO2 of 89, a PaO2 of 48, and an HCO3 of 32.
What is the correct evaluation of this data?
(A) Alveolar hyperventilation is getting worse; the Bopp settings need adjustment.
(B) Metabolic acidosis is worse; the FiOS, needs to be increased.
(C) Alveolar hypoventilation is getting worse; the patient needs to be intubated.
(D) The pH is acceptable for a patient with COPD; continue the current therapy. -
CORRECT ANSWERS - (C) Alveolar hypoventilation is getting worse; the patient
needs to be intubated.
Which of the following is true regarding plateau pressure?
(A) It is a pressure that is used to calculate static compliance and reflects pressure
in the lungs.
