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CRRN Test 1 (Certification Test) Actual Exam
Newest 2026-2027 /CRRN Test 1 (Certification Test)
Practice Exam /CRRN Test 1 (Certification Test)
Preparation With 300 Questions And Correct
Answers With Rationales| Already Graded A+
Which of the following may be a reason to use restraints for a patient?
(A) The patient is screaming obscenities.
(B) The patient is spitting.
(C) The patient is pulling at his central venous catheter.
(D) The patient has an endotracheal tube. - ANSWER-(C) The patient is
pulling at his central venous catheter.
A patient has acute right ventricular infarct and RV failure. Which of the
following is an indication that this patient's condition has improved?
(A) The PAOP has decreased.
(B) The RA pressure has decreased.
(C) The RV pressure has increased.
(D) The PA diastolic pressure has decreased. - ANSWER-(B) The RA
pressure has decreased.
,2|Page
At 1 day status post AAA repair with a Dacron graft, the patient's serum
BUN and creatinine increase, and the urine output decreases. Which of
the following is the most likely etiology of these new patient findings?
(A) acute renal failure
(B) graft rejection
(C) septic shock
(D) acute hemorrhage - ANSWER-(A) acute renal failure
A patient complains of chest pain with deep inspiration that is worse
when lying supine. There is a friction rub upon auscultation and sinus
tachycardia. Which of the following would you expect to find on the stat
12-lead ECG?
(A) ST depression in V1-V4
(B) ST elevation in II, III, aVF and V2-V5
(C) ST depression in V2 and V3
(D) ST elevation in II, III, and aVF - ANSWER-(B) ST elevation in II,
III, aVF and V2-V5
A trauma patient's morning labs return with the following values:
Hemoglobin 8.2 g/dL; hematocrit 30%; platelets 50,000/mcL; PTT 50
seconds; INR 3.0 seconds; fibrinogen 150 mg/dL; fibrin split products
45 mcg/dL
What is most likely the cause of this patient's lab profile?
(A) autoimmune reaction
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(B) consumption of clotting factors
(C) occult blood loss
(D) drug reaction - ANSWER-(B) consumption of clotting factors
A patient has a temporary transvenous VVI pacemaker with a set rate of
72 beats/minute and an mA output of 5. The monitor shows 1:1 pacing at
the set rate. The physician asks the nurse to determine the capture
threshold. Which of the following should the nurse do?
(A) Slowly increase the sensitivity until the heart rate increases.
(B) Slowly decrease the sensitivity until the capture is lost.
(C) Slowly increase the mA output until the native beats are seen.
(D) Slowly decrease the mA output until the capture is lost. - ANSWER-
(D) Slowly decrease the mA output until the capture is lost.
A patient is alert and is receiving mechanical ventilation with the
following settings: assist-control mode at 10 breaths/minute, FIO2 0.40,
and PEEP 5 cm H2O pressure. Vital signs include a BP of 104/58, a
heart rate of 90 beats/minute, and a respiratory rate of 18 breaths/minute,
with norepinephrine at 7 mcg/min for the past 4 hours. The patient has
tolerated repositioning in bed and a head of bed elevation up to 90°.
Which of the following would be an appropriate next step in terms of
mobility for this patient?
(A) Allow the patient to sit on the edge of the bed, with assistance.
(B) Reduce the head of bed elevation to 45°.
(C) Maintain the patient's current level of mobility.
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(D) Help the patient stand and pivot to a chair. - ANSWER-(A) Allow
the patient to sit on the edge of the bed, with assistance.
A 70 kg patient with ARDS is mechanically ventilated with the
following settings: FiO2 70%, tidal volume 450 mL, assist-control mode
10 breaths/minute, and PEEP 20 cm H2O pressure. On these settings, the
patient's PaO2 is 76 mmHg and the PaCO2 is 58 mmHg. The patient's
core temperature is 37°C, his heart rate is 116 beats/minute, and his BP
is 78/58. Which of the following interventions should the nurse now
anticipate?
(A) Decrease PEEP to decrease the intrathoracic pressure.
(B) Administer a 500 mL fluid bolus of normal saline.
(C) Initiate a norepinephrine drip to maintain a SBP of 80 mmHg.
(D) Increase the tidal volume to 750 mL. - ANSWER-(B) Administer a
500 mL fluid bolus of normal saline.
Which of the following is accurate regarding nursing responsibilities
related to brain death?
(A) The nurse should report a loss of brain stem reflexes (gag, corneal)
to the physician.
(B) The nurse should obtain an order from the physician to call the organ
procurement agency.
(C) The nurse should request permission from the patient's family to
remove the ventilator.
CRRN Test 1 (Certification Test) Actual Exam
Newest 2026-2027 /CRRN Test 1 (Certification Test)
Practice Exam /CRRN Test 1 (Certification Test)
Preparation With 300 Questions And Correct
Answers With Rationales| Already Graded A+
Which of the following may be a reason to use restraints for a patient?
(A) The patient is screaming obscenities.
(B) The patient is spitting.
(C) The patient is pulling at his central venous catheter.
(D) The patient has an endotracheal tube. - ANSWER-(C) The patient is
pulling at his central venous catheter.
A patient has acute right ventricular infarct and RV failure. Which of the
following is an indication that this patient's condition has improved?
(A) The PAOP has decreased.
(B) The RA pressure has decreased.
(C) The RV pressure has increased.
(D) The PA diastolic pressure has decreased. - ANSWER-(B) The RA
pressure has decreased.
,2|Page
At 1 day status post AAA repair with a Dacron graft, the patient's serum
BUN and creatinine increase, and the urine output decreases. Which of
the following is the most likely etiology of these new patient findings?
(A) acute renal failure
(B) graft rejection
(C) septic shock
(D) acute hemorrhage - ANSWER-(A) acute renal failure
A patient complains of chest pain with deep inspiration that is worse
when lying supine. There is a friction rub upon auscultation and sinus
tachycardia. Which of the following would you expect to find on the stat
12-lead ECG?
(A) ST depression in V1-V4
(B) ST elevation in II, III, aVF and V2-V5
(C) ST depression in V2 and V3
(D) ST elevation in II, III, and aVF - ANSWER-(B) ST elevation in II,
III, aVF and V2-V5
A trauma patient's morning labs return with the following values:
Hemoglobin 8.2 g/dL; hematocrit 30%; platelets 50,000/mcL; PTT 50
seconds; INR 3.0 seconds; fibrinogen 150 mg/dL; fibrin split products
45 mcg/dL
What is most likely the cause of this patient's lab profile?
(A) autoimmune reaction
,3|Page
(B) consumption of clotting factors
(C) occult blood loss
(D) drug reaction - ANSWER-(B) consumption of clotting factors
A patient has a temporary transvenous VVI pacemaker with a set rate of
72 beats/minute and an mA output of 5. The monitor shows 1:1 pacing at
the set rate. The physician asks the nurse to determine the capture
threshold. Which of the following should the nurse do?
(A) Slowly increase the sensitivity until the heart rate increases.
(B) Slowly decrease the sensitivity until the capture is lost.
(C) Slowly increase the mA output until the native beats are seen.
(D) Slowly decrease the mA output until the capture is lost. - ANSWER-
(D) Slowly decrease the mA output until the capture is lost.
A patient is alert and is receiving mechanical ventilation with the
following settings: assist-control mode at 10 breaths/minute, FIO2 0.40,
and PEEP 5 cm H2O pressure. Vital signs include a BP of 104/58, a
heart rate of 90 beats/minute, and a respiratory rate of 18 breaths/minute,
with norepinephrine at 7 mcg/min for the past 4 hours. The patient has
tolerated repositioning in bed and a head of bed elevation up to 90°.
Which of the following would be an appropriate next step in terms of
mobility for this patient?
(A) Allow the patient to sit on the edge of the bed, with assistance.
(B) Reduce the head of bed elevation to 45°.
(C) Maintain the patient's current level of mobility.
, 4|Page
(D) Help the patient stand and pivot to a chair. - ANSWER-(A) Allow
the patient to sit on the edge of the bed, with assistance.
A 70 kg patient with ARDS is mechanically ventilated with the
following settings: FiO2 70%, tidal volume 450 mL, assist-control mode
10 breaths/minute, and PEEP 20 cm H2O pressure. On these settings, the
patient's PaO2 is 76 mmHg and the PaCO2 is 58 mmHg. The patient's
core temperature is 37°C, his heart rate is 116 beats/minute, and his BP
is 78/58. Which of the following interventions should the nurse now
anticipate?
(A) Decrease PEEP to decrease the intrathoracic pressure.
(B) Administer a 500 mL fluid bolus of normal saline.
(C) Initiate a norepinephrine drip to maintain a SBP of 80 mmHg.
(D) Increase the tidal volume to 750 mL. - ANSWER-(B) Administer a
500 mL fluid bolus of normal saline.
Which of the following is accurate regarding nursing responsibilities
related to brain death?
(A) The nurse should report a loss of brain stem reflexes (gag, corneal)
to the physician.
(B) The nurse should obtain an order from the physician to call the organ
procurement agency.
(C) The nurse should request permission from the patient's family to
remove the ventilator.
