CCRN FINAL EXAM AND PRACTICE EXAM
QUESTIONS 2026 BANK 2 VERSIONS AND STUDY
GUIDE CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS /EXPERTLY VERIFIED /ALREADY
GRADED A+
A 40-year-old patient has been admitted to the critical
care unit after sustaining multiple injuries from a cave-in
accident this morning. X-ray films confirm multiple
fractures, including the left femur. During the afternoon,
he was taken to surgery for internal fixation of the left
femur. It is now 10 pm, and the patient is complaining of
severe throbbing pain in his thigh. The patient received 5
mg of morphine sulfate IV 30 min ago. The anterior left
thigh is firm to touch, and the pain increases when the
patient flexes his left leg. Further assessment reveals that
swelling extends to the knee, and popliteal, posterior
tibial, and dorsalis pedis pulses are not palpable. What
should be done next?
A.
Call the physician and prepare for fasciotomy.
B.
1
,Check pulses with a Doppler
stethoscope. C.
Call the physician and prepare for embolectomy.
D.
Check for Homans sign. - ....ANSWER...B. Check pulses
with a Doppler stethoscope.
There appears to be an arterial occlusion, but before
deciding to prepare for surgical procedures, the nurse
should complete the assessment by using a Doppler
stethoscope to see whether pulses are audible. Swelling
makes it difficult to palpate pulses, but the pulses will be
audible with a Doppler stethoscope if present. Homans
sign is a sign of venous obstruction or phlebitis, which
would not cause a loss of arterial pulses.
A 50-year-old patient is transferred to the critical care unit
from the emergency department. A rattlesnake bit him
approximately 6 hours ago. He is having a severe reaction
to the venom, and antivenom is being flown to the
hospital. The patient is bleeding from his IV insertion sites
and continues to seep blood from the wound. Treatment
for disseminated intravascular coagulation in this
particular case would include which of the following?
2
,A.
Clotting factors and
antivenom B.
Clotting factors and heparin
C.
IV fluids and antivenom
D.
IV fluids and heparin - ....ANSWER...A. Clotting factors
and antivenom
A 22-year-old man is admitted after a bicycle collision
with a tree. He has a contusion on the right side of his
head. An intraventricular catheter has been inserted via a
burr hole to monitor his intracranial pressure (ICP). He
develops respiratory depression and is intubated and
mechanically ventilated. Which of the following is the
most likely cause of an increase in ICP at this time?
A.
Positive pressure
ventilation B.
Hypocapnia caused by hyperventilation
3
, C.
Sedation
D.
Cerebral dehydration caused by osmotic diuretics -
....ANSWER...A. Positive pressure ventilation
Positive pressure ventilation increases intrathoracic
pressure, which leads to increased ICP.
A 24-year-old man is admitted to the critical care unit
after sustaining a pulmonary contusion in a motor vehicle
collision. He has no history of cardiac or pulmonary
disease. During the first 24 hours after admission, he has
been complaining of increasing dyspnea, his respiratory
rate has been increasing, and his oxygen saturation via
pulse oximetry has been decreasing despite supplemental
oxygen. Breath sound assessment reveals fine crackles
bilaterally. Arterial blood gases reveal respiratory alkalosis
and hypoxemia. Chest x-ray film reveals patchy
infiltrates. Acute respiratory distress syndrome is
diagnosed. Oxygen therapy is initiated, and arterial blood
gases are monitored closely, but SaO2 continues to fall.
Which of these oxygen delivery systems will provide the
highest concentration of oxygen and indicated in this case?
4
QUESTIONS 2026 BANK 2 VERSIONS AND STUDY
GUIDE CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS /EXPERTLY VERIFIED /ALREADY
GRADED A+
A 40-year-old patient has been admitted to the critical
care unit after sustaining multiple injuries from a cave-in
accident this morning. X-ray films confirm multiple
fractures, including the left femur. During the afternoon,
he was taken to surgery for internal fixation of the left
femur. It is now 10 pm, and the patient is complaining of
severe throbbing pain in his thigh. The patient received 5
mg of morphine sulfate IV 30 min ago. The anterior left
thigh is firm to touch, and the pain increases when the
patient flexes his left leg. Further assessment reveals that
swelling extends to the knee, and popliteal, posterior
tibial, and dorsalis pedis pulses are not palpable. What
should be done next?
A.
Call the physician and prepare for fasciotomy.
B.
1
,Check pulses with a Doppler
stethoscope. C.
Call the physician and prepare for embolectomy.
D.
Check for Homans sign. - ....ANSWER...B. Check pulses
with a Doppler stethoscope.
There appears to be an arterial occlusion, but before
deciding to prepare for surgical procedures, the nurse
should complete the assessment by using a Doppler
stethoscope to see whether pulses are audible. Swelling
makes it difficult to palpate pulses, but the pulses will be
audible with a Doppler stethoscope if present. Homans
sign is a sign of venous obstruction or phlebitis, which
would not cause a loss of arterial pulses.
A 50-year-old patient is transferred to the critical care unit
from the emergency department. A rattlesnake bit him
approximately 6 hours ago. He is having a severe reaction
to the venom, and antivenom is being flown to the
hospital. The patient is bleeding from his IV insertion sites
and continues to seep blood from the wound. Treatment
for disseminated intravascular coagulation in this
particular case would include which of the following?
2
,A.
Clotting factors and
antivenom B.
Clotting factors and heparin
C.
IV fluids and antivenom
D.
IV fluids and heparin - ....ANSWER...A. Clotting factors
and antivenom
A 22-year-old man is admitted after a bicycle collision
with a tree. He has a contusion on the right side of his
head. An intraventricular catheter has been inserted via a
burr hole to monitor his intracranial pressure (ICP). He
develops respiratory depression and is intubated and
mechanically ventilated. Which of the following is the
most likely cause of an increase in ICP at this time?
A.
Positive pressure
ventilation B.
Hypocapnia caused by hyperventilation
3
, C.
Sedation
D.
Cerebral dehydration caused by osmotic diuretics -
....ANSWER...A. Positive pressure ventilation
Positive pressure ventilation increases intrathoracic
pressure, which leads to increased ICP.
A 24-year-old man is admitted to the critical care unit
after sustaining a pulmonary contusion in a motor vehicle
collision. He has no history of cardiac or pulmonary
disease. During the first 24 hours after admission, he has
been complaining of increasing dyspnea, his respiratory
rate has been increasing, and his oxygen saturation via
pulse oximetry has been decreasing despite supplemental
oxygen. Breath sound assessment reveals fine crackles
bilaterally. Arterial blood gases reveal respiratory alkalosis
and hypoxemia. Chest x-ray film reveals patchy
infiltrates. Acute respiratory distress syndrome is
diagnosed. Oxygen therapy is initiated, and arterial blood
gases are monitored closely, but SaO2 continues to fall.
Which of these oxygen delivery systems will provide the
highest concentration of oxygen and indicated in this case?
4
