CCRN GI Questions with Answers 100% solved

CCRN GI Questions with Answers
100% solved
UponMyourMassessmentMofMyourMpatient,MwhoMhasMpancreatitis,MyouMfindMtheMfollowin
gMvalues:

tempM37.1C,MBPM98/64,MHRM110,MRRM28,MSpO2M88%MonM2LMNC.M

HerMlabsMareMWBCM19,000,MHgbM8.9,MHCTM39%,MNaM144,MKM3.1,MCaM7.7,MandMgluco
seM224.

YourMremainingMassessmentMrevealsMLLLMcracklesMofMtheMlungsMandMherMabdomenMw/
MCullen'sMsign.MBesidesMpancreatitis,MwhatMelseMdoMyouMthinkMyourMpatientMmayMhave
?



a)MSIRS,MhemorrhagicMpancreatitis,MMODsMandMneedingMfluids

b)MhemorrhagicMshock,MstressMhyperglycemia,Mhypoxemia,MandMneedingMblood

c)Mdehydration,MARDS,MstressMhyperglycemia,MandMneedsMintubation

d)MhypovolemicMshock,Mdiabetes,MsevereMsepsis,MandMneedingMantibioticsM-
MAnswerMa)MSIRS,MhemorrhagicMpancreatitis,MMODSMandMneedingMfluids



--
YourMpatientMhasMSIRSMbcMofMtheMincreasedMRR,MHR,MandMWBC.MDueMtoMtheMCullen'
sMsign,MyourMpatientMmostMlikelyMhasMhemorrhagicMpancreatitis,Mw/signsMofMMODSMby
MtheMlowMSpO2MandMtheMlowMBP.MFluidsMareMneededMr/tMtheMmassiveMfluidMshiftsMi
nMacuteMpancreatitis



--
ThisMptMdoesMnotMhaveMdiabetesMandMdoesMnotMneedMantibiotics.MHowever,MisMatMa
MhighMriskMofMARDSMbutMdoesMnotMhaveMbilateralMinfiltratesMorMrefractoryMhypoxemia



AMnewMpatientMjustMarrivedMtoMtheMhospitalMs/pMacuteMabdominalMtrauma.MTheMpatie
ntMisMnowMexperiencingMKehr'sMsign.MWhichMofMtheMfollowingMmayMbeMtheMcauseMof
MKehr'sMsign?



a)MdiaphragmaticMirritation

b)MliverMcontusion

c)MrupturedMkidney

d)MrupturedMbladderM-MAnswerMa)MdiaphragmaticMirritation

, --
TraumaMthatMcausesMsplenicMruptureMalsoMcausesMdiaphragmaticMirritationMandMsubsequ
entMreferredMpainMtoMtheMleftMshoulderM(Kehr'sMsign).MTheMotherMchoicesMdoMnotMca
useMKehr'sMsign.



YourMcoworkerMgoesMonMbreakMandMasksMyouMtoM"lookMout"MforMherMpatients.MHerM
ptMthenMcallsMyouMtoMtheMroomMw/aMcomplaintMofM"somethingMdoesn'tMfeelMrightMin
MmyMabdomen".MAfterMauscultatingMtheMpt'sMbowelMsounds,MwhichMofMtheMfollowingMi
sMpresentMinManMearlyMmechanicalMbowelMobstruction?



a)MnormalMbowelMsounds

b)MhypoactiveMbowelMsounds

c)MhyperactiveMbowelMsounds

d)MabsentMbowelMsoundsM-MAnswerMc)MhyperactiveMbowelMsounds



--
InMearlyMbowelMobstruction,MtheMbowelMsoundsMbecomeMhyperactive.MInMaMlateMbowel
Mobstruction,MbowelMsoundsMbecomeMhypoactiveMorMabsent.



YouMareMassistingMonMtheMadmissionMofMaMnewMpatientMintoMtheMICUMforMaMdiagnos
isMofMbleedingMesophagealMvariesMandMhypovolemicMshock.MWhichMofMtheMfollowingMcl
oselyMresemblesMcompensationMforMtheMhypovolemicMshock?



a)Mvasodilation

b)McapillaryMfluidMshiftMintoMtheMinterstitialMspace

c)MdecreaseMinMreninMsecretion

d)MincreaseMinMre-absorptionMofMsodiumMandMwaterM-MAnswerMd)ManMincreaseMinMre-
absorptionMofMsodiumMandMwater



--W/MvolumeMdepletion,MaldosteroneMisMreleasedMbyMtheMrenin-angiotensin-
aldosteroneMmechanisMwhichMwillMallowMextraMNaMandMwaterMtoMbeMreabsorbedMinMa
nMattemptMtoMincreaseMtheMvascularMvolume.MTheMotherMchoicesMareMnotMsignsMofMa
McompensatoryMresponse.