CCRN AACN PRACTICE QUESTIONS
AND CORRECT ANSWERS
A;patient;with;a;history;of;bronchogenic;carcinoma;is;admitted;with;respiratory;failure.;the;
patient;is;intubated;and;on;mechanical;ventilation.;the;patient;develops;lethargy,;headach
e,;slight;confusion;and;abdominal;cramping;urinary;output;is;decreasing;and;significant;la
b;data;includes;
Serum;Na+;127
Serum;osmolality;270
urine;specific;gravity;elevated;-;ans-✔✔Initiation;of;fluid;restriction;-
this;pt;has;risk;factors;signs;and;symptoms;of;SIADH
fluid;restriction;slows;glomerular;filtration;and;blood;flow;enhances;proximal;reabsorption;
of;sodium;and;water;increases;aldosterone;secretion;and;enhances;distal;tubule;sodium;r
eabsorption.;chemo;may;alleviate;some;of;the;water;retention;caused;by;some;cancers;bu
t;non;will;completely;inhibit;ADH;secretions.;three;percent;saline;administration;in;severe;c
ase;only
A;pt;is;being;admitted;in;HHS;with;dehydration;and;a;serum;glucose;level;of;836;mg/
dl.;Which;additional;laboratory;findings;should;the;nurse;anticipate?;-;ans-
✔✔>;elevated;BUN;>;Elevated;creatinine;>elevated;osmolality;
HHNS;-;Hyperosmolar;hyperglycemic;nonketonic;state
A;49;year;old;patient;male;recently;admitted;with;an;inferiors;wall;MI;resulting;from;100%;o
cclusion;of;the;right;coronary;artery;
(RCA).;The;12;lead;ECG;reveals;ST;elevation;in;leads;11,;111,;and;aVf.;you;would;expect;
to;see;reciprocal;changes;in;which;leads?;-;ans-
✔✔1;and;aVL;the;RCA;perfuses;the;inferior;wall;and;the;mirror;image;or;reciprocal;change
s;would;be;seen;in;the;the;high;lateral;wall,;which;is;reflected;in;leads;1;and;avl;on;the;12;le
ad;ECG.;Lead;v1;and;v2;correlate;with;the;septal;area,;lead;v;3;and;v4;correlate;with;the;an
terior;area;of;the;heart
a;patient;is;admitted;following;a;MVA;,;Lab;data;reveal;elevated;creatinine;phosphokinase;
and;myoglobin.;What;should;the;nurse;anticipate?;-;ans-✔✔Rhabdomyolysis;-
MVA;is;a;risk;factor;for;rhabdomyolysis;and;lab;data;consistent;with;condition
AND CORRECT ANSWERS
A;patient;with;a;history;of;bronchogenic;carcinoma;is;admitted;with;respiratory;failure.;the;
patient;is;intubated;and;on;mechanical;ventilation.;the;patient;develops;lethargy,;headach
e,;slight;confusion;and;abdominal;cramping;urinary;output;is;decreasing;and;significant;la
b;data;includes;
Serum;Na+;127
Serum;osmolality;270
urine;specific;gravity;elevated;-;ans-✔✔Initiation;of;fluid;restriction;-
this;pt;has;risk;factors;signs;and;symptoms;of;SIADH
fluid;restriction;slows;glomerular;filtration;and;blood;flow;enhances;proximal;reabsorption;
of;sodium;and;water;increases;aldosterone;secretion;and;enhances;distal;tubule;sodium;r
eabsorption.;chemo;may;alleviate;some;of;the;water;retention;caused;by;some;cancers;bu
t;non;will;completely;inhibit;ADH;secretions.;three;percent;saline;administration;in;severe;c
ase;only
A;pt;is;being;admitted;in;HHS;with;dehydration;and;a;serum;glucose;level;of;836;mg/
dl.;Which;additional;laboratory;findings;should;the;nurse;anticipate?;-;ans-
✔✔>;elevated;BUN;>;Elevated;creatinine;>elevated;osmolality;
HHNS;-;Hyperosmolar;hyperglycemic;nonketonic;state
A;49;year;old;patient;male;recently;admitted;with;an;inferiors;wall;MI;resulting;from;100%;o
cclusion;of;the;right;coronary;artery;
(RCA).;The;12;lead;ECG;reveals;ST;elevation;in;leads;11,;111,;and;aVf.;you;would;expect;
to;see;reciprocal;changes;in;which;leads?;-;ans-
✔✔1;and;aVL;the;RCA;perfuses;the;inferior;wall;and;the;mirror;image;or;reciprocal;change
s;would;be;seen;in;the;the;high;lateral;wall,;which;is;reflected;in;leads;1;and;avl;on;the;12;le
ad;ECG.;Lead;v1;and;v2;correlate;with;the;septal;area,;lead;v;3;and;v4;correlate;with;the;an
terior;area;of;the;heart
a;patient;is;admitted;following;a;MVA;,;Lab;data;reveal;elevated;creatinine;phosphokinase;
and;myoglobin.;What;should;the;nurse;anticipate?;-;ans-✔✔Rhabdomyolysis;-
MVA;is;a;risk;factor;for;rhabdomyolysis;and;lab;data;consistent;with;condition
