CCRN AACN Exam 1 Questions with Correct
Answers
Diabetes insipidus
decreased serum ADH, increased serum osmolality, serum Na of 150meq/L. Treatment is
VASOPRESSIN (antidiuretic hormone). Desm0pressin (DDAVP) when elevated plasma
osmolarity (>295) and hypernatremia.
INTESTINAL OBSTRUCTION
tympanic percussion note, abdominal distention and rushes of high-pitched sound that
coincide with abdominal cramping
ECG changes in ACS involving inferior wall
ST segment elevation and deeply inverted T waves in leads II, III and AvF
Recovering from the flu- first test should be done
Echocardiogram first test to diagnose dilated cardiomyopathy from viral myocarditis
Papillary muscle rupture
ST segment elevation in leads V1-V4, as balloon pump is inflated V waves become elevated
Loud - pansystolic murmur at the apex w/ a thrill is associated with what type of
regurg?
Mitral regurgitation- prominent large V wave appear when PA occlusive pressure reading is
taken
Wihout airbag deployment
, aortic or myocardial trauma- sudden decompensation think hemorrhaging into mediastinum
or pericardial sac, cardiac tamponade-- prepare for emergent surgery
Severe head injury in a high speed MVC high priority concern
Cerebral edema
Linear temporal skull fracture`
`Burr holes and clot evacuation
Sudden BP increase and low HR in spinal cord injury
Autonomic dysreflexia neurologic emergency- CHECK FOR BLADDER DISTENTION OR
OTHER NOXIOUS STIMULI
Delirium high risk
Flat affect, apathy, withdrawal= hypoactive delirium
Fasciotomy recommended
Compartment pressure is 20 mmHg below diastolic pressure
Wernicke encephalopathy- administrate what med?
Thiamine
Initial goal after TBI
Start patients on 100% oxygen- increase the PaO2
Unstable pelvic fracture concerned if?
Bleeding at urinary meatus= hemorrhage d/t complex fx
Clipping or coiling
Answers
Diabetes insipidus
decreased serum ADH, increased serum osmolality, serum Na of 150meq/L. Treatment is
VASOPRESSIN (antidiuretic hormone). Desm0pressin (DDAVP) when elevated plasma
osmolarity (>295) and hypernatremia.
INTESTINAL OBSTRUCTION
tympanic percussion note, abdominal distention and rushes of high-pitched sound that
coincide with abdominal cramping
ECG changes in ACS involving inferior wall
ST segment elevation and deeply inverted T waves in leads II, III and AvF
Recovering from the flu- first test should be done
Echocardiogram first test to diagnose dilated cardiomyopathy from viral myocarditis
Papillary muscle rupture
ST segment elevation in leads V1-V4, as balloon pump is inflated V waves become elevated
Loud - pansystolic murmur at the apex w/ a thrill is associated with what type of
regurg?
Mitral regurgitation- prominent large V wave appear when PA occlusive pressure reading is
taken
Wihout airbag deployment
, aortic or myocardial trauma- sudden decompensation think hemorrhaging into mediastinum
or pericardial sac, cardiac tamponade-- prepare for emergent surgery
Severe head injury in a high speed MVC high priority concern
Cerebral edema
Linear temporal skull fracture`
`Burr holes and clot evacuation
Sudden BP increase and low HR in spinal cord injury
Autonomic dysreflexia neurologic emergency- CHECK FOR BLADDER DISTENTION OR
OTHER NOXIOUS STIMULI
Delirium high risk
Flat affect, apathy, withdrawal= hypoactive delirium
Fasciotomy recommended
Compartment pressure is 20 mmHg below diastolic pressure
Wernicke encephalopathy- administrate what med?
Thiamine
Initial goal after TBI
Start patients on 100% oxygen- increase the PaO2
Unstable pelvic fracture concerned if?
Bleeding at urinary meatus= hemorrhage d/t complex fx
Clipping or coiling
