Pass
CCRN
test
bank
Which
of
the
following
would
be
the
earliest
auscultatory
finding
in
left
ventricular
failure
(LVF)?
A.
Crackles
B.
S3
C.
Murmur
of
mitral
regurgitation
D.
Pericardial
friction
rub
-
ANS
B.
S3
LVF
would
be
the
most
subtle
because
early
changes
are
usually
subtle
changes.
Choose
"S3."
A
patient
with
a
triple-lumen
subclavian
catheter
has
been
receiving
total
parenteral
nutrition,
maintenance
fluids,
and
antibiotics
by
the
catheter .
He
has
been
slightly
confused.
Suddenly
he
grasps
the
catheter
and
pulls
it
out.
He
then
complains
of
shortness
of
breath,
and
his
pulse
oximetry
indicates
an
SpO2
of
84%.
How
should
this
patient
be
positioned?
A.
Head
down,
left
side
B.
Head
down,
right
side C.
Head
of
bed
elevated,
left
side
D.
Head
of
bed
elevated,
right
side
-
ANS
A.
Head
down,
left
side
Envision
a
big
air
bubble
in
the
patient's
heart.
Think:
what
position
would
decrease
the
movement
of
the
air
embolism
out
of
the
right
side
of
the
heart.
Chose
"Head
down,
left
side."
Oxygen
delivery
(DO2)
is
the
product
of
which
of
the
following?
A.
PaO2,
hemoglobin,
mean
arterial
pressure
B.
SaO2,
hemoglobin,
cardiac
output
C.
SvO2,
cardiac
index,
SaO2
D.
PaO2,
mean
arterial
pressure,
SvO2
-
ANS
B.
SaO2,
hemoglobin,
cardiac
output
Oxygen
is
delivered
from
the
arterial
end,
so
choose
an
option
that
has
SaO2
Which
of
the
following
is
the
most
significant
complication
of
status
asthmaticus? A.
Pulmonary
embolism
B.
Acute
respiratory
failure
C.
Hypertension
D.
Anaphylaxis
-
ANS
B.
Acute
respiratory
failure
A
22-year-old
man
is
admitted
to
the
critical
care
unit
after
a
motor
vehicle
collision.
The
emergency
department
nurse
reports
that
he
was
unconscious
at
the
scene
of
the
accident,
but
he
is
now
alert
and
oriented.
Skull
films
show
a
linear
fracture
of
the
right
temporal
bone.
He
is
at
significant
risk
for:
A.
scalp
hematoma.
B.
subdural
hematoma.
C.
epidural
hematoma.
D.
intracerebral
hematoma.
-
ANS
C.
epidural
hematoma. Linear
fractures
of
the
temporal
bone
frequently
disrupt
the
middle
meningeal
artery
and
cause
epidural
hematoma.
Patients
with
an
epidural
hematoma
classically
present
with
a
short
period
of
unconsciousness
followed
by
a
lucid
interval
and
then
rapid
deterioration.
An
epidural
hematoma
is
usually
caused
by
arterial
bleeding.
A
patient
is
admitted
to
the
ICU
after
sustaining
a
concussion
and
blunt
abdominal
trauma
to
the
right
upper
quadrant
in
a
domestic
dispute.
The
patient's
vital
signs
are
BP
145/86
mm
Hg,
pulse
86
beats/min,
respiration
15
breaths/min,
and
temperature
98.8°
F.
The
nurse
is
monitoring
the
patient's
bowel
sounds,
abdominal
tenderness,
and
abdominal
girth
frequently .
Which
of
the
following
laboratory
parameters
is
especially
important
for
the
nurse
to
closely
monitor
for
bleeding
in
this
patient?
A.
Platelet
count
B.
Protime
C.
Hematocrit
D.
Mean
corpuscular
volume
-
ANS
C.
Hematocrit
Common
injuries
resulting
from
blunt
abdominal
trauma
can
include
injury
to
the
liver,
spleen,
mesenteric
vessels,
pancreas,
or
kidneys.
In
a
nonoperative
approach
to
blunt
CCRN
test
bank
Which
of
the
following
would
be
the
earliest
auscultatory
finding
in
left
ventricular
failure
(LVF)?
A.
Crackles
B.
S3
C.
Murmur
of
mitral
regurgitation
D.
Pericardial
friction
rub
-
ANS
B.
S3
LVF
would
be
the
most
subtle
because
early
changes
are
usually
subtle
changes.
Choose
"S3."
A
patient
with
a
triple-lumen
subclavian
catheter
has
been
receiving
total
parenteral
nutrition,
maintenance
fluids,
and
antibiotics
by
the
catheter .
He
has
been
slightly
confused.
Suddenly
he
grasps
the
catheter
and
pulls
it
out.
He
then
complains
of
shortness
of
breath,
and
his
pulse
oximetry
indicates
an
SpO2
of
84%.
How
should
this
patient
be
positioned?
A.
Head
down,
left
side
B.
Head
down,
right
side C.
Head
of
bed
elevated,
left
side
D.
Head
of
bed
elevated,
right
side
-
ANS
A.
Head
down,
left
side
Envision
a
big
air
bubble
in
the
patient's
heart.
Think:
what
position
would
decrease
the
movement
of
the
air
embolism
out
of
the
right
side
of
the
heart.
Chose
"Head
down,
left
side."
Oxygen
delivery
(DO2)
is
the
product
of
which
of
the
following?
A.
PaO2,
hemoglobin,
mean
arterial
pressure
B.
SaO2,
hemoglobin,
cardiac
output
C.
SvO2,
cardiac
index,
SaO2
D.
PaO2,
mean
arterial
pressure,
SvO2
-
ANS
B.
SaO2,
hemoglobin,
cardiac
output
Oxygen
is
delivered
from
the
arterial
end,
so
choose
an
option
that
has
SaO2
Which
of
the
following
is
the
most
significant
complication
of
status
asthmaticus? A.
Pulmonary
embolism
B.
Acute
respiratory
failure
C.
Hypertension
D.
Anaphylaxis
-
ANS
B.
Acute
respiratory
failure
A
22-year-old
man
is
admitted
to
the
critical
care
unit
after
a
motor
vehicle
collision.
The
emergency
department
nurse
reports
that
he
was
unconscious
at
the
scene
of
the
accident,
but
he
is
now
alert
and
oriented.
Skull
films
show
a
linear
fracture
of
the
right
temporal
bone.
He
is
at
significant
risk
for:
A.
scalp
hematoma.
B.
subdural
hematoma.
C.
epidural
hematoma.
D.
intracerebral
hematoma.
-
ANS
C.
epidural
hematoma. Linear
fractures
of
the
temporal
bone
frequently
disrupt
the
middle
meningeal
artery
and
cause
epidural
hematoma.
Patients
with
an
epidural
hematoma
classically
present
with
a
short
period
of
unconsciousness
followed
by
a
lucid
interval
and
then
rapid
deterioration.
An
epidural
hematoma
is
usually
caused
by
arterial
bleeding.
A
patient
is
admitted
to
the
ICU
after
sustaining
a
concussion
and
blunt
abdominal
trauma
to
the
right
upper
quadrant
in
a
domestic
dispute.
The
patient's
vital
signs
are
BP
145/86
mm
Hg,
pulse
86
beats/min,
respiration
15
breaths/min,
and
temperature
98.8°
F.
The
nurse
is
monitoring
the
patient's
bowel
sounds,
abdominal
tenderness,
and
abdominal
girth
frequently .
Which
of
the
following
laboratory
parameters
is
especially
important
for
the
nurse
to
closely
monitor
for
bleeding
in
this
patient?
A.
Platelet
count
B.
Protime
C.
Hematocrit
D.
Mean
corpuscular
volume
-
ANS
C.
Hematocrit
Common
injuries
resulting
from
blunt
abdominal
trauma
can
include
injury
to
the
liver,
spleen,
mesenteric
vessels,
pancreas,
or
kidneys.
In
a
nonoperative
approach
to
blunt
