CRNA EXAM QUESTIONS WITH CORRECT ANSWERS UPDATED (100% VERIFIED)

CRNA EXAM QUESTIONS WITH CORRECT ANSWERS UPDATED (100% VERIFIED) What makes you tick? -an inner drive to do the best for my patient in one of the hardest times in their lives. -"am I being the best version of me that i can be?" if not, what can I do better, always reassessing and re-evaluating. A cycle of Always challenging myself and growing -learning the why behind my actions, knowing more and becoming an expert in my field. Talk about a difficult scenario where you acted as the patients advocate. Shortly after being off orientation, A patient on norepinephrine and vasopressin, with doses climbing to max. Pt had just gotten news that he had inoperable end stage cancer. Waiting for patient to move to his home with hospice care in place. Didn’t think pt would make it to morning. Asked doctor to call husband about increasing pressor requirements. Doctor didn’t think it was appropriate. I was able to advocate for my patient and his family to cherish his last moments. After some persuading, the provider ended up calling the husband in and the patient passed on shortly after he had gotten there. The patient was able to say goodbye to his husband and was lucid up until minutes before the patient had passed. I felt very accomplished and satisfied with my care. Tell me about yourself I’m Julia Rowlett, I live and work in Portland Maine. I am a critical care certified MICU nurse at Maine medical center, a level one trauma center and magnent recognized facility. I have worked there for 1 year and 3 months. For fun, fitness, and stress relief I go rock climbing. Thank you for inviting me today, I’m very happy to meet you all! Why Westminster college? CRNA BOARD EXAM QUESTIONS AND CORRECT ANSWERS UPDATED 2024- 2025 (100% VERIFIED) -small class with 1:6 faculty to student ratio. -Hands on priority when possible, and extensive sim lab experience, -Supportive culture for success, with low attrition rate How do you handle stress? Acutely I do very well with stressful situations. I am able to stay head strong and think on my feet. Stress and stressful situations need to be dealt with later on so I use my significant other of 8 years to lean on as well as I use rock climbing as a stress relief activity. What are your strengths and weaknesses? Some things that I continue to work on are becoming more tolerant of peers who are not great team players. To work in the ICU, you definitely need your peers to have you back and keep and ear out for you and your patients. I have been working on more constructive ways to keep my coworkers motivated to help. (asking them directly to help, checking in with them to be helpful.) Wanting to get everything finished all at once. I have been better since realizing and reassessing myself. I have been working more on delegation. A few strengths of mine would be I have a strong work thing with teamwork as a priority. I thrive when helping people such as my patients, coworkers and families. Another strength would be that I am a sponge. I am always striving to know more and to know the why behind everything I do to have the best patient impact I can. Knowing when to get help. What patient population do you serve most often Respiratory failure patients, but usually a mixture of multi organ dysfunction patients (EX. ARDS, SEPSIS, AKI.) Tell me about a scenario where you made a mistake? What did you do about it? When I was on orientation, I was still learning how to use the new pumps. I was hanging a new bottle and tubing of dexmetatomidine for a patient. I primed the tubing, then hooked it up to the patient's central line. I unclamped the tubing and then went to hook it up to the pump. I saw at this time that the dexmetatomidine was free flowing into the patient. I quickly stopped it by reclamping it. I then went over to the patient and checked to see if they were ok by doing a quick assessment and looking at the monitor. I saw the patient get more bradycardic into the high forties from the mid-fifties. I then ran out of the room to grab my preceptor. She did an assessment, called pharmacy and we monitored together for a few hours outside of the patient’s room. Lesson learned I will never do that again. What will you do if you don't get in? I will be reapplying for your next cohort of Doctorate prepared nurse Anesthetists. I also plan on signing up for some graduate level nursing courses to help better prepare myself for school. I will continue to work hard and learn as much as I can. How have you financially prepared for this journey? Frugal, live with 3 roommates, 2 miles from hospital and have saved enough to not work in Utah. I have a nest egg from my parents that I have been waiting to use till now. I have also applied for FAFSA, and a direct grad plus loan. Tell us when you've had a conflict with a peer. I don't welcome outside conflicts but if they occur i would have that hard conversation with my peer and only approach my supervisor if necessary; however, it hasn't happened yet. Tell us when you've had a difficult patient conflict? A patient with severe ETOH withdrawal. This patient had given every nurse a hard time but was very disoriented. We were managing his withdrawal with phenobarbital and prn pain medications. This patient thought I was his family member and asked me to leave the room. It seemed as though he was hallucinating. I was able to complete a partial CIWA score and recognized that he needed some pre-medications. I used the order that I had and asked the provider to come and look at him. The provider added on diazepam to his regime and the patient did much better. I was able to reorient him frequently and in due time he was transferred out. Tell us about an ethical dilemma. a patient with delirium from an unknown cause who had a negative head CT. Pt was biting and hitting staff. I called physician and she said we were not able to give her any medications due to frequent neuro assessments. We had called multiple behavior codes on this patient and finally I advocated again for the staff and the patient. Since there were no acute findings on the CT scan, she put in medication orders. The patient was still alert, but not as agitated afterwards. At that point it was a patient and staff safety issue with the patient climbing out of bed all the time. What are your future goals as a CRNA? Full circle, I want to be that CRNA that was there for me as a nursing student to future nursing students and SRNA. -I hope to be a competent, safe and beyond prepared CRNA when entering the field. Later on down the road I would like to be a preceptor for students to encourage them to keep going just like Jon, The CRNA whom I shadowed, was to me. What has been the most challenging thing to date? Personal- balancing school, swim team, resident advisor, a part time job, a long-term relationship, and friends. Clinical- detaching myself after the shift was over from suffering patients and their family members when first starting out in the ICU What other schools have you considered? I have considered University of new England as well; however, they do have small class sizes and many clinical sites just like Westminster does. They didn't have as many hands-on learning experiences such as sim lab opportunities. The supportive atmosphere is another great attribute that will help me to succeed in CRNA school. to have a supportive community of peers and professors who want you to succeed would be amazing during this rigorous program. I am also very excited to learn about a different region of the United States. How well do you handle criticism? In the beginning of my practice, I took criticism as a sign that i wasn't doing well as a new graduate in the ICU. Quickly I realized that not at all what that meant. There are always areas to improve on to better patient care and the flow of our work. I specifically worked on taking criticism and now use it to my advantage. What does a CRNA do A CRNA is an advanced practice nurse who provides anesthesia practice to patients who are going to the OR or a procedure. The way a CRNA whom I Shadowed, Jon, put it is that the CRNA is like the nurse, anesthesia provider, respiratory therapist, and pharmacy all at once. It is an intricate job with a lot of responsibility. What volunteer work have you done? While in my last two years for nursing school I took a trip to Haiti on medical missions to help the less fortunate. We treated many patients such as expecting mothers, women with UTI's, unhealthy and malnourished babies, and the elderly population. It was such a great experience to be able to make a small change in a place where people are suffering. I also just signed up to help educate peers during my unit’s skills fair, and to help out my unit educator. What journals do you read? how do you stay up to date on current research?