PULMONARY CCRN- CRITICAL CARE REGISTERED NURSE STUDY QUESTIONS
Pulmonary CCRN- Critical Care
Registered Nurse Study Questions
2024/2025 Fully Answered 100%
Which Of The Following Presentations Of Acute Asthma Would Most Likely Be
Admitted To The ICU For Close Monitoring And Treatment?
A. Dyspnea That Interferes With Daily Activities
B. Presence Of Inspiratory Wheezes
C. INABILITY TO COMMUNICATE IN FULL SENTENCES
D. Requiring Corticosteroid Treatment
The Severity Of The Asthmatic Attack Is Determined By The Degree Of Dyspnea. A
Patient Experiencing Dyspnea That Interferes With Daily Activities Is Considered A
Moderate Severity And Will Usually Be Treated And Sent Home. A Patient With Such
Severe Dys- Pnea That Results In An Inability To Speak Is Considered Life-
Threatening Asthma And Is More Likely To Be Admitted To The ICU For Monitoring
And Treatment. Wheezing May Or May Not Be Present In Acute Asthma And Does
Not Determine The Severity. In Fact, The Absence Of Wheezing May Indicate A
"Silent" Chest And Is Considered Life Threatening. Corticosteroid Treatment For
Airway Inflammation Can Be Prescribed On An Outpatient Basis With The Oral
Route.
What Is The First-Line Pharmacological Treatment Recommended For Severe Or Life-
Threatening Asthma?
A. Anticholinergic
B. Heliox
C. Leukotriene Receptor Antagonist
D. Β -SELECTIVE AGONIST
Administering An Inhaled Β2 Agonist To Control The Bronchospasm Is The Initial
Pharmacological Management Of A Severe Asthma Attack. An Inhaled
Anticholinergic May Be Used In Combination With A Β -Selective Agonist Drug To
Improve Responsiveness And 2 Outcomes But Is Not Recommended As The First-
Line Drug. Leukotriene Receptor Antagonist And Heliox Are Not Recommended In
The Management Of Acute Asthma.
, PULMONARY CCRN- CRITICAL CARE REGISTERED NURSE STUDY QUESTIONS
A Patient Develops A Pneumothorax From A Central Line. The Patient Is
Asymptomatic. Which Of The Following Patients Would Be Best To Observe And
Place On 100% Fio2 With- Out Placing A Chest Tube?
A. Spontaneously Breathing And Pneumothorax > 2 Cm
B. Mechanically Ventilated And Pneumothorax < 1 Cm
C. CPAP Patient And Pneumothorax < 2 Cm
D. SPONTANEOUS BREATHING AND PNEUMOTHORAX < 2 CM
A Small Pneumothorax (< 2 Cm) In An Asymptomatic Patient May Be Observed
Unless On Positive Pressure Ventilation. If The Patient Is On CPAP Or Mechanically
Ventilated, A Chest Tube Would Be Indicated Even In An Asymptomatic Patient With
A Small Pneu- Mothorax. The Positive Pressure Can Increase The Size Of The
Pneumothorax. If The Pneumothorax Is Large (> 2 Cm), A Chest Tube Is Indicated.
Which Of The Following Would Be An Indication For The Removal Of The Chest
Drainage Tube That Was Placed For A Pneumothorax?
A. No Subcutaneous Emphysema Present
B. < 50 Ml Of Chest Drainage In 12 Hours
C. Intermittent Bubbling Only Present In The Chest Drainage System
D. BUBBLING HAS CEASED IN THE CHEST DRAINAGE SYSTEM
One Of The Clinical Signs That The Pneumothorax Has Resolved Is The Cessation Of
Bubbling In The Chest Drainage System. A Chest X-Ray Should Be Obtained To
Verify The Reinflation Of The Lung. Intermittent Bubbling Indicates That The
Pneumotho- Rax Is Still Unresolved And That The Chest Tube System Needs To
Remain In Place. Subcutaneous Emphysema Does Not Determine The
Discontinuation Of The Chest Tube System. A Drainage Tube Placed For The
Purpose Of A Pneumothorax May Not Drain More Than 50 Ml In A 12-Hour Period
But It Does Not Indicate That The Pneumothorax Has Resolved.
What Is The Minimal Endotracheal Tube Cuff Pressure Required To Prevent
Aspiration Of Secretions?
A. 10 Cm H2O
B. 20 CM H2O
C. 30 Cm H2O
D. 40 Cm H2O
Pulmonary CCRN- Critical Care
Registered Nurse Study Questions
2024/2025 Fully Answered 100%
Which Of The Following Presentations Of Acute Asthma Would Most Likely Be
Admitted To The ICU For Close Monitoring And Treatment?
A. Dyspnea That Interferes With Daily Activities
B. Presence Of Inspiratory Wheezes
C. INABILITY TO COMMUNICATE IN FULL SENTENCES
D. Requiring Corticosteroid Treatment
The Severity Of The Asthmatic Attack Is Determined By The Degree Of Dyspnea. A
Patient Experiencing Dyspnea That Interferes With Daily Activities Is Considered A
Moderate Severity And Will Usually Be Treated And Sent Home. A Patient With Such
Severe Dys- Pnea That Results In An Inability To Speak Is Considered Life-
Threatening Asthma And Is More Likely To Be Admitted To The ICU For Monitoring
And Treatment. Wheezing May Or May Not Be Present In Acute Asthma And Does
Not Determine The Severity. In Fact, The Absence Of Wheezing May Indicate A
"Silent" Chest And Is Considered Life Threatening. Corticosteroid Treatment For
Airway Inflammation Can Be Prescribed On An Outpatient Basis With The Oral
Route.
What Is The First-Line Pharmacological Treatment Recommended For Severe Or Life-
Threatening Asthma?
A. Anticholinergic
B. Heliox
C. Leukotriene Receptor Antagonist
D. Β -SELECTIVE AGONIST
Administering An Inhaled Β2 Agonist To Control The Bronchospasm Is The Initial
Pharmacological Management Of A Severe Asthma Attack. An Inhaled
Anticholinergic May Be Used In Combination With A Β -Selective Agonist Drug To
Improve Responsiveness And 2 Outcomes But Is Not Recommended As The First-
Line Drug. Leukotriene Receptor Antagonist And Heliox Are Not Recommended In
The Management Of Acute Asthma.
, PULMONARY CCRN- CRITICAL CARE REGISTERED NURSE STUDY QUESTIONS
A Patient Develops A Pneumothorax From A Central Line. The Patient Is
Asymptomatic. Which Of The Following Patients Would Be Best To Observe And
Place On 100% Fio2 With- Out Placing A Chest Tube?
A. Spontaneously Breathing And Pneumothorax > 2 Cm
B. Mechanically Ventilated And Pneumothorax < 1 Cm
C. CPAP Patient And Pneumothorax < 2 Cm
D. SPONTANEOUS BREATHING AND PNEUMOTHORAX < 2 CM
A Small Pneumothorax (< 2 Cm) In An Asymptomatic Patient May Be Observed
Unless On Positive Pressure Ventilation. If The Patient Is On CPAP Or Mechanically
Ventilated, A Chest Tube Would Be Indicated Even In An Asymptomatic Patient With
A Small Pneu- Mothorax. The Positive Pressure Can Increase The Size Of The
Pneumothorax. If The Pneumothorax Is Large (> 2 Cm), A Chest Tube Is Indicated.
Which Of The Following Would Be An Indication For The Removal Of The Chest
Drainage Tube That Was Placed For A Pneumothorax?
A. No Subcutaneous Emphysema Present
B. < 50 Ml Of Chest Drainage In 12 Hours
C. Intermittent Bubbling Only Present In The Chest Drainage System
D. BUBBLING HAS CEASED IN THE CHEST DRAINAGE SYSTEM
One Of The Clinical Signs That The Pneumothorax Has Resolved Is The Cessation Of
Bubbling In The Chest Drainage System. A Chest X-Ray Should Be Obtained To
Verify The Reinflation Of The Lung. Intermittent Bubbling Indicates That The
Pneumotho- Rax Is Still Unresolved And That The Chest Tube System Needs To
Remain In Place. Subcutaneous Emphysema Does Not Determine The
Discontinuation Of The Chest Tube System. A Drainage Tube Placed For The
Purpose Of A Pneumothorax May Not Drain More Than 50 Ml In A 12-Hour Period
But It Does Not Indicate That The Pneumothorax Has Resolved.
What Is The Minimal Endotracheal Tube Cuff Pressure Required To Prevent
Aspiration Of Secretions?
A. 10 Cm H2O
B. 20 CM H2O
C. 30 Cm H2O
D. 40 Cm H2O
