CCRN GI QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

CCRN GI QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
UponNyourNassessmentNofNyourNpatient,NwhoNhasNpancreatitis,NyouNfindNtheNfollowingNvalues:

tempN37.1C,NBPN98/64,NHRN110,NRRN28,NSpO2N88%NonN2LNNC.N

HerNlabsNareNWBCN19,000,NHgbN8.9,NHCTN39%,NNaN144,NKN3.1,NCaN7.7,NandNglucoseN224.

YourNremainingNassessmentNrevealsNLLLNcracklesNofNtheNlungsNandNherNabdomenNw/NCullen'sNsign.NBeside
sNpancreatitis,NwhatNelseNdoNyouNthinkNyourNpatientNmayNhave?



a)NSIRS,NhemorrhagicNpancreatitis,NMODsNandNneedingNfluids

b)NhemorrhagicNshock,NstressNhyperglycemia,Nhypoxemia,NandNneedingNblood

c)Ndehydration,NARDS,NstressNhyperglycemia,NandNneedsNintubation

d)NhypovolemicNshock,Ndiabetes,NsevereNsepsis,NandNneedingNantibioticsN-
NANSWERNa)NSIRS,NhemorrhagicNpancreatitis,NMODSNandNneedingNfluids




--
YourNpatientNhasNSIRSNbcNofNtheNincreasedNRR,NHR,NandNWBC.NDueNtoNtheNCullen'sNsign,NyourNpatientNmos
tNlikelyNhasNhemorrhagicNpancreatitis,Nw/signsNofNMODSNbyNtheNlowNSpO2NandNtheNlowNBP.NFluidsNareNnee
dedNr/tNtheNmassiveNfluidNshiftsNinNacuteNpancreatitis



--
ThisNptNdoesNnotNhaveNdiabetesNandNdoesNnotNneedNantibiotics.NHowever,NisNatNaNhighNriskNofNARDSNbutNd
oesNnotNhaveNbilateralNinfiltratesNorNrefractoryNhypoxemia



ANnewNpatientNjustNarrivedNtoNtheNhospitalNs/pNacuteNabdominalNtrauma.NTheNpatientNisNnowNexperiencin
gNKehr'sNsign.NWhichNofNtheNfollowingNmayNbeNtheNcauseNofNKehr'sNsign?



a)NdiaphragmaticNirritation

b)NliverNcontusion

c)NrupturedNkidney

d)NrupturedNbladderN-NANSWERNa)NdiaphragmaticNirritation

, --
TraumaNthatNcausesNsplenicNruptureNalsoNcausesNdiaphragmaticNirritationNandNsubsequentNreferredNpainNt
oNtheNleftNshoulderN(Kehr'sNsign).NTheNotherNchoicesNdoNnotNcauseNKehr'sNsign.



YourNcoworkerNgoesNonNbreakNandNasksNyouNtoN"lookNout"NforNherNpatients.NHerNptNthenNcallsNyouNtoNtheN
roomNw/aNcomplaintNofN"somethingNdoesn'tNfeelNrightNinNmyNabdomen".NAfterNauscultatingNtheNpt'sNbow
elNsounds,NwhichNofNtheNfollowingNisNpresentNinNanNearlyNmechanicalNbowelNobstruction?



a)NnormalNbowelNsounds

b)NhypoactiveNbowelNsounds

c)NhyperactiveNbowelNsounds

d)NabsentNbowelNsoundsN-NANSWERNc)NhyperactiveNbowelNsounds



--
InNearlyNbowelNobstruction,NtheNbowelNsoundsNbecomeNhyperactive.NInNaNlateNbowelNobstruction,NbowelN
soundsNbecomeNhypoactiveNorNabsent.



YouNareNassistingNonNtheNadmissionNofNaNnewNpatientNintoNtheNICUNforNaNdiagnosisNofNbleedingNesophagea
lNvariesNandNhypovolemicNshock.NWhichNofNtheNfollowingNcloselyNresemblesNcompensationNforNtheNhypov
olemicNshock?



a)Nvasodilation

b)NcapillaryNfluidNshiftNintoNtheNinterstitialNspace

c)NdecreaseNinNreninNsecretion

d)NincreaseNinNre-absorptionNofNsodiumNandNwaterN-NANSWERNd)NanNincreaseNinNre-
absorptionNofNsodiumNandNwater



--W/NvolumeNdepletion,NaldosteroneNisNreleasedNbyNtheNrenin-angiotensin-
aldosteroneNmechanisNwhichNwillNallowNextraNNaNandNwaterNtoNbeNreabsorbedNinNanNattemptNtoNincreaseN
theNvascularNvolume.NTheNotherNchoicesNareNnotNsignsNofNaNcompensatoryNresponse.



YouNsuspectNacuteNappendicitisNw/NaNbowelNperforationNbeingNpresentNinNyourNnewNpatient.NWhichNofNth
eNfollowingNanswersNcloselyNdescribesNpain/discomfortNassociatedNw/NperitonealNirritation?