CCRN Review Exam 136 Questions from Class with
Correct Answers.
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss - Correct Answer C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia - Correct Answer C
Which hemodynamic pressures would be increased in mitral stenosis?
Right atrial and central venous pressure
Left atrial and pulmonary capillary wedge
Left atrial and left ventricular
Systemic arterial and pulmonary capillary wedge - Correct Answer B
Cindy is diagnosed with Kawasaki's disease. While reviewing her clinical exam, the nurse
should note which of the following characteristics of this disease?
Fever > 5 days, unresponsive to antibiotics
Fever > 5 days, unresponsive to antibiotics, rash, oral mucosal changes
Bilateral conjunctivitis
Cervical lymphadenopathy - Correct Answer B
A child is admitted after sustaining a head injury. The most important aspect of the nurse's
continuing neurological assessment is:
Level of consciousness
,Pupillary response
Motor response
Assessment of the cranial nerves - Correct Answer A
For the patient in renal failure, potential metabolic derangements include all of the
following except:
Metabolic acidosis
Hyperkalemia
Hypocalcemia
Metabolic alkalosis - Correct Answer D
Betsy, age 13 is diagnosed as having a pheochromocytoma. Appropriate initial nursing
care would include:
Administration of large doses of xylometazoline to help control disease symptoms
Close monitoring of Betsy's vital signs, especially blood pressure
Preparing Betsy and her parents for imminent death
Have the parents discuss the condition with the doctor before informing Betsy of the
disease because of the protracted recovery period after treatment. - Correct Answer B
An 11 year old patient admitted to the PICU in respiratory distress. Patient is sinus
tachycardia at 150 BPM with a BP of 89/50 and RR at 48. Patient is diaphoretic and is
unable to speak. Patient's parents are screaming in the background "help my child"! Chest
X-ray has not been developed but there are no audible breath sounds on the left chest
after auscultation. ABG reads: pH: 7.3, PaCo2: 75, PaO2: 50, HCO3: 26 This ABG
reflects:
Respiratory acidosis with metabolic compensation
Respiratory acidosis with severe hypoxemia
Combined respiratory and metabolic acidosis
Respiratory alkalosis with severe hypoxemia - Correct Answer B
Beyonce is a 15 year old female with nausea and vomiting times 24 hours. She is
lethargic, with slow deep respirations and her lab values are K: 6.2, Bicarb 14, Glu: 455,
Based on these findings the RN should anticipate the following treatments.
D50 IV insulin, kayexalate
, Normal saline infusion, SQ insulin
Normal saline infusion, IV insulin
Dextrose infusion, IV insulin - Correct Answer C
Jason has had nausea and vomiting for several days prior to admission. He is diagnosed
with acute tubular necrosis. Which of the following lab abnormalities would the critical care
nurse expect?
Hyperkalemia, acidosis, azotemia
Hypocalcemia, alkalosis, anemia
Hypercalcemia, hypertension, acidosis
Hypokalemia, hypotension, alkalosis - Correct Answer A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
Activated Protein C
Antibiotics - Correct Answer D
Early symptoms of fluid overload and pulmonary edema are:
Rales hypoxia
S3 heart sound and tachycardia
Increased respiratory rate and subjective dyspnea
Shortness of breath only - Correct Answer C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products - Correct Answer C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
Correct Answers.
Which of the following types of shock is incorrectly matched with its causes?
Distributive: Anaphylactic
Cardiogenic: Dysrhythmia
Obstructive: Adrenal Insufficiency
Hemorrhage: Plasma loss - Correct Answer C
A patient having which condition is at higher risk for developing infective endocarditis?
Cystic Fibrosis
Hydrocephalus
Patent ductus arteriosus
Bronchopulmonary dysplasia - Correct Answer C
Which hemodynamic pressures would be increased in mitral stenosis?
Right atrial and central venous pressure
Left atrial and pulmonary capillary wedge
Left atrial and left ventricular
Systemic arterial and pulmonary capillary wedge - Correct Answer B
Cindy is diagnosed with Kawasaki's disease. While reviewing her clinical exam, the nurse
should note which of the following characteristics of this disease?
Fever > 5 days, unresponsive to antibiotics
Fever > 5 days, unresponsive to antibiotics, rash, oral mucosal changes
Bilateral conjunctivitis
Cervical lymphadenopathy - Correct Answer B
A child is admitted after sustaining a head injury. The most important aspect of the nurse's
continuing neurological assessment is:
Level of consciousness
,Pupillary response
Motor response
Assessment of the cranial nerves - Correct Answer A
For the patient in renal failure, potential metabolic derangements include all of the
following except:
Metabolic acidosis
Hyperkalemia
Hypocalcemia
Metabolic alkalosis - Correct Answer D
Betsy, age 13 is diagnosed as having a pheochromocytoma. Appropriate initial nursing
care would include:
Administration of large doses of xylometazoline to help control disease symptoms
Close monitoring of Betsy's vital signs, especially blood pressure
Preparing Betsy and her parents for imminent death
Have the parents discuss the condition with the doctor before informing Betsy of the
disease because of the protracted recovery period after treatment. - Correct Answer B
An 11 year old patient admitted to the PICU in respiratory distress. Patient is sinus
tachycardia at 150 BPM with a BP of 89/50 and RR at 48. Patient is diaphoretic and is
unable to speak. Patient's parents are screaming in the background "help my child"! Chest
X-ray has not been developed but there are no audible breath sounds on the left chest
after auscultation. ABG reads: pH: 7.3, PaCo2: 75, PaO2: 50, HCO3: 26 This ABG
reflects:
Respiratory acidosis with metabolic compensation
Respiratory acidosis with severe hypoxemia
Combined respiratory and metabolic acidosis
Respiratory alkalosis with severe hypoxemia - Correct Answer B
Beyonce is a 15 year old female with nausea and vomiting times 24 hours. She is
lethargic, with slow deep respirations and her lab values are K: 6.2, Bicarb 14, Glu: 455,
Based on these findings the RN should anticipate the following treatments.
D50 IV insulin, kayexalate
, Normal saline infusion, SQ insulin
Normal saline infusion, IV insulin
Dextrose infusion, IV insulin - Correct Answer C
Jason has had nausea and vomiting for several days prior to admission. He is diagnosed
with acute tubular necrosis. Which of the following lab abnormalities would the critical care
nurse expect?
Hyperkalemia, acidosis, azotemia
Hypocalcemia, alkalosis, anemia
Hypercalcemia, hypertension, acidosis
Hypokalemia, hypotension, alkalosis - Correct Answer A
Primary pharmacological management of a septic patient would include:
Vasodilators
Analgesics
Activated Protein C
Antibiotics - Correct Answer D
Early symptoms of fluid overload and pulmonary edema are:
Rales hypoxia
S3 heart sound and tachycardia
Increased respiratory rate and subjective dyspnea
Shortness of breath only - Correct Answer C
Which of the following is NOT a contraindication to ECMO
Grade 3 IVH
Irreversible disease process
Septic shock
LRefusal to receive blood products - Correct Answer C
Which of the following drugs can NOT be administered via the ETT?
Lidocaine
