CCRN Practice Test 1 2024/2025 Exam
Questions and Detailed Answers | Get it
100% Correct Answers
After attending an educational session that reviewed drug dosing and provided
a review of the literature, the nurse would like to start using the admission
weight to calculate drug dosing during titration of vasoactive drugs rather than
the current practice of using daily weights. What would be the most effective
next step for the nurse to take to implement this change?
(A) Begin the adaptation of the practice by using the admission weight for
patients.
(B) Identify the key stakeholders related to the proposed change in practice.
(C) Ask the attending physician on rounds what her thoughts are about the
practice.
(D) Discuss the educational session with nurse colleagues. - 🧠ANSWER ✔✔(B)
Identify the key stakeholders related to the proposed change in practice.
A patient presents with a productive cough, hypoxemia, a fever, hypotension,
tachycardia, and tachypnea. Hypoxemia was corrected with the administration
of oxygen. Which of the following should be done next?
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,(A) Administer antibiotics.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Initiate 0.9 normal saline. - 🧠ANSWER ✔✔(D) Initiate 0.9 normal saline.
A patient with a urinary tract infection presented with a temperature of 39°C
(102.2°F), a heart rate of 132 beats/minute, a respiratory rate of 24
breaths/minute, a BP of 78/49 (a MAP of 59 mmHg), and a lactate of 2.8
mmol/L. The patient received 2 L of 0.9 NS within 1 hour. The BP is now 100/52
(the MAP is 68 mmHg), the heart rate is 118 beats/minute, the respiratory rate
is 20 breaths/minute, and the lactate is 2.1 mmol/L. The patient requires
treatment for:
(A) bacteremia.
(B) sepsis.
(C) SIRS.
(D) septic shock. - 🧠ANSWER ✔✔(B) sepsis.
A patient is 48 hours post aortic valve replacement. Which of the following
would be a major goal for this patient?
(A) diuretic therapy
(B) stabilizing the blood pressure
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,(C) prophylactic antibiotics
(D) preventing a thrombus - 🧠ANSWER ✔✔(D) preventing a thrombus
A patient with hypoxic encephalopathy has been opening his eyes to touch for
the past 24 hours. The patient now withdraws to painful stimuli, has developed
unequal pupils, and has a positive Babinski reflex. Which of the following
interventions should the nurse anticipate?
(A) ventriculostomy, oxygen, steroids
(B) sedation, vasopressin (Pitressin), thiazide diuretic
(C) osmotic diuretic, intubation, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - 🧠ANSWER ✔✔(C) osmotic diuretic,
intubation, and monitor the pCO2
A 19-year-old patient who was admitted with sickle cell crisis and acute kidney
injury requests to use a phone to update her friends on her condition. The
nurse's best response would be to:
(A) explain to the patient that calls can be made when she is transferred out of
the critical care unit.
(B) allow the patient to make the calls in order to meet the patient's need for
social support.
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, (C) explain to the patient that she needs to rest in order for the analgesic
medication to take effect.
(D) allow the patient to make the calls in order to reduce the patient's anxiety. -
🧠ANSWER ✔✔(B) allow the patient to make the calls in order to meet the
patient's need for social support.
The unit quality council wants to reduce the number of CAUTIS. Which of the
following strategies has been demonstrated to reduce incidences of CAUTIS?
(A) Remove the indwelling urinary catheter on day 3 post-op.
(B) Place the drainage collection system on the patient's abdomen during
transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermittent straight catheterization. - 🧠ANSWER ✔✔(C)
Assess the competency of the staff using a simulated environment.
A patient has cardiogenic shock and cardiogenic pulmonary edema. Which of
the following therapies would be most effective for this patient?
(A) an intra-aortic balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contractility
(C) an alpha-adrenergic drug to increase coronary artery perfusion
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Questions and Detailed Answers | Get it
100% Correct Answers
After attending an educational session that reviewed drug dosing and provided
a review of the literature, the nurse would like to start using the admission
weight to calculate drug dosing during titration of vasoactive drugs rather than
the current practice of using daily weights. What would be the most effective
next step for the nurse to take to implement this change?
(A) Begin the adaptation of the practice by using the admission weight for
patients.
(B) Identify the key stakeholders related to the proposed change in practice.
(C) Ask the attending physician on rounds what her thoughts are about the
practice.
(D) Discuss the educational session with nurse colleagues. - 🧠ANSWER ✔✔(B)
Identify the key stakeholders related to the proposed change in practice.
A patient presents with a productive cough, hypoxemia, a fever, hypotension,
tachycardia, and tachypnea. Hypoxemia was corrected with the administration
of oxygen. Which of the following should be done next?
Page 1 of 70
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
,(A) Administer antibiotics.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Initiate 0.9 normal saline. - 🧠ANSWER ✔✔(D) Initiate 0.9 normal saline.
A patient with a urinary tract infection presented with a temperature of 39°C
(102.2°F), a heart rate of 132 beats/minute, a respiratory rate of 24
breaths/minute, a BP of 78/49 (a MAP of 59 mmHg), and a lactate of 2.8
mmol/L. The patient received 2 L of 0.9 NS within 1 hour. The BP is now 100/52
(the MAP is 68 mmHg), the heart rate is 118 beats/minute, the respiratory rate
is 20 breaths/minute, and the lactate is 2.1 mmol/L. The patient requires
treatment for:
(A) bacteremia.
(B) sepsis.
(C) SIRS.
(D) septic shock. - 🧠ANSWER ✔✔(B) sepsis.
A patient is 48 hours post aortic valve replacement. Which of the following
would be a major goal for this patient?
(A) diuretic therapy
(B) stabilizing the blood pressure
Page 2 of 70
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619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
,(C) prophylactic antibiotics
(D) preventing a thrombus - 🧠ANSWER ✔✔(D) preventing a thrombus
A patient with hypoxic encephalopathy has been opening his eyes to touch for
the past 24 hours. The patient now withdraws to painful stimuli, has developed
unequal pupils, and has a positive Babinski reflex. Which of the following
interventions should the nurse anticipate?
(A) ventriculostomy, oxygen, steroids
(B) sedation, vasopressin (Pitressin), thiazide diuretic
(C) osmotic diuretic, intubation, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - 🧠ANSWER ✔✔(C) osmotic diuretic,
intubation, and monitor the pCO2
A 19-year-old patient who was admitted with sickle cell crisis and acute kidney
injury requests to use a phone to update her friends on her condition. The
nurse's best response would be to:
(A) explain to the patient that calls can be made when she is transferred out of
the critical care unit.
(B) allow the patient to make the calls in order to meet the patient's need for
social support.
Page 3 of 70
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619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
, (C) explain to the patient that she needs to rest in order for the analgesic
medication to take effect.
(D) allow the patient to make the calls in order to reduce the patient's anxiety. -
🧠ANSWER ✔✔(B) allow the patient to make the calls in order to meet the
patient's need for social support.
The unit quality council wants to reduce the number of CAUTIS. Which of the
following strategies has been demonstrated to reduce incidences of CAUTIS?
(A) Remove the indwelling urinary catheter on day 3 post-op.
(B) Place the drainage collection system on the patient's abdomen during
transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermittent straight catheterization. - 🧠ANSWER ✔✔(C)
Assess the competency of the staff using a simulated environment.
A patient has cardiogenic shock and cardiogenic pulmonary edema. Which of
the following therapies would be most effective for this patient?
(A) an intra-aortic balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contractility
(C) an alpha-adrenergic drug to increase coronary artery perfusion
Page 4 of 70
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619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
