CCN FINAL TEST QUESTIONS &
ANSWERS
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome, when
is an intravenous (IV) solution that contains dextrose started? - ANSWERSWhen the blood
glucose reaches 250 mg/dL
***200 mg/dl?
Add dextrose to maintenance IV solutions once serum glucose level reaches 250 mg/dL in DKA
or 300 mg/dL in HHS.
In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to those of diabetic
ketoacidosis, with three major exceptions. What differences would you expect to see in patients
with hyperosmolar hyperglycemic syndrome? - ANSWERSHigher serum glucose, higher
osmolality, and no ketosis
The nurse is caring for a burn-injured patient who weighs 70 kg, and the burn injury covers 45%
of his body surface area. The nurse calculates the fluid needs for the first 24 hours after a burn
injury using a standard fluid resuscitation formula. The nurse plans to administer what amount
of fluid in the first 24 hours?
4x70x45? or 2x70x45? - ANSWERS6300 mL?????
A definitive diagnosis of pulmonary embolism can be made by - ANSWERSpulmonary
angiogram.
, A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,
decreasing urine output, hypercapnia, and hypoxemia. Based on this assessment, the nurse
anticipates interventions to evaluate and treat the patient for - ANSWERSintra-abdominal
hypertension.
The patient is admitted with end-stage liver disease. The nurse evaluates the patient for which
of the following? (Select all that apply.) - ANSWERSMalnutrition
Ascites
Disseminated intravascular coagulation
The nurse is managing the pain of a patient with burns. The provider has prescribed opiates to
be given intramuscularly. The nurse contacts the provider to change the prescription to
intravenous administration because - ANSWERStissue edema may interfere with drug
absorption of injectable routes.
The nurse is caring for a patient with an electrical injury. The nurse understands that patients
with electrical injury are at a high risk for acute kidney injury secondary to - ANSWERSrelease of
myoglobin from injured tissues.
The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm
Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air,
and an oral temperature of 96.8° F. Which intervention is most important for the nurse to
include in the patient's plan of care? - ANSWERS✓ Application of slow rewarming measures
The nurse has just completed an infusion of a 1000 mL bolus of 0.9% normal saline in a patient
with severe sepsis. One hour later, which laboratory result requires immediate nursing action? -
ANSWERS✓ Lactate 6 mmol/L
ANSWERS
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome, when
is an intravenous (IV) solution that contains dextrose started? - ANSWERSWhen the blood
glucose reaches 250 mg/dL
***200 mg/dl?
Add dextrose to maintenance IV solutions once serum glucose level reaches 250 mg/dL in DKA
or 300 mg/dL in HHS.
In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to those of diabetic
ketoacidosis, with three major exceptions. What differences would you expect to see in patients
with hyperosmolar hyperglycemic syndrome? - ANSWERSHigher serum glucose, higher
osmolality, and no ketosis
The nurse is caring for a burn-injured patient who weighs 70 kg, and the burn injury covers 45%
of his body surface area. The nurse calculates the fluid needs for the first 24 hours after a burn
injury using a standard fluid resuscitation formula. The nurse plans to administer what amount
of fluid in the first 24 hours?
4x70x45? or 2x70x45? - ANSWERS6300 mL?????
A definitive diagnosis of pulmonary embolism can be made by - ANSWERSpulmonary
angiogram.
, A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,
decreasing urine output, hypercapnia, and hypoxemia. Based on this assessment, the nurse
anticipates interventions to evaluate and treat the patient for - ANSWERSintra-abdominal
hypertension.
The patient is admitted with end-stage liver disease. The nurse evaluates the patient for which
of the following? (Select all that apply.) - ANSWERSMalnutrition
Ascites
Disseminated intravascular coagulation
The nurse is managing the pain of a patient with burns. The provider has prescribed opiates to
be given intramuscularly. The nurse contacts the provider to change the prescription to
intravenous administration because - ANSWERStissue edema may interfere with drug
absorption of injectable routes.
The nurse is caring for a patient with an electrical injury. The nurse understands that patients
with electrical injury are at a high risk for acute kidney injury secondary to - ANSWERSrelease of
myoglobin from injured tissues.
The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm
Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air,
and an oral temperature of 96.8° F. Which intervention is most important for the nurse to
include in the patient's plan of care? - ANSWERS✓ Application of slow rewarming measures
The nurse has just completed an infusion of a 1000 mL bolus of 0.9% normal saline in a patient
with severe sepsis. One hour later, which laboratory result requires immediate nursing action? -
ANSWERS✓ Lactate 6 mmol/L
