CCRN COMPREHENSIVE TEST BANK EXIT EXAM
NEWEST VERSION WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS \\ACTUAL
EXAM WITH VERIFIED ANSWERS ASSURED PASS
GRADED A+ \\BRAND NEW
1. A 49-year-old male was 1. D. I, aVL. The RCA perfuses the inferior wall and the
recently admitted with an mirror image or reciprocal changes would be seen in
inferior wall the high lateral Wel, V, ch i V, correlate with the sepal
MI resulting from 100% on the 12 cad C.
occlusion of the right g and y
coronary artery correlate with the anterior area of the heart. The aVR
(RCA). The 12-Lead ECG lead dres not provide much diagnostic value as all
reveals ST elevation in energy is depolarizing away from this lead.
leads II, Ill, and avF.
You would expect to see
reciprocal changes in
which leads?
A. I, aVR
B. V, 2
C. V. VA
D. I, aVL
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2. You are summoned to 2. A. Call for help and safely guide the patient to the
the room of a 30-year-old floor. Patient safety is the first priority. Once the
female who is patient is safe from immediate harm or injury, the
experiencing sustained seizure activity must be terminated. Seizure
tonic-clonic convulsions abatement is accomplished by the administration of a
while sitting in a chair. A benzodiazepine. Anticonvulsant medication is useful
family member states: "She in the prevention of seizure activity.
was just talking to us and
suddenly she let out a
shriek and started
flopping like a fish out of
water." What is your initial
priority of care?
1. Call for help and safely
guide the patient to the
floor
B. Call for help and
administer a prescribed
anticonvulsant medication
C. Call for help and
administer a prescribed
benzodiazepine
D. Call for help and
monitor the course of the
seizure
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3. A 46-year-old patient 3. B. Acute Respiratory Distress Syndrome. Criteria for
presents with pneumonia ARDS include bilateral pulmonary infiltrates on chest
and sepsis. x-ray and a P/! ratio ≤ 300; it is further rated as mild-
He was treated with 4 moderate-severe ARDS based on the P/F ratio. To
days of antibiotics and IV calculate the P/F ratio, divide the PaO, by the FiO. In
fluids. He is increasingly this case 102 (PaOz) ÷ 1.0 (100% FiO,) = 102, making it
short of breath and is now borderline severe ARDS. Other criteria for ARDS are
on 100% FiO, via non-re- decreased compliance, high PEEP requirement and
breather mask. You obtain low expired minute volume.
an ABG with the following
results: pH 7.20 / PaCO,
68/ PaO, 102/ HCO, 28. A
chest X-ray reveals
bilateral pulmonary
infiltrates. The patient is
likely developing:
A. Worsening pneumonia
B. Acute Respiratory
Distress Syndrome
C. Pulmonary embolus
D. Atelectasis
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4. A 56 year old female is 4. A. Encephalopathy. A patient in hypertensive crisis
admitted to the ICU in with a blood pressure > 180/120 mm Hg, is at risk of
Hypertensive Crisis with a developing hypertensive encephalopathy. Symptoms
blood pressure of 222/126 may include confusion, decreased level of
(158) mm Hg. She ran out consciousness, visual changes headache, nausea and
of her blood pressure vomiting. Other signs of organ dysfunction include
medication 2 weeks ago acute kidney injury, retinal hemorrhage, vessel
and did not get the damage, and epistaxis. It is important in hypertensive
prescription refilled. crisis to reduce blood pressure safely without
Which of the following is a reducing it too quickly. Often intravenous vasodilating
major complication of infusions are used to reduce the blood pressure.
Hypertensive Crisis? Examples include nicardipine, clevidipine, hydralazine,
A. Encephalopathy and nitroprusside
B. Diabetes Insipidus
C. SIADH
D. Gastrointestinal
hemorrhage
5. D. Potassium. Patients taking angiotensin converting
5. Which of the following enzyme inhibitors may experience hyperkalemia. ACE
labs must be closely inhibitors block angiotensin II, which may lead to
monitored when decreased aldosterone.
administering Lisinopril to Aldosterone is responsible for excreting potassium
a patient with systolic from the kidneys. Therefore, ACE inhibitors can cause
heart failure? potassium retention and potassium levels should be
A. Sodium monitored closely.
B. Phosphate In addition, renal labs such as BUN and creatinine
C. Magnesium should be monitored. If the patient develops more
D. Potassium than a 20% increase in the creatinine, the medication
should be discontinued or the dose reduced.
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