CCRN Practice Questions With Complete
Answers
A c47-year-old cmale chas cbeen cadmitted cto cthe cCCU cfrom cthe cemergency croom
cwith ca chistory cof csudden cdiaphoresis, cnausea, cvomiting cand cradiating cpain cdown
chis cleft carm. cHe creports cno csignificant cmedical chistory, cand chas cbeen ca ctwo cPPD
csmoker csince chis cearly ctwenties. cHis cadmitting cdiagnosis cis cUA/NSTEMI cand che cis
cbeing cprepped cfor ccardiac ccatheterization cfor cpossible cangioplasty cwith cstent
cplacement. cWhat ctype cof cmedication corders cmight cthe cnurse csee cprior cto chis
cprocedure?
a. cClopidogrel cand cASA
b. cClopidogrel cand cprasugrel
c. cClopidogrel cand cmeperidine
d. cPrasugrel, cASA, cand chyoscyamine c- cCORRECT✅✅a. cClopidogrel cand cASA
Agnes cis ca c65-year-old cwhite cfemale cwho chas ca chistory cof cpulmonary cfibrosis cwith
csteroid cuse cfor cthe cpast ctwo cyears cwith cconcomitant chypertension. cShe chas cbeen
con coxygen ctherapy cat c4L cper cnasal ccannula cfor cthe cpast c3 cyears. cRecently, cher
cfirst cgreat-grandchild cwas cborn, cand cshe cdecided cto cquit csmoking. cThree cdays
cago, cshe cexperienced cnausea cand cdizziness cand cwas cadmitted cto cthe cCCU cwith
ca cdiagnosis cof cacute cmyocardial cinfarction. cDuring cshift cchange, cAgnes' clow cblood
cpressure calarm csounds. cUpon cassessment, cshe cis cdiaphoretic cand chas csevere
cdyspnea. cWhat cis cthe cmost clikely ccause cof cher csymptoms?
a. cExacerbation cof cpulmonary cfibrosis
b. cPulmonary cembolism
c. cRecurrent cmyocardial cinfarction
d. cPapillary cmuscle crupture c- cCORRECT✅✅d. cPapillary cmuscle crupture
Norman cis ca c65-year-old cparaplegic cwho cresides cin ca cnursing chome. cHe cpresents
cwith ca c3-day chistory cof cincreased ctemperature, cproductive ccough, cand cincreased
cweakness. cHis ccaregiver cstates cthat che chad cdeveloped ca cdecubitis culcer, cand chas
cnot cbeen cable cto ctolerate csitting cin chis cwheelchair, cso chas cbeen cin cbed cfor cthe
cpast cweek. cBibasilar ccrackles care caudible con causcultation, cwith coverall cdiminished
cbreath csounds cbilaterally. cObvious crespiratory cdistress cis capparent cwith ctachypnea,
csuprasternal cretractions cand cuse cof caccessory cmuscles. cVitals: cT-100.2F, cHR-120,
cRR-28, cBP c104/50, cO2 cSat con cRA c- c88%. cAn cinitial cchest cx-ray creveals cthe
c"spine csign" cand ca cnormal ccardiac csilhouette. cWhat cis cthe cmost clikely ccause cof
cNorman's ccondition?
a. cCAP
b. cHCAP
,c. cNHAP
d. cHAP c- cCORRECT✅✅c. cNHAP c- cNursing chome cacquired cpneumonia
What cdoes cthe cfinding cof c"spine csign" con ca cchest cx-ray cindicate?
a. cPre-existing cspinal cinjury
b. cKyphosis
c. cPneumonia
d. cScoliosis c- cCORRECT✅✅c. cPneumonia
If ca cpatient cis csuspected cof chaving can cepisode cof cacute chypoglycemia, cwhich cof
cthe cfollowing cis cNOT cthe cmost cappropriate cfirst cintervention?
a. cDraw ca cSTAT cblood cglucose clevel.
b. cGive cthe cpatient ca c½ cglass cof corange cjuice.
c. cGive cthe cpatient cIV cdextrose cor cIM cglucagon.
d. cCheck cthe cblood cglucose cwith ca cglucometer. c- cCORRECT✅✅a. cDraw ca cSTAT
cblood cglucose clevel.
Marilyn cis ca cType cI cdiabetic cwho chas cbeen cadmitted cto cthe cunit cafter ca csevere
chypoglycemic cepisode cin cwhich cshe clost cconsciousness. cShe cstates cthat cshe chas
chad cmany cepisode cof chypoglycemia, cbut cjust cdoes cnot cseem cto cknow cwhen cthey
care ccoming con canymore. cWhat cis cthe cterm cfor cthis cphenomenon?
a. cHypoglycemia ctolerance
b. cHypoglycemia cunawareness
c. cHypoglycemia clatency
d. cHypoglycemia cneurosis c- cCORRECT✅✅b. cHypoglycemia cunawareness
Of cthe cfollowing, cwhich cis cincluded cin cthe cetiology cof cidiopathic cthrombocytopenic
cpurpura c(ITP)?
a. cSplenomegaly
b. cHepatomegaly
c. cIgG cautoantibodies
d. cBone cmarrow cdepression c- cCORRECT✅✅c. cIgG cautoantibodies
Of cthe cfollowing, cwhich cis cNOT ca cconsideration cwhen cadministering cIVIg ctherapy?
a. cPatient's cage cand ccomorbidities
b. cBrand cof cIVIg cproduct cused
c. cPatient's csocioeconomic cstatus
d. cAccess cto cemergency cmedications c- cCORRECT✅✅c. cPatient's csocioeconomic
cstatus
,What cis cthe cmost ccommon csite cof crupture cof ca ccerebral caneurysm cwith cresulting
csubarachnoid chemorrhage c(SAH)?
a. cAnterior ccerebral cartery
b. cMiddle ccerebral cartery
c. cAnterior ccommunicating cartery
d. cPosterior ccommunicating cartery c- cCORRECT✅✅c. cAnterior ccommunicating
cartery
Donna cis ca c43-year-old cteacher cwho cwas cadmitted c6 cdays cago cwith ca cruptured
cmiddle ccerebral cartery c(MCA) caneurysm cwith csubarachnoid chemorrhage c(SAH).
cShe cunderwent csurgery cfor caneurysm cclipping c12 chours cafter cadmission, cand chas
chad can cexcellent cpost-operative ccourse. cHowever, cthis cmorning, cshe ccomplained
cof ca csevere cheadache, cbecame cacutely cconfused cand cquickly cprogressed cto
cunresponsiveness. cWhat cis cthe clikely ccause cfor cDonna's cchange cof cstatus?
a. cExpansion cof cher coriginal cSAH
b. cUncal cherniation
c. cCerebral cvasospasm
d. cMedication creaction c- cCORRECT✅✅c. cCerebral cvasospasm
Matthew cis ca c26-year-old cwho chas cbeen cadmitted cto cthe cICU cfollowing ca cmotor
cvehicle caccident. cUpon cassessment, cit cis cnoted cthat che chas ca cpositive cCullen
csign. cWhat cdoes cthis cindicate?
a. cBasilar cskull cfracture
b. cRetroperitoneal chemorrhage
c. cPelvic cfracture
d. cAortic ctear c- cCORRECT✅✅b. cRetroperitoneal chemorrhage
If cbowel csounds care caudible cwhen causcultating cMatthew's clungs, cwhat cinjury cmay
che chave csustained?
a. cRuptured cspleen
b. cRuptured cliver
c. cDiaphragmatic cinjury
d. cGastric ctear c- cCORRECT✅✅c. cDiaphragmatic cinjury
If ca cpatient csustains cacute crenal cfailure c(ARF) csecondary cto ccardiogenic cshock,
cwhat ctype cof crenal cfailure cis cthis cconsidered?
a. cIntrinsic
b. cPrerenal
c. cPostrenal
d. cIatrogenic c- cCORRECT✅✅b. cPrerenal
, The cRIFLE cclassification csystem cprovides ca cdefinition cand cclassification csystem cfor
cacute crenal cfailure c(ARF). cWhat cdoes cthe c"R" cin cthe cRIFLE cacronym crefer cto?
a. cRisk cof crenal cdysfunction
b. cRapid cresponse cto cfailure
c. cRole cof cdialysis
d. cRecurrence cof cintrinsic cdisease c- cCORRECT✅✅a. cRisk cof crenal cdysfunction
Andrew cis ca c47-year-old cwith cadvanced camyotrophic clateralizing csclerosis c(ALS).
cHe crequires ctotal cassistance cfor cpositioning, cbathing cand cmobility. cHis cswallowing
cis cimpaired, cso che ctakes cnothing cby cmouth cand creceives cnutrition cthrough ctube
cfeedings cvia ca cgastrostomy ctube. cBased con chis ccurrent ccondition, cwhat ctype cof
casphyxia cmay cAndrew cbe cmost csusceptible cto?
a. cCardiac casphyxia
b. cNeurological casphyxia
c. cForeign cbody casphyxia
d. cPositional casphyxia c- cCORRECT✅✅d. cPositional casphyxia
Ramona cis ca c21-year-old cwho chas cbeen cadmitted cto cthe cICU cafter csuffering can
canaphylactic creaction cduring cdinner cdue cto cpeanut csauce cin ca cdish cthat cthe chost
cdidn't ctell cher cabout. cShe cwas cstabilized cin cthe cemergency croom cwith cIV
cepinephrine cand cIV cdiphenhydramine. cHowever, c4 chours cafter cbeing cadmitted cto
cthe cICU cshe cbecomes canxious, cdevelops chives cand cbegins cto chave cdifficulty
cbreathing. cWhat cis cthe cmost clikely ccause cfor cRamona's csymptoms?
a. cPersistent canaphylaxis
b. cBiphasic canaphylaxis
c. cUnresponsive canaphylaxis
d. cRebound canaphylaxis c- cCORRECT✅✅b. cBiphasic canaphylaxis
Madge cis ca c91-year-old cnursing chome cresident cwith ca chistory cof cdementia cand
catrial cfibrillation cwho chas cbeen cadmitted cto cthe cICU cfor ctreatment cof cpneumonia.
cAs cyou care cperforming cher cbed cbath, cyou cnote cbruising caround cher cbreasts cand
cgenital carea. cWhat cpotential cissue cshould cbe cof cmajor cconcern cin cMadge's
csituation?
a. cIdiopathic cthrombocytopenia cpurpura c(ITP)
b. cEmbolic cstroke
c. cSexual cabuse
d. cNursing chome cacquired cpneumonia c(NHAP) c- cCORRECT✅✅c. cSexual cabuse
Jerry cis ca c55-year-old cveteran cwho chas cbeen cadmitted cafter ca cmotor cvehicle
caccident cwith cmultiple cinjuries. cHis cfriend creported cthat che chad cbeen cusing
csynthetic cmarijuana cprior cto cthe caccident, cand cthat che calso csees ca cpsychiatrist cat
cthe cVA chospital cfor can cunknown cdiagnosis. cHe cstated cthat cJerry csometimes cgets
Answers
A c47-year-old cmale chas cbeen cadmitted cto cthe cCCU cfrom cthe cemergency croom
cwith ca chistory cof csudden cdiaphoresis, cnausea, cvomiting cand cradiating cpain cdown
chis cleft carm. cHe creports cno csignificant cmedical chistory, cand chas cbeen ca ctwo cPPD
csmoker csince chis cearly ctwenties. cHis cadmitting cdiagnosis cis cUA/NSTEMI cand che cis
cbeing cprepped cfor ccardiac ccatheterization cfor cpossible cangioplasty cwith cstent
cplacement. cWhat ctype cof cmedication corders cmight cthe cnurse csee cprior cto chis
cprocedure?
a. cClopidogrel cand cASA
b. cClopidogrel cand cprasugrel
c. cClopidogrel cand cmeperidine
d. cPrasugrel, cASA, cand chyoscyamine c- cCORRECT✅✅a. cClopidogrel cand cASA
Agnes cis ca c65-year-old cwhite cfemale cwho chas ca chistory cof cpulmonary cfibrosis cwith
csteroid cuse cfor cthe cpast ctwo cyears cwith cconcomitant chypertension. cShe chas cbeen
con coxygen ctherapy cat c4L cper cnasal ccannula cfor cthe cpast c3 cyears. cRecently, cher
cfirst cgreat-grandchild cwas cborn, cand cshe cdecided cto cquit csmoking. cThree cdays
cago, cshe cexperienced cnausea cand cdizziness cand cwas cadmitted cto cthe cCCU cwith
ca cdiagnosis cof cacute cmyocardial cinfarction. cDuring cshift cchange, cAgnes' clow cblood
cpressure calarm csounds. cUpon cassessment, cshe cis cdiaphoretic cand chas csevere
cdyspnea. cWhat cis cthe cmost clikely ccause cof cher csymptoms?
a. cExacerbation cof cpulmonary cfibrosis
b. cPulmonary cembolism
c. cRecurrent cmyocardial cinfarction
d. cPapillary cmuscle crupture c- cCORRECT✅✅d. cPapillary cmuscle crupture
Norman cis ca c65-year-old cparaplegic cwho cresides cin ca cnursing chome. cHe cpresents
cwith ca c3-day chistory cof cincreased ctemperature, cproductive ccough, cand cincreased
cweakness. cHis ccaregiver cstates cthat che chad cdeveloped ca cdecubitis culcer, cand chas
cnot cbeen cable cto ctolerate csitting cin chis cwheelchair, cso chas cbeen cin cbed cfor cthe
cpast cweek. cBibasilar ccrackles care caudible con causcultation, cwith coverall cdiminished
cbreath csounds cbilaterally. cObvious crespiratory cdistress cis capparent cwith ctachypnea,
csuprasternal cretractions cand cuse cof caccessory cmuscles. cVitals: cT-100.2F, cHR-120,
cRR-28, cBP c104/50, cO2 cSat con cRA c- c88%. cAn cinitial cchest cx-ray creveals cthe
c"spine csign" cand ca cnormal ccardiac csilhouette. cWhat cis cthe cmost clikely ccause cof
cNorman's ccondition?
a. cCAP
b. cHCAP
,c. cNHAP
d. cHAP c- cCORRECT✅✅c. cNHAP c- cNursing chome cacquired cpneumonia
What cdoes cthe cfinding cof c"spine csign" con ca cchest cx-ray cindicate?
a. cPre-existing cspinal cinjury
b. cKyphosis
c. cPneumonia
d. cScoliosis c- cCORRECT✅✅c. cPneumonia
If ca cpatient cis csuspected cof chaving can cepisode cof cacute chypoglycemia, cwhich cof
cthe cfollowing cis cNOT cthe cmost cappropriate cfirst cintervention?
a. cDraw ca cSTAT cblood cglucose clevel.
b. cGive cthe cpatient ca c½ cglass cof corange cjuice.
c. cGive cthe cpatient cIV cdextrose cor cIM cglucagon.
d. cCheck cthe cblood cglucose cwith ca cglucometer. c- cCORRECT✅✅a. cDraw ca cSTAT
cblood cglucose clevel.
Marilyn cis ca cType cI cdiabetic cwho chas cbeen cadmitted cto cthe cunit cafter ca csevere
chypoglycemic cepisode cin cwhich cshe clost cconsciousness. cShe cstates cthat cshe chas
chad cmany cepisode cof chypoglycemia, cbut cjust cdoes cnot cseem cto cknow cwhen cthey
care ccoming con canymore. cWhat cis cthe cterm cfor cthis cphenomenon?
a. cHypoglycemia ctolerance
b. cHypoglycemia cunawareness
c. cHypoglycemia clatency
d. cHypoglycemia cneurosis c- cCORRECT✅✅b. cHypoglycemia cunawareness
Of cthe cfollowing, cwhich cis cincluded cin cthe cetiology cof cidiopathic cthrombocytopenic
cpurpura c(ITP)?
a. cSplenomegaly
b. cHepatomegaly
c. cIgG cautoantibodies
d. cBone cmarrow cdepression c- cCORRECT✅✅c. cIgG cautoantibodies
Of cthe cfollowing, cwhich cis cNOT ca cconsideration cwhen cadministering cIVIg ctherapy?
a. cPatient's cage cand ccomorbidities
b. cBrand cof cIVIg cproduct cused
c. cPatient's csocioeconomic cstatus
d. cAccess cto cemergency cmedications c- cCORRECT✅✅c. cPatient's csocioeconomic
cstatus
,What cis cthe cmost ccommon csite cof crupture cof ca ccerebral caneurysm cwith cresulting
csubarachnoid chemorrhage c(SAH)?
a. cAnterior ccerebral cartery
b. cMiddle ccerebral cartery
c. cAnterior ccommunicating cartery
d. cPosterior ccommunicating cartery c- cCORRECT✅✅c. cAnterior ccommunicating
cartery
Donna cis ca c43-year-old cteacher cwho cwas cadmitted c6 cdays cago cwith ca cruptured
cmiddle ccerebral cartery c(MCA) caneurysm cwith csubarachnoid chemorrhage c(SAH).
cShe cunderwent csurgery cfor caneurysm cclipping c12 chours cafter cadmission, cand chas
chad can cexcellent cpost-operative ccourse. cHowever, cthis cmorning, cshe ccomplained
cof ca csevere cheadache, cbecame cacutely cconfused cand cquickly cprogressed cto
cunresponsiveness. cWhat cis cthe clikely ccause cfor cDonna's cchange cof cstatus?
a. cExpansion cof cher coriginal cSAH
b. cUncal cherniation
c. cCerebral cvasospasm
d. cMedication creaction c- cCORRECT✅✅c. cCerebral cvasospasm
Matthew cis ca c26-year-old cwho chas cbeen cadmitted cto cthe cICU cfollowing ca cmotor
cvehicle caccident. cUpon cassessment, cit cis cnoted cthat che chas ca cpositive cCullen
csign. cWhat cdoes cthis cindicate?
a. cBasilar cskull cfracture
b. cRetroperitoneal chemorrhage
c. cPelvic cfracture
d. cAortic ctear c- cCORRECT✅✅b. cRetroperitoneal chemorrhage
If cbowel csounds care caudible cwhen causcultating cMatthew's clungs, cwhat cinjury cmay
che chave csustained?
a. cRuptured cspleen
b. cRuptured cliver
c. cDiaphragmatic cinjury
d. cGastric ctear c- cCORRECT✅✅c. cDiaphragmatic cinjury
If ca cpatient csustains cacute crenal cfailure c(ARF) csecondary cto ccardiogenic cshock,
cwhat ctype cof crenal cfailure cis cthis cconsidered?
a. cIntrinsic
b. cPrerenal
c. cPostrenal
d. cIatrogenic c- cCORRECT✅✅b. cPrerenal
, The cRIFLE cclassification csystem cprovides ca cdefinition cand cclassification csystem cfor
cacute crenal cfailure c(ARF). cWhat cdoes cthe c"R" cin cthe cRIFLE cacronym crefer cto?
a. cRisk cof crenal cdysfunction
b. cRapid cresponse cto cfailure
c. cRole cof cdialysis
d. cRecurrence cof cintrinsic cdisease c- cCORRECT✅✅a. cRisk cof crenal cdysfunction
Andrew cis ca c47-year-old cwith cadvanced camyotrophic clateralizing csclerosis c(ALS).
cHe crequires ctotal cassistance cfor cpositioning, cbathing cand cmobility. cHis cswallowing
cis cimpaired, cso che ctakes cnothing cby cmouth cand creceives cnutrition cthrough ctube
cfeedings cvia ca cgastrostomy ctube. cBased con chis ccurrent ccondition, cwhat ctype cof
casphyxia cmay cAndrew cbe cmost csusceptible cto?
a. cCardiac casphyxia
b. cNeurological casphyxia
c. cForeign cbody casphyxia
d. cPositional casphyxia c- cCORRECT✅✅d. cPositional casphyxia
Ramona cis ca c21-year-old cwho chas cbeen cadmitted cto cthe cICU cafter csuffering can
canaphylactic creaction cduring cdinner cdue cto cpeanut csauce cin ca cdish cthat cthe chost
cdidn't ctell cher cabout. cShe cwas cstabilized cin cthe cemergency croom cwith cIV
cepinephrine cand cIV cdiphenhydramine. cHowever, c4 chours cafter cbeing cadmitted cto
cthe cICU cshe cbecomes canxious, cdevelops chives cand cbegins cto chave cdifficulty
cbreathing. cWhat cis cthe cmost clikely ccause cfor cRamona's csymptoms?
a. cPersistent canaphylaxis
b. cBiphasic canaphylaxis
c. cUnresponsive canaphylaxis
d. cRebound canaphylaxis c- cCORRECT✅✅b. cBiphasic canaphylaxis
Madge cis ca c91-year-old cnursing chome cresident cwith ca chistory cof cdementia cand
catrial cfibrillation cwho chas cbeen cadmitted cto cthe cICU cfor ctreatment cof cpneumonia.
cAs cyou care cperforming cher cbed cbath, cyou cnote cbruising caround cher cbreasts cand
cgenital carea. cWhat cpotential cissue cshould cbe cof cmajor cconcern cin cMadge's
csituation?
a. cIdiopathic cthrombocytopenia cpurpura c(ITP)
b. cEmbolic cstroke
c. cSexual cabuse
d. cNursing chome cacquired cpneumonia c(NHAP) c- cCORRECT✅✅c. cSexual cabuse
Jerry cis ca c55-year-old cveteran cwho chas cbeen cadmitted cafter ca cmotor cvehicle
caccident cwith cmultiple cinjuries. cHis cfriend creported cthat che chad cbeen cusing
csynthetic cmarijuana cprior cto cthe caccident, cand cthat che calso csees ca cpsychiatrist cat
cthe cVA chospital cfor can cunknown cdiagnosis. cHe cstated cthat cJerry csometimes cgets
