AACN CCRN 2024/2025 EXAM QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ PROFESSOR VERIFIED
1. A patient in a hyperosmolar hyperglycemic state (HHS) is being admitted
with dehydration and a serum glucose level of 836 mg/dL. Which additional
laboratory findings should the nurse anticipate?
A. Decreased BUN, decreased creatinine, elevated serum osmolality B.
Elevated BUN, decreased creatinine, decreased serum osmolality
C. Decreased BUN, elevated creatinine, decreased serum osmolality
D. Elevated BUN, elevated creatinine, elevated serum osmolality: D. Elevated
BUN, elevated creatinine, elevated serum osmolality
2. A patient with a history of bronchogenic carcinoma is admitted with
respiratory failure. The patient is intubated and on mechanical ventilation. The
patient develops lethargy, headache, slight confusion, and abdominal
cramping.
Urinary output is decreasing. Significant
lab data:
Serum Na+: 127 mEq/L
Serum osmolality: 270 mOsm/kg Urine
specific gravity: Elevated
,Which INITIAL intervention should the nurse anticipate?
A. Collaboration with the oncologist for emergent chemotherapy
B. Administration of 3% saline
C. Observation for central pontine myelinolysis
D. Initiation of fluid restriction: D. Initiation of fluid restriction
3. Which places the older adult at greater risk for alcohol-induced disease?
A. More rapid metabolism of alcohol
B. Larger volume of body water
C. Increase in lean body tissue
D. Use of psychotropic drugs: D. Use of psychotropic drugs
4. Which is an endpoint of volume resuscitation?
A. CVP 3 mm Hg
B. CI 2.4 L/min/m²
C. Oxygen consumption 250 mL/min
D. Base deficit 4 mmol/L: C. Oxygen consumption 250 mL/min
5. Which 12-lead ECG changes should be expected in a patient with ACS
involving the inferior wall?
A. ST segment elevation and deeply inverted T waves in leads V„-V†, I, and
aVL
B. ST segment elevation in leads II, III, and all the precordial leads
C. ST segment elevation and deeply inverted T waves in leads II, III, and aVF
,D. ST segment depression and T wave elevation in leads II, III, and aVL: C. ST
segment elevation and deeply inverted T waves in leads II, III, and aVF
6. The major effect of ARDS on lung tissue is:
A. Decreased capillary permeability
B. Increased functional residual capacity
C. Decreased compliance
D. Decreased alveolar surface tension: C. Decreased compliance
7. A patient with mitral regurgitation suddenly develops atrial fibrillation. BP
is 118/74, and HR is 156. The nurse should anticipate orders for:
A. Beta-blockers and vasopressors
B. Warfarin (Coumadin) and alpha-agonists
C. Beta-agonists and calcium-channel blockers
D. Cardiac glycosides and calcium-channel blockers: D. Cardiac glycosides
and calcium-channel blockers
8. Which life-threatening dysrhythmia is MOST FREQUENTLY associated with
heart failure?
A. Bigeminy premature atrial contractions
B. Ventricular tachycardia
C. Second-degree AV block, Type II
D. Junctional tachycardia: B. Ventricular tachycardia
9. A patient has heart failure secondary to ischemic cardiomyopathy and
end-stage coronary artery disease. Which agents would be the MOST
beneficial?
, A. Digoxin (Lanoxin) and diltiazem (Cardizem)
B. Carvedilol (Coreg) and lisinopril (Zestril)
C. Verapamil (Calan) and spironolactone (Aldactone)
D. Flecainide (Tambocor) and hydralazine (Apresoline): C. Verapamil (Calan)
and spironolactone (Aldactone)
10. When providing care to a patient with status epilepticus, the nurse should
recognize that usually:
A. It is a state of continuous seizures lasting more than 2 minutes.
B. The patient comes out of the postictal state between seizures.
C. It results from abrupt discontinuation of anti-seizure medications.
D. The cause of death is due to cerebral hemorrhage.: C. It results from abrupt
discontinuation of anti-seizure medications.
11. A patient with a history of angina is admitted to the unit after surgical
repair of an abdominal aortic aneurysm (AAA). The patient is receiving a
sodium nitroprusside (Nipride) drip for severe postoperative hypertension.
Twelve hours later, the patient complains of back pain. Assessment at this
time reveals:
BP: 80/60
HR: 120
UO: 20mL/hr
+1 Left dorsalis pedis pulse
+1 Right dorsalis pedis pulse
After notifying the provider of the change in the patient's condition, the nurse
should anticipate which immediate intervention?
ANSWERS ALREADY GRADED A+ PROFESSOR VERIFIED
1. A patient in a hyperosmolar hyperglycemic state (HHS) is being admitted
with dehydration and a serum glucose level of 836 mg/dL. Which additional
laboratory findings should the nurse anticipate?
A. Decreased BUN, decreased creatinine, elevated serum osmolality B.
Elevated BUN, decreased creatinine, decreased serum osmolality
C. Decreased BUN, elevated creatinine, decreased serum osmolality
D. Elevated BUN, elevated creatinine, elevated serum osmolality: D. Elevated
BUN, elevated creatinine, elevated serum osmolality
2. A patient with a history of bronchogenic carcinoma is admitted with
respiratory failure. The patient is intubated and on mechanical ventilation. The
patient develops lethargy, headache, slight confusion, and abdominal
cramping.
Urinary output is decreasing. Significant
lab data:
Serum Na+: 127 mEq/L
Serum osmolality: 270 mOsm/kg Urine
specific gravity: Elevated
,Which INITIAL intervention should the nurse anticipate?
A. Collaboration with the oncologist for emergent chemotherapy
B. Administration of 3% saline
C. Observation for central pontine myelinolysis
D. Initiation of fluid restriction: D. Initiation of fluid restriction
3. Which places the older adult at greater risk for alcohol-induced disease?
A. More rapid metabolism of alcohol
B. Larger volume of body water
C. Increase in lean body tissue
D. Use of psychotropic drugs: D. Use of psychotropic drugs
4. Which is an endpoint of volume resuscitation?
A. CVP 3 mm Hg
B. CI 2.4 L/min/m²
C. Oxygen consumption 250 mL/min
D. Base deficit 4 mmol/L: C. Oxygen consumption 250 mL/min
5. Which 12-lead ECG changes should be expected in a patient with ACS
involving the inferior wall?
A. ST segment elevation and deeply inverted T waves in leads V„-V†, I, and
aVL
B. ST segment elevation in leads II, III, and all the precordial leads
C. ST segment elevation and deeply inverted T waves in leads II, III, and aVF
,D. ST segment depression and T wave elevation in leads II, III, and aVL: C. ST
segment elevation and deeply inverted T waves in leads II, III, and aVF
6. The major effect of ARDS on lung tissue is:
A. Decreased capillary permeability
B. Increased functional residual capacity
C. Decreased compliance
D. Decreased alveolar surface tension: C. Decreased compliance
7. A patient with mitral regurgitation suddenly develops atrial fibrillation. BP
is 118/74, and HR is 156. The nurse should anticipate orders for:
A. Beta-blockers and vasopressors
B. Warfarin (Coumadin) and alpha-agonists
C. Beta-agonists and calcium-channel blockers
D. Cardiac glycosides and calcium-channel blockers: D. Cardiac glycosides
and calcium-channel blockers
8. Which life-threatening dysrhythmia is MOST FREQUENTLY associated with
heart failure?
A. Bigeminy premature atrial contractions
B. Ventricular tachycardia
C. Second-degree AV block, Type II
D. Junctional tachycardia: B. Ventricular tachycardia
9. A patient has heart failure secondary to ischemic cardiomyopathy and
end-stage coronary artery disease. Which agents would be the MOST
beneficial?
, A. Digoxin (Lanoxin) and diltiazem (Cardizem)
B. Carvedilol (Coreg) and lisinopril (Zestril)
C. Verapamil (Calan) and spironolactone (Aldactone)
D. Flecainide (Tambocor) and hydralazine (Apresoline): C. Verapamil (Calan)
and spironolactone (Aldactone)
10. When providing care to a patient with status epilepticus, the nurse should
recognize that usually:
A. It is a state of continuous seizures lasting more than 2 minutes.
B. The patient comes out of the postictal state between seizures.
C. It results from abrupt discontinuation of anti-seizure medications.
D. The cause of death is due to cerebral hemorrhage.: C. It results from abrupt
discontinuation of anti-seizure medications.
11. A patient with a history of angina is admitted to the unit after surgical
repair of an abdominal aortic aneurysm (AAA). The patient is receiving a
sodium nitroprusside (Nipride) drip for severe postoperative hypertension.
Twelve hours later, the patient complains of back pain. Assessment at this
time reveals:
BP: 80/60
HR: 120
UO: 20mL/hr
+1 Left dorsalis pedis pulse
+1 Right dorsalis pedis pulse
After notifying the provider of the change in the patient's condition, the nurse
should anticipate which immediate intervention?
