Cri cal Care CCRN Prep/CCRN Prac ce Test 1 With
complete solu on RATED A+ 2025/2026 NEW!! 100%
VERIFIED CORRECT
A er a ending an educa onal 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 tra on of vasoac ve drugs rather than the current prac ce of using daily weights. What
would be the most effec ve next step for the nurse to take to implement this change?
(A) Begin the adapta on of the prac ce by using the admission weight for pa ents.
(B) Iden fy the key stakeholders related to the proposed change in prac ce.
(C) Ask the a ending physician on rounds what her thoughts are about the prac ce.
(D) Discuss the educa onal session with nurse colleagues. - Correct Answers (B) Iden fy the
key stakeholders related to the proposed change in prac ce.
A pa ent presents with a produc ve cough, hypoxemia, a fever, hypotension, tachycardia, and
tachypnea. Hypoxemia was corrected with the administra on of oxygen. Which of the following
should be done next?
(A) Administer an bio cs.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Ini ate 0.9 normal saline. - Correct Answers (D) Ini ate 0.9 normal saline.
A pa ent with a urinary tract infec on 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 pa ent 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 pa ent requires treatment for:
(A) bacteremia.
(B) sepsis.
,(C) SIRS.
(D) sep c shock. - Correct Answers (B) sepsis.
A pa ent is 48 hours post aor c valve replacement. Which of the following would be a major
goal for this pa ent?
(A) diure c therapy
(B) stabilizing the blood pressure
(C) prophylac c an bio cs
(D) preven ng a thrombus - Correct Answers (D) preven ng a thrombus
A pa ent with hypoxic encephalopathy has been opening his eyes to touch for the past 24
hours. The pa ent now withdraws to painful s muli, has developed unequal pupils, and has a
posi ve Babinski reflex. Which of the following interven ons should the nurse an cipate?
(A) ventriculostomy, oxygen, steroids
(B) seda on, vasopressin (Pitressin), thiazide diure c
(C) osmo c diure c, intuba on, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - Correct Answers (C) osmo c diure c, intuba on,
and monitor the pCO2
A 19-year-old pa ent who was admi ed with sickle cell crisis and acute kidney injury requests
to use a phone to update her friends on her condi on. The nurse's best response would be to:
(A) explain to the pa ent that calls can be made when she is transferred out of the cri cal care
unit.
(B) allow the pa ent to make the calls in order to meet the pa ent's need for social support.
(C) explain to the pa ent that she needs to rest in order for the analgesic medica on to take
effect.
(D) allow the pa ent to make the calls in order to reduce the pa ent's anxiety. - Correct
Answers (B) allow the pa ent to make the calls in order to meet the pa ent'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 collec on system on the pa ent's abdomen during transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermi ent straight catheteriza on. - Correct Answers (C) Assess the
competency of the staff using a simulated environment.
A pa ent has cardiogenic shock and cardiogenic pulmonary edema. Which of the following
therapies would be most effec ve for this pa ent?
(A) an intra-aor c balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contrac lity
(C) an alpha-adrenergic drug to increase coronary artery perfusion
(D) angiotensin-conver ng enzyme inhibitors to decrease a erload - Correct Answers (A) an
intra-aor c balloon pump to increase coronary artery perfusion
The care team is considering whether a pa ent is a candidate for hospice care. Which of the
following is a specific service provided by hospice care?
(A) advance care planning
(B) symptom management
(C) care for a terminal illness
(D) considera on of pa ent/family wishes - Correct Answers (C) care for a terminal illness
A pa ent has a history of chronic respiratory failure secondary to COPD and now has acute
respiratory failure secondary to pneumonia. Upon arrival at the cri cal care unit, his ABGs were
a pH of 7.29, a PaCO2 of 77, a PaO2 of 51, and an HCO3 of 31. He is receiving noninvasive
ven la on with seHngs that read as follows: FiO2 0.40, IPAP 12 cm, and EPAP 5 cm. A er 1
, hour of therapy, the pa ent's ABG results are a pH of 7.20, a PaCO2 of 89, a PaO2 of 48, and an
HCO3 of 32.
What is the correct evalua on of this data?
(A) Alveolar hyperven la on is geHng worse; the BiPAP seHngs need adjustment.
(B) Metabolic acidosis is worse; the FiO, needs to be increased.
(C) Alveolar hypoven la on is geHng worse; the pa ent needs to be intubated.
(D) The pH is acceptable for a pa ent with COPD; con nue the current therapy. - Correct
Answers (C) Alveolar hypoven la on is geHng worse; the pa ent needs to be intubated.
Which of the following is true regarding plateau pressure?
(A) It is a pressure that is used to calculate sta c compliance and reflects pressure in the lungs.
(B) It is a pressure that is used to calculate vital capacity and reflects pressure in the lungs.
(C) It is a pressure that is used to calculate dynamic compliance and reflects pressure in the
airways.
(D) It is a pressure that is used to measure dal volume and reflects pressure in the airways. -
Correct Answers (A) It is a pressure that is used to calculate sta c compliance and reflects
pressure in the lungs.
A pa ent is admi ed with a salicylate overdose. Which of the following treatments is most
effec ve for this pa ent?
(A) N-acetylcysteine, support the airway, fluids
(B) gastric lavage, an an dote, fluids
(C) ac vated charcoal, urine alkaliniza on, dialysis
(D) support the airway, gastric lavage, ethanol - Correct Answers (C) ac vated charcoal, urine
alkaliniza on, dialysis
Which of the following pa ents who have sustained mul ple trauma is most likely how to have
a poor outcome based on pa ent characteris cs?
complete solu on RATED A+ 2025/2026 NEW!! 100%
VERIFIED CORRECT
A er a ending an educa onal 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 tra on of vasoac ve drugs rather than the current prac ce of using daily weights. What
would be the most effec ve next step for the nurse to take to implement this change?
(A) Begin the adapta on of the prac ce by using the admission weight for pa ents.
(B) Iden fy the key stakeholders related to the proposed change in prac ce.
(C) Ask the a ending physician on rounds what her thoughts are about the prac ce.
(D) Discuss the educa onal session with nurse colleagues. - Correct Answers (B) Iden fy the
key stakeholders related to the proposed change in prac ce.
A pa ent presents with a produc ve cough, hypoxemia, a fever, hypotension, tachycardia, and
tachypnea. Hypoxemia was corrected with the administra on of oxygen. Which of the following
should be done next?
(A) Administer an bio cs.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Ini ate 0.9 normal saline. - Correct Answers (D) Ini ate 0.9 normal saline.
A pa ent with a urinary tract infec on 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 pa ent 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 pa ent requires treatment for:
(A) bacteremia.
(B) sepsis.
,(C) SIRS.
(D) sep c shock. - Correct Answers (B) sepsis.
A pa ent is 48 hours post aor c valve replacement. Which of the following would be a major
goal for this pa ent?
(A) diure c therapy
(B) stabilizing the blood pressure
(C) prophylac c an bio cs
(D) preven ng a thrombus - Correct Answers (D) preven ng a thrombus
A pa ent with hypoxic encephalopathy has been opening his eyes to touch for the past 24
hours. The pa ent now withdraws to painful s muli, has developed unequal pupils, and has a
posi ve Babinski reflex. Which of the following interven ons should the nurse an cipate?
(A) ventriculostomy, oxygen, steroids
(B) seda on, vasopressin (Pitressin), thiazide diure c
(C) osmo c diure c, intuba on, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - Correct Answers (C) osmo c diure c, intuba on,
and monitor the pCO2
A 19-year-old pa ent who was admi ed with sickle cell crisis and acute kidney injury requests
to use a phone to update her friends on her condi on. The nurse's best response would be to:
(A) explain to the pa ent that calls can be made when she is transferred out of the cri cal care
unit.
(B) allow the pa ent to make the calls in order to meet the pa ent's need for social support.
(C) explain to the pa ent that she needs to rest in order for the analgesic medica on to take
effect.
(D) allow the pa ent to make the calls in order to reduce the pa ent's anxiety. - Correct
Answers (B) allow the pa ent to make the calls in order to meet the pa ent'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 collec on system on the pa ent's abdomen during transport.
(C) Assess the competency of the staff using a simulated environment.
(D) Avoid the use of intermi ent straight catheteriza on. - Correct Answers (C) Assess the
competency of the staff using a simulated environment.
A pa ent has cardiogenic shock and cardiogenic pulmonary edema. Which of the following
therapies would be most effec ve for this pa ent?
(A) an intra-aor c balloon pump to increase coronary artery perfusion
(B) a beta blocker to increase cardiac contrac lity
(C) an alpha-adrenergic drug to increase coronary artery perfusion
(D) angiotensin-conver ng enzyme inhibitors to decrease a erload - Correct Answers (A) an
intra-aor c balloon pump to increase coronary artery perfusion
The care team is considering whether a pa ent is a candidate for hospice care. Which of the
following is a specific service provided by hospice care?
(A) advance care planning
(B) symptom management
(C) care for a terminal illness
(D) considera on of pa ent/family wishes - Correct Answers (C) care for a terminal illness
A pa ent has a history of chronic respiratory failure secondary to COPD and now has acute
respiratory failure secondary to pneumonia. Upon arrival at the cri cal care unit, his ABGs were
a pH of 7.29, a PaCO2 of 77, a PaO2 of 51, and an HCO3 of 31. He is receiving noninvasive
ven la on with seHngs that read as follows: FiO2 0.40, IPAP 12 cm, and EPAP 5 cm. A er 1
, hour of therapy, the pa ent's ABG results are a pH of 7.20, a PaCO2 of 89, a PaO2 of 48, and an
HCO3 of 32.
What is the correct evalua on of this data?
(A) Alveolar hyperven la on is geHng worse; the BiPAP seHngs need adjustment.
(B) Metabolic acidosis is worse; the FiO, needs to be increased.
(C) Alveolar hypoven la on is geHng worse; the pa ent needs to be intubated.
(D) The pH is acceptable for a pa ent with COPD; con nue the current therapy. - Correct
Answers (C) Alveolar hypoven la on is geHng worse; the pa ent needs to be intubated.
Which of the following is true regarding plateau pressure?
(A) It is a pressure that is used to calculate sta c compliance and reflects pressure in the lungs.
(B) It is a pressure that is used to calculate vital capacity and reflects pressure in the lungs.
(C) It is a pressure that is used to calculate dynamic compliance and reflects pressure in the
airways.
(D) It is a pressure that is used to measure dal volume and reflects pressure in the airways. -
Correct Answers (A) It is a pressure that is used to calculate sta c compliance and reflects
pressure in the lungs.
A pa ent is admi ed with a salicylate overdose. Which of the following treatments is most
effec ve for this pa ent?
(A) N-acetylcysteine, support the airway, fluids
(B) gastric lavage, an an dote, fluids
(C) ac vated charcoal, urine alkaliniza on, dialysis
(D) support the airway, gastric lavage, ethanol - Correct Answers (C) ac vated charcoal, urine
alkaliniza on, dialysis
Which of the following pa ents who have sustained mul ple trauma is most likely how to have
a poor outcome based on pa ent characteris cs?
