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Exam (elaborations)
Pediatric CCRN – Neuro Questions And Answers
Pediatric CCRN – Neuro Questions And Answers
Exam (elaborations)
Pediatric CCRN – Neuro Questions And Answers
Pediatric CCRN – Neuro Questions And Answers
Exam (elaborations)
Pediatric CCRN: Multisystem Questions And Answers
Pediatric CCRN: Multisystem Questions And Answers
Exam (elaborations)
Pediatric CCRN - Questions And Answers
Pediatric CCRN - Questions And Answers
Exam (elaborations)
Pediatric CCRN Exam Questions And Answers
Pediatric CCRN Exam Questions And Answers
Exam (elaborations)
Critical Care Registered Nurse&Lpar;Ccrn&Rpar; With Answers
1. The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment, For optimal care of the patient, the nurse should:: - Continuously monitor the patient in lead II 
It is best practice to monitor the patient status post PCI with stent, in the lead that was most abnormal during the acute occlusion. 
2. The ECG demonstrates ST elevation in leads II, III and aVF. The nurse needs to monitor the patient closely for which of the following?: Complication likely 
t...
Exam (elaborations)
Pediatric Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Exam Questions With Correct Answers &Lpar;Graded A&Rpar;
1. 3 causes for Fetal shunt closure 
1. increase in aterial oxygen tension 
2. decreased prostaglandins 
3. decreased adenosine levels 
2. When does the Ductus Arteriosus 
close? 
within 10-24 hours of birth 
3. When does the Foramen 
Ovale Close? 
When LA pressure exceeds RA pressure 
(can stay open for 6mo to a year) 
4. What does Cardiac Output 
measure? 
Efficiency of the heart 
5. Cardiac Output is the measure 
of what? 
Volume of blood pumped by the heart in one 
minute 
6. How is cardiac ...
Exam (elaborations)
Critical Care Registered Nurse&Lpar;Ccrn&Rpar;-Nicu
A patient who is G3P2 at 32 weeks' 
gestation arrives at the triage unit 
complaining of regular uterine contractions. 
Her pregnancy history includes 
a preterm delivery at 34 weeks. Before 
examining her, the nurse performs electronic 
fetal monitoring and obtains a 
complete history. The patient reports no 
bleeding and no rupture of membranes. 
She has no vaginal examinations or 
sexual activity for more than 24 hours. 
The biochemical marker useful in this 
situation for predicting preterm...
Exam (elaborations)
Pediatric Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Study Cards Neuro
1. Describe what is seen in 
Cushing's Reflex. 
Widened pulse pressure: Increase in systolic 
BP greater than diastolic BP 
Bradycardia Apnea (or decrease in respiratory 
rate) 
2. How is cerebral perfusion 
pressure calculated? 
MAP - ICP 
3. What is brain death? The irreversible cessation of all 
functions of the entire brain, 
including the brainstem. 
4. An apnea test is considered 
positive (indicative of brain 
death) when no respiratory 
efforts are made when the 
CO2 rises to or 
above ...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Neonatal 322 Questions And Answers
1. A deformation is a(n) abnormality caused by unusual 
mechanical forces on normal 
tissue. 
2. A low birth weight infant's temperature 
increases during skin-to-skin care. This 
is an example of heat transfer by 
conduction. 
3. At the onset of labor the release of catecholamines 
stimulates 
increased absorption of lung 
fluid. 
4. An edematous, bruised lesion on the 
right anterior scalp where the vacuum 
was applied. This lesion has clearly demarcated 
edges, is firm to touch, and 
does no...
Exam (elaborations)
Barron&Sol;Elsevier Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Practice Test Questions
1. Phenytoin inhibits _______ secretion ADH 
2. Most episodes of aspiration result in Right 
(right/left) lung infiltrates. 
3. Best indicator of GFR urine creatinine clearance 
4. In a vented patient with status asthmaticus, Auto-PEEP 
check for _______________ 
5. An increase in auto-PEEP is a sign of Air trapping 
_________________. 
6. obstructive pulmonary disease 
A patient with a flattened diaphragm on a 
Chest X-ray and decreased expiratory flow 
rate most likely has what type of disease...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Questions With Correct Answers
1. What are the components of the Central Nervous System?: Cerebral cortex 
(lobes) 
• Basal ganglia 
• Thalamus 
• Hypothalamus 
• Cerebellum 
-Brainstem 
-Pons 
-Midbrain 
-Medulla oblongata 
2. What are meninges?: Protect the brain and spinal cord 
PAD= Pia mater, Arachnoid mater, and Dura mater 
3. What is the Subarachnoid space?: • Between arachnoid and pia mater 
• Contains cerebrospinal fluid (CSF) 
4. Where is CSF produced?: choroid plexus of the lateral,third and fourth vent...
Exam (elaborations)
Pediatric Critical Care Registered Nurse&Lpar;Ccrn&Rpar; Highly Graded
1. Cardiac Output 
(CO) 
CO = HR x SV 
Amount of blood pumped thru ventricles 
4-8L/minute is the normal amount for an adult 
<800 ml/minute in a newborn 
2. Cardiac Index 
(CI) 
CI = CO/BSA 
A measure of the cardiac output tailored to individual 
height/weight 
3.3-6 L/min/m2 normal for adult 
3. Stroke Volume 
(SV) 
SV = CO X 1000/HR 
The volume of blood pumped forward with each ventricular 
contraction. 
4. Stroke Volume Index 
(SVI) 
SVI = SV/BSA 
Measurement of SV adjusted for BSA 
30-60...
Exam (elaborations)
Critical Care Registered Nurse&Lpar;Ccrn&Rpar; Exam With Answers
A 56 yr-old male is admitted to 
the ICU with a blood pressure 
of 225/135 and complains of a 
headache and nausea. He reports 
he ran out of blood pressure meds 
three days ago, but also appears to 
be confused to the date and situation. 
What is the most appropriate 
treatment approach? 
Rapidly lower the diastolic pressure 
to 100 with IV antihypertensive meds, 
then continue to gradually reduce the 
diastolic pressure to 85 with oral antihypertensive 
meds. 
The maximum initial decrease shou...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Questions With Correct Answers &Lpar;Graded A&Rpar; Section A
The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment, For optimal care of the patient, the nurse should pressure, right atrial pressure of 12 mm Hg, pulmonary artery pressure of 30/15 mm Hg, and pulmonary artery occlusive pressure of 13 mm Hg. What other data would indicate the development of cardiac tamponade? 
A.Increased venous oxygen saturation (SvO2) 
B.Decreased urine output 
C.Muffled heart sounds 
D.New holosystolic murmur at the sternum C ...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Questions With Correct Answers &Lpar;Graded A&Rpar; Section B
A 52-year-old accountant is admitted to the critical care unit with frank gastrointestinal bleeding for more than 18 hours. He has had a blood loss of more than 1000 mL. Which of the following sets of vital signs would be consistent with the patient's blood loss? A. Blood pressure (BP) 100/84 mm Hg, heart rate 124 beats/min B. BP 86/40 mm Hg, heart rate 92 beats/min C. BP 124/66 mm Hg, heart rate 124 beats/min D. BP 112/60 mm Hg, heart rate 92 beats/min A! With a loss of 750 to 1500 mL of blood...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Questions With Correct Answers &Lpar;Graded A&Rpar; Section C
A 47-year-old male has been admitted to the CCU from the emergency room with a history of sudden diaphoresis, nausea, vomiting and radiating pain down his left arm. He reports no significant medical history, and has been a two PPD smoker since his early twenties. His admitting diagnosis is UA/NSTEMI and he is being prepped for cardiac catheterization for possible angioplasty with stent placement. What type of medication orders might the nurse see prior to his procedure? 
a. Clopidogrel and ASA 
...
Exam (elaborations)
Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Questions With Correct Answers &Lpar;Graded A&Rpar; Section D
A patient in the ED with complaints of chest pain. The 12-lead EKG shows ST elevation in leads V3 and V4. Occlusion of the affected coronary artery most likely would affect perfusion to which portion of the conduction system? 
A. Sinoatrial (SA) node 
B. Bachmann's bundle 
C. Atrioventricular (AV) node 
D. Bundle of His LAD so D. bundle of his 
Which of the following is the preferred lead for ST segment monitoring for a patient with a suspected RCA occlusion? 
A.I 
B. aVR 
C. III 
D. V1 c. III ...
Exam (elaborations)
Pediatric Ccrn &Lpar;Critical Care Registered Nurse&Rpar; - Hot Spot Notes
How do you calculate Serum 
Osmo 
(Na x 2) + (Glucose/18) + (BUN/2.8) 
2. Becks Triad for Diagnosing 
Tamponade 
- JVD 
- Hypotension (huffled heard tones) 
- Tachycardia 
- Narrowed Pulse Pressure 
3. Right Ventriculogram via 
Cath shows: 
RV Size, Function, and Structure 
RVOT 
Tricuspid Regurg 
PA Anatomy 
Pulmonary Venous Return to Left Side of 
Heart 
4. Left Ventriculogram via Cath 
Shows: 
LV size, function, structure 
Outflow Tract 
Left to Right shunting patterns 
5. Aortagram via Cath ...
Exam (elaborations)
Pediatric Critical Care Registered Nurse &Lpar;Ccrn&Rpar; Module Exam 1 From Aacn With Complete Solutions
1. While caring for a patient with salicylate overdose, the nurse should anticipate administration of which of the following as a primary treatment measure? 
A. protamine sulfate 
B. glucose 
C. packed red blood cells D. fluid and electrolytes 
2. An adolescent with the developmental age of a 4-year-old requires placement of a chest tube. 
The best way to prepare the patient for this procedure is to A. use short simple sentences and limit descriptions to concrete explanations. 
B. show the patie...