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CCRN
CCRN Exam Questions with Correct
Verified Answers Latest Update
(NEW 2025/2026) Guaranteed Pass
What happens in Anaphylactic Shock? - ANS ✓histamine released and
causes massive dilation, decreased cardiac output, bronchospasm, and
laryngeal edema resulting in hypotension
Treatment of anaphylactic shock - ANS ✓0.3-0.5mg of epi 1:1000 IM
Benadryl 25-50mg IV
High dose IV steroids
Fluid resuscitation
02
Trauma first line assessment (ABCDE) - ANS ✓Airway- consider
intubation, stabilize c-spine
Breathing- provide 100% oxygenation and ventilation
Circulation- two large bore ivs with warm LR
Disability- perform quick neuro assessment
Exposure/Environment- remove clothes and provide warmth/cooling as
needed
Trauma Secondary Assessment (F, G, H, I) - ANS ✓Full set of vitals,
labs
Give comfort measures- pain management
History
Inspect posterior- turn over pt
Minimal sedation - ANS ✓Client can respond to commands
Moderate sedation - ANS ✓pt responds to commands alone or with
tactile stimulation
CCRN
, 2
CCRN
Deep sedation - ANS ✓pt cannot follow commands and is not aroused,
will respond to painful stimuli
General anesthesia - ANS ✓total loss of consciousness, not arousable
whatsoever
Dexmedetomidine (Precedex) - ANS ✓Start Dose- 0.2-0.4mcg/kg/hr;
titrate to RASS
Titrate q15 minutes
0.2-1.7mcg/kg/hr
Nursing considerations for Precedex - ANS ✓You cannot paralyze the
patient
Does not necessarily need to be on ventilator
Can cause bradycardia and hypotension
May not need sedation vacation
Ketamine - ANS ✓Start dose: 0.5-1mg/kg/hr
Titrate by 0.25mg/kg/hr q30 min
Max dose is 3mg/kg/hr
Nursing considerations for ketamine - ANS ✓May increase Bp and HR
May cause psychosis, hallucinations- pretreat with benzos
Give as slow IVP if indicated
Lorazepam (Ativan) - ANS ✓1-4mg IVP q 30 for RASS or CIWA
Start dose- 1-2mg/hr continuous
Usual dosage: 1-20mg/hr
Nursing considerations for Ativan - ANS ✓Contact physician if rate is
above 10mg/hr
Attempt to manage with PRN versed to wean off ativan
Use a 0.22 micron filter
Midazolam (Versed) - ANS ✓Start dose: 1-2mg/hr
Loading dose 1-4mg IVP 5-15 minutes until RASS achieved
Titrate by 1-2mg/hr q1hr
Usual dosage: 1-20mg/hr
CCRN
, 3
CCRN
Nursing considerations for versed - ANS ✓Contact physician if rate is
above 10mg/hr
Sedation vacation
Attempt to manage sedation with PRN midazolam
Propofol (Diprovan) - ANS ✓Start dose- 10mcg/kg/min
Titrate by 5mcg/kg/min q10
Normal dose: 5-80mcg/kg/min
Nursing considerations for Propofol (Diprovan) - ANS ✓-will cause
hypotension
-only use on ventilated patient
-do not paralyze
No analgesic properties
Monitor tryglycerides
Change tubing every 12 hours
Count as source of calories
What is the reversal for Benzodiazepines - ANS ✓Flumazenil
*Additional doses may be needed because it may wear off before the
effects of the benzo
Daily Sedation Withdrawal - ANS ✓essential to get a good neuro
assessment
Screen the patient prior to awakening
Contraindications for spontaneous awakening trial - ANS ✓myocardial
ischemia, seizures, alcohol withdrawal, paralyzed, increased ICP
Less obvious signs of pain in the critically ill - ANS ✓catheters, drains,
ET tube, nivs, suctioning, dressing changes
Check CPOT scale
Opioid Reversal - ANS ✓Naloxone 0.4-2mg q 10 minutes maximum of
10mg
Fentanyl - ANS ✓Start dose: Continuous infusion 25-50mcg/hr
Usual dosage: 25-200mcg/hr
CCRN
, 4
CCRN
Nursing considerations for fentanyl - ANS ✓-contact physician if needing
>200mcg/hr
-Taper off if being used >1 week
-decrease dosing for those with sleep apnea or cardiovascular/pulm
diseases, elderly, and obese
Hydromorphone (Dilaudid) - ANS ✓Start dose: 0.2-0.5mg/hr
Usual dosage: 0.2-3mg/hr
Nursing Considerations for hydromorphone - ANS ✓-Equal dose by
other route can be used to decrease drip
-gradually decrease why 10-25% daily to prevent withdrawal
1mg is equal to 7-10mg of morphine
Morphine - ANS ✓Start dose: 1-2mg/hr
Taper slowly to prevent withdrawal
Targeted temperature management - ANS ✓Lowering the patients core
temperature to prevent neurological effects from ischemic injury
Inclusion criteria for TTM - ANS ✓cardiac arrest with return of circulation
Unresponsive after cardiac arrest
Witnessed arrest with less than 60 minutes
Exclusion criteria for TTM - ANS ✓Pregnancy
Temp of less than 35
Age less than 18 or higher than 85
Chronic renal failure
Ventricular arrythmias
Active bleeding
Shock
Drug intoxification
What is the goal temp for TTM? - ANS ✓32-36C or per provider for 24
hours then rewarm slowly
Nursing considerations for TTM - ANS ✓-baseline labs
-BGS
-EKG
-ABG
CCRN
CCRN
CCRN Exam Questions with Correct
Verified Answers Latest Update
(NEW 2025/2026) Guaranteed Pass
What happens in Anaphylactic Shock? - ANS ✓histamine released and
causes massive dilation, decreased cardiac output, bronchospasm, and
laryngeal edema resulting in hypotension
Treatment of anaphylactic shock - ANS ✓0.3-0.5mg of epi 1:1000 IM
Benadryl 25-50mg IV
High dose IV steroids
Fluid resuscitation
02
Trauma first line assessment (ABCDE) - ANS ✓Airway- consider
intubation, stabilize c-spine
Breathing- provide 100% oxygenation and ventilation
Circulation- two large bore ivs with warm LR
Disability- perform quick neuro assessment
Exposure/Environment- remove clothes and provide warmth/cooling as
needed
Trauma Secondary Assessment (F, G, H, I) - ANS ✓Full set of vitals,
labs
Give comfort measures- pain management
History
Inspect posterior- turn over pt
Minimal sedation - ANS ✓Client can respond to commands
Moderate sedation - ANS ✓pt responds to commands alone or with
tactile stimulation
CCRN
, 2
CCRN
Deep sedation - ANS ✓pt cannot follow commands and is not aroused,
will respond to painful stimuli
General anesthesia - ANS ✓total loss of consciousness, not arousable
whatsoever
Dexmedetomidine (Precedex) - ANS ✓Start Dose- 0.2-0.4mcg/kg/hr;
titrate to RASS
Titrate q15 minutes
0.2-1.7mcg/kg/hr
Nursing considerations for Precedex - ANS ✓You cannot paralyze the
patient
Does not necessarily need to be on ventilator
Can cause bradycardia and hypotension
May not need sedation vacation
Ketamine - ANS ✓Start dose: 0.5-1mg/kg/hr
Titrate by 0.25mg/kg/hr q30 min
Max dose is 3mg/kg/hr
Nursing considerations for ketamine - ANS ✓May increase Bp and HR
May cause psychosis, hallucinations- pretreat with benzos
Give as slow IVP if indicated
Lorazepam (Ativan) - ANS ✓1-4mg IVP q 30 for RASS or CIWA
Start dose- 1-2mg/hr continuous
Usual dosage: 1-20mg/hr
Nursing considerations for Ativan - ANS ✓Contact physician if rate is
above 10mg/hr
Attempt to manage with PRN versed to wean off ativan
Use a 0.22 micron filter
Midazolam (Versed) - ANS ✓Start dose: 1-2mg/hr
Loading dose 1-4mg IVP 5-15 minutes until RASS achieved
Titrate by 1-2mg/hr q1hr
Usual dosage: 1-20mg/hr
CCRN
, 3
CCRN
Nursing considerations for versed - ANS ✓Contact physician if rate is
above 10mg/hr
Sedation vacation
Attempt to manage sedation with PRN midazolam
Propofol (Diprovan) - ANS ✓Start dose- 10mcg/kg/min
Titrate by 5mcg/kg/min q10
Normal dose: 5-80mcg/kg/min
Nursing considerations for Propofol (Diprovan) - ANS ✓-will cause
hypotension
-only use on ventilated patient
-do not paralyze
No analgesic properties
Monitor tryglycerides
Change tubing every 12 hours
Count as source of calories
What is the reversal for Benzodiazepines - ANS ✓Flumazenil
*Additional doses may be needed because it may wear off before the
effects of the benzo
Daily Sedation Withdrawal - ANS ✓essential to get a good neuro
assessment
Screen the patient prior to awakening
Contraindications for spontaneous awakening trial - ANS ✓myocardial
ischemia, seizures, alcohol withdrawal, paralyzed, increased ICP
Less obvious signs of pain in the critically ill - ANS ✓catheters, drains,
ET tube, nivs, suctioning, dressing changes
Check CPOT scale
Opioid Reversal - ANS ✓Naloxone 0.4-2mg q 10 minutes maximum of
10mg
Fentanyl - ANS ✓Start dose: Continuous infusion 25-50mcg/hr
Usual dosage: 25-200mcg/hr
CCRN
, 4
CCRN
Nursing considerations for fentanyl - ANS ✓-contact physician if needing
>200mcg/hr
-Taper off if being used >1 week
-decrease dosing for those with sleep apnea or cardiovascular/pulm
diseases, elderly, and obese
Hydromorphone (Dilaudid) - ANS ✓Start dose: 0.2-0.5mg/hr
Usual dosage: 0.2-3mg/hr
Nursing Considerations for hydromorphone - ANS ✓-Equal dose by
other route can be used to decrease drip
-gradually decrease why 10-25% daily to prevent withdrawal
1mg is equal to 7-10mg of morphine
Morphine - ANS ✓Start dose: 1-2mg/hr
Taper slowly to prevent withdrawal
Targeted temperature management - ANS ✓Lowering the patients core
temperature to prevent neurological effects from ischemic injury
Inclusion criteria for TTM - ANS ✓cardiac arrest with return of circulation
Unresponsive after cardiac arrest
Witnessed arrest with less than 60 minutes
Exclusion criteria for TTM - ANS ✓Pregnancy
Temp of less than 35
Age less than 18 or higher than 85
Chronic renal failure
Ventricular arrythmias
Active bleeding
Shock
Drug intoxification
What is the goal temp for TTM? - ANS ✓32-36C or per provider for 24
hours then rewarm slowly
Nursing considerations for TTM - ANS ✓-baseline labs
-BGS
-EKG
-ABG
CCRN
