CCRN Practice Test 1 Questions and
Answer Updated 2026
AfterBattendingBanBeducationalBsessionBthatBreviewedBdrugBdosingBandBprovidedBaBreviewBof
BtheBliterature,BtheBnurseBwouldBlikeBtoBstartBusingBtheBadmissionBweightBtoBcalculateBdrugB
dosingBduringBtitrationBofBvasoactiveBdrugsBratherBthanBtheBcurrentBpracticeBofBusingBdailyB
weights.BWhatBwouldBbeBtheBmostBeffectiveBnextBstepBforBtheBnurseBtoBtakeBtoBimplementB
thisBchange?
(A)BBeginBtheBadaptationBofBtheBpracticeBbyBusingBtheBadmissionBweightBforBpatients.B
(B)BIdentifyBtheBkeyBstakeholdersBrelatedBtoBtheBproposedBchangeBinBpractice.B
(C)BAskBtheBattendingBphysicianBonBroundsBwhatBherBthoughtsBareBaboutBtheBpractice.B
(D)BDiscussBtheBeducationalBsessionBwithBnurseBcolleagues.B-
BAnswer(B)BIdentifyBtheBkeyBstakeholdersBrelatedBtoBtheBproposedBchangeBinBpractice.
ABpatientBpresentsBwithBaBproductiveBcough,Bhypoxemia,BaBfever,Bhypotension,Btachycardia,Ba
ndBtachypnea.BHypoxemiaBwasBcorrectedBwithBtheBadministrationBofBoxygen.BWhichBofBtheBf
ollowingBshouldBbeBdoneBnext?
(A)BAdministerBantibiotics.
(B)BStartBaBvasopressor.B
(C)BCollectBaBsputumBculture.B
(D)BInitiateB0.9BnormalBsaline.B-BAnswer(D)BInitiateB0.9BnormalBsaline.
ABpatientBwithBaBurinaryBtractBinfectionBpresentedBwithBaBtemperatureBofB39°CB(102.2°F),BaB
heartBrateBofB132Bbeats/minute,BaBrespiratoryBrateBofB24Bbreaths/minute,BaBBPBofB78/49B(a
BMAPBofB59BmmHg),BandBaBlactateBofB2.8Bmmol/L.BTheBpatientBreceivedB2BLBofB0.9BNSBwit
hinB1Bhour.BTheBBPBisBnowB100/52B(theBMAPBisB68BmmHg),BtheBheartBrateBisB118Bbeats/mi
nute,BtheBrespiratoryBrateBisB20Bbreaths/minute,BandBtheBlactateBisB2.1Bmmol/L.BTheBpatient
BrequiresBtreatmentBfor:
(A)Bbacteremia.B
(B)Bsepsis.B
(C)BSIRS.
(D)BsepticBshock.B-BAnswer(B)Bsepsis.
ABpatientBisB48BhoursBpostBaorticBvalveBreplacement.BWhichBofBtheBfollowingBwouldBbeBaBm
ajorBgoalBforBthisBpatient?
(A)BdiureticBtherapyB
,(B)BstabilizingBtheBbloodBpressureB
(C)BprophylacticBantibioticsB
(D)BpreventingBaBthrombusB-BAnswer(D)BpreventingBaBthrombus
ABpatientBwithBhypoxicBencephalopathyBhasBbeenBopeningBhisBeyesBtoBtouchBforBtheBpastB2
4Bhours.BTheBpatientBnowBwithdrawsBtoBpainfulBstimuli,BhasBdevelopedBunequalBpupils,BandB
hasBaBpositiveBBabinskiBreflex.BWhichBofBtheBfollowingBinterventionsBshouldBtheBnurseBanticip
ate?
(A)Bventriculostomy,Boxygen,Bsteroids
(B)Bsedation,BvasopressinB(Pitressin),BthiazideBdiuretic
(C)BosmoticBdiuretic,Bintubation,BandBmonitorBtheBpCO2
(D)BlumbarBpunctureBandBincreaseBtheBFiO2B-
BAnswer(C)BosmoticBdiuretic,Bintubation,BandBmonitorBtheBpCO2
AB19-year-
oldBpatientBwhoBwasBadmittedBwithBsickleBcellBcrisisBandBacuteBkidneyBinjuryBrequestsBtoBus
eBaBphoneBtoBupdateBherBfriendsBonBherBcondition.BTheBnurse'sBbestBresponseBwouldBbeBto
:
(A)BexplainBtoBtheBpatientBthatBcallsBcanBbeBmadeBwhenBsheBisBtransferredBoutBofBtheBcritic
alBcareBunit.
(B)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBmeetBtheBpatient'sBneedBforBsocialBsup
port.
(C)BexplainBtoBtheBpatientBthatBsheBneedsBtoBrestBinBorderBforBtheBanalgesicBmedicationBtoB
takeBeffect.
(D)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBreduceBtheBpatient'sBanxiety.B-
BAnswer(B)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBmeetBtheBpatient'sBneedBforBso
cialBsupport.
TheBunitBqualityBcouncilBwantsBtoBreduceBtheBnumberBofBCAUTIS.BWhichBofBtheBfollowingBst
rategiesBhasBbeenBdemonstratedBtoBreduceBincidencesBofBCAUTIS?
(A)BRemoveBtheBindwellingBurinaryBcatheterBonBdayB3Bpost-op.
(B)BPlaceBtheBdrainageBcollectionBsystemBonBtheBpatient'sBabdomenBduringBtransport.
(C)BAssessBtheBcompetencyBofBtheBstaffBusingBaBsimulatedBenvironment.
(D)BAvoidBtheBuseBofBintermittentBstraightBcatheterization.B-
BAnswer(C)BAssessBtheBcompetencyBofBtheBstaffBusingBaBsimulatedBenvironment.
,ABpatientBhasBcardiogenicBshockBandBcardiogenicBpulmonaryBedema.BWhichBofBtheBfollowing
BtherapiesBwouldBbeBmostBeffectiveBforBthisBpatient?
(A)BanBintra-aorticBballoonBpumpBtoBincreaseBcoronaryBarteryBperfusion
(B)BaBbetaBblockerBtoBincreaseBcardiacBcontractility
(C)BanBalpha-adrenergicBdrugBtoBincreaseBcoronaryBarteryBperfusion
(D)Bangiotensin-convertingBenzymeBinhibitorsBtoBdecreaseBafterloadB-BAnswer(A)BanBintra-
aorticBballoonBpumpBtoBincreaseBcoronaryBarteryBperfusion
TheBcareBteamBisBconsideringBwhetherBaBpatientBisBaBcandidateBforBhospiceBcare.BWhichBofB
theBfollowingBisBaBspecificBserviceBprovidedBbyBhospiceBcare?
(A)BadvanceBcareBplanning
(B)BsymptomBmanagementB
(C)BcareBforBaBterminalBillnessB
(D)BconsiderationBofBpatient/familyBwishesB-BAnswer(C)BcareBforBaBterminalBillness
ABpatientBhasBaBhistoryBofBchronicBrespiratoryBfailureBsecondaryBtoBCOPDBandBnowBhasBacut
eBrespiratoryBfailureBsecondaryBtoBpneumonia.BUponBarrivalBatBtheBcriticalBcareBunit,BhisBAB
GsBwereBaBpHBofB7.29,BaBPaCO2BofB77,BaBPaO2BofB51,BandBanBHCO3BofB31.BHeBisBreceivin
gBnoninvasiveBventilationBwithBsettingsBthatBreadBasBfollows:BFiO2B0.40,BIPAPB12Bcm,BandBEP
APB5Bcm.BAfterB1BhourBofBtherapy,BtheBpatient'sBABGBresultsBareBaBpHBofB7.20,BaBPaCO2Bo
fB89,BaBPaO2BofB48,BandBanBHCO3BofB32.
WhatBisBtheBcorrectBevaluationBofBthisBdata?
(A)BAlveolarBhyperventilationBisBgettingBworse;BtheBBiPAPBsettingsBneedBadjustment.
(B)BMetabolicBacidosisBisBworse;BtheBFiO,BneedsBtoBbeBincreased.
(C)BAlveolarBhypoventilationBisBgettingBworse;BtheBpatientBneedsBtoBbeBintubated.
(D)BTheBpHBisBacceptableBforBaBpatientBwithBCOPD;BcontinueBtheBcurrentBtherapy.B-
BAnswer(C)BAlveolarBhypoventilationBisBgettingBworse;BtheBpatientBneedsBtoBbeBintubated.
WhichBofBtheBfollowingBisBtrueBregardingBplateauBpressure?
(A)BItBisBaBpressureBthatBisBusedBtoBcalculateBstaticBcomplianceBandBreflectsBpressureBinBthe
Blungs.
(B)BItBisBaBpressureBthatBisBusedBtoBcalculateBvitalBcapacityBandBreflectsBpressureBinBtheBlun
gs.
(C)BItBisBaBpressureBthatBisBusedBtoBcalculateBdynamicBcomplianceBandBreflectsBpressureBinBt
heBairways.
, (D)BItBisBaBpressureBthatBisBusedBtoBmeasureBtidalBvolumeBandBreflectsBpressureBinBtheBairw
ays.B-
BAnswer(A)BItBisBaBpressureBthatBisBusedBtoBcalculateBstaticBcomplianceBandBreflectsBpressur
eBinBtheBlungs.
ABpatientBisBadmittedBwithBaBsalicylateBoverdose.BWhichBofBtheBfollowingBtreatmentsBisBmos
tBeffectiveBforBthisBpatient?
(A)BN-acetylcysteine,BsupportBtheBairway,Bfluids
(B)BgastricBlavage,BanBantidote,Bfluids
(C)BactivatedBcharcoal,BurineBalkalinization,Bdialysis
(D)BsupportBtheBairway,BgastricBlavage,BethanolB-
BAnswer(C)BactivatedBcharcoal,BurineBalkalinization,Bdialysis
WhichBofBtheBfollowingBpatientsBwhoBhaveBsustainedBmultipleBtraumaBisBmostBlikelyBhowBto
BhaveBaBpoorBoutcomeBbasedBonBpatientBcharacteristics?
(A)BtheBcollegeBgraduate
(B)BtheBownerBofBaBsuccessfulBbusinessB
(C)BtheBmarriedBman
(D)BtheBhomelessBmanB-BAnswer(D)BtheBhomelessBman
WhichBofBtheBfollowingBmayBbeBaBreasonBtoBuseBrestraintsBforBaBpatient?
(A)BTheBpatientBisBscreamingBobscenities.B
(B)BTheBpatientBisBspitting.
(C)BTheBpatientBisBpullingBatBhisBcentralBvenousBcatheter.
(D)BTheBpatientBhasBanBendotrachealBtube.B-
BAnswer(C)BTheBpatientBisBpullingBatBhisBcentralBvenousBcatheter.
ABpatientBhasBacuteBrightBventricularBinfarctBandBRVBfailure.BWhichBofBtheBfollowingBisBanBin
dicationBthatBthisBpatient'sBconditionBhasBimproved?
(A)BTheBPAOPBhasBdecreased.
(B)BTheBRABpressureBhasBdecreased.B
(C)BTheBRVBpressureBhasBincreased.B
(D)BTheBPABdiastolicBpressureBhasBdecreased.B-BAnswer(B)BTheBRABpressureBhasBdecreased.
Answer Updated 2026
AfterBattendingBanBeducationalBsessionBthatBreviewedBdrugBdosingBandBprovidedBaBreviewBof
BtheBliterature,BtheBnurseBwouldBlikeBtoBstartBusingBtheBadmissionBweightBtoBcalculateBdrugB
dosingBduringBtitrationBofBvasoactiveBdrugsBratherBthanBtheBcurrentBpracticeBofBusingBdailyB
weights.BWhatBwouldBbeBtheBmostBeffectiveBnextBstepBforBtheBnurseBtoBtakeBtoBimplementB
thisBchange?
(A)BBeginBtheBadaptationBofBtheBpracticeBbyBusingBtheBadmissionBweightBforBpatients.B
(B)BIdentifyBtheBkeyBstakeholdersBrelatedBtoBtheBproposedBchangeBinBpractice.B
(C)BAskBtheBattendingBphysicianBonBroundsBwhatBherBthoughtsBareBaboutBtheBpractice.B
(D)BDiscussBtheBeducationalBsessionBwithBnurseBcolleagues.B-
BAnswer(B)BIdentifyBtheBkeyBstakeholdersBrelatedBtoBtheBproposedBchangeBinBpractice.
ABpatientBpresentsBwithBaBproductiveBcough,Bhypoxemia,BaBfever,Bhypotension,Btachycardia,Ba
ndBtachypnea.BHypoxemiaBwasBcorrectedBwithBtheBadministrationBofBoxygen.BWhichBofBtheBf
ollowingBshouldBbeBdoneBnext?
(A)BAdministerBantibiotics.
(B)BStartBaBvasopressor.B
(C)BCollectBaBsputumBculture.B
(D)BInitiateB0.9BnormalBsaline.B-BAnswer(D)BInitiateB0.9BnormalBsaline.
ABpatientBwithBaBurinaryBtractBinfectionBpresentedBwithBaBtemperatureBofB39°CB(102.2°F),BaB
heartBrateBofB132Bbeats/minute,BaBrespiratoryBrateBofB24Bbreaths/minute,BaBBPBofB78/49B(a
BMAPBofB59BmmHg),BandBaBlactateBofB2.8Bmmol/L.BTheBpatientBreceivedB2BLBofB0.9BNSBwit
hinB1Bhour.BTheBBPBisBnowB100/52B(theBMAPBisB68BmmHg),BtheBheartBrateBisB118Bbeats/mi
nute,BtheBrespiratoryBrateBisB20Bbreaths/minute,BandBtheBlactateBisB2.1Bmmol/L.BTheBpatient
BrequiresBtreatmentBfor:
(A)Bbacteremia.B
(B)Bsepsis.B
(C)BSIRS.
(D)BsepticBshock.B-BAnswer(B)Bsepsis.
ABpatientBisB48BhoursBpostBaorticBvalveBreplacement.BWhichBofBtheBfollowingBwouldBbeBaBm
ajorBgoalBforBthisBpatient?
(A)BdiureticBtherapyB
,(B)BstabilizingBtheBbloodBpressureB
(C)BprophylacticBantibioticsB
(D)BpreventingBaBthrombusB-BAnswer(D)BpreventingBaBthrombus
ABpatientBwithBhypoxicBencephalopathyBhasBbeenBopeningBhisBeyesBtoBtouchBforBtheBpastB2
4Bhours.BTheBpatientBnowBwithdrawsBtoBpainfulBstimuli,BhasBdevelopedBunequalBpupils,BandB
hasBaBpositiveBBabinskiBreflex.BWhichBofBtheBfollowingBinterventionsBshouldBtheBnurseBanticip
ate?
(A)Bventriculostomy,Boxygen,Bsteroids
(B)Bsedation,BvasopressinB(Pitressin),BthiazideBdiuretic
(C)BosmoticBdiuretic,Bintubation,BandBmonitorBtheBpCO2
(D)BlumbarBpunctureBandBincreaseBtheBFiO2B-
BAnswer(C)BosmoticBdiuretic,Bintubation,BandBmonitorBtheBpCO2
AB19-year-
oldBpatientBwhoBwasBadmittedBwithBsickleBcellBcrisisBandBacuteBkidneyBinjuryBrequestsBtoBus
eBaBphoneBtoBupdateBherBfriendsBonBherBcondition.BTheBnurse'sBbestBresponseBwouldBbeBto
:
(A)BexplainBtoBtheBpatientBthatBcallsBcanBbeBmadeBwhenBsheBisBtransferredBoutBofBtheBcritic
alBcareBunit.
(B)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBmeetBtheBpatient'sBneedBforBsocialBsup
port.
(C)BexplainBtoBtheBpatientBthatBsheBneedsBtoBrestBinBorderBforBtheBanalgesicBmedicationBtoB
takeBeffect.
(D)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBreduceBtheBpatient'sBanxiety.B-
BAnswer(B)BallowBtheBpatientBtoBmakeBtheBcallsBinBorderBtoBmeetBtheBpatient'sBneedBforBso
cialBsupport.
TheBunitBqualityBcouncilBwantsBtoBreduceBtheBnumberBofBCAUTIS.BWhichBofBtheBfollowingBst
rategiesBhasBbeenBdemonstratedBtoBreduceBincidencesBofBCAUTIS?
(A)BRemoveBtheBindwellingBurinaryBcatheterBonBdayB3Bpost-op.
(B)BPlaceBtheBdrainageBcollectionBsystemBonBtheBpatient'sBabdomenBduringBtransport.
(C)BAssessBtheBcompetencyBofBtheBstaffBusingBaBsimulatedBenvironment.
(D)BAvoidBtheBuseBofBintermittentBstraightBcatheterization.B-
BAnswer(C)BAssessBtheBcompetencyBofBtheBstaffBusingBaBsimulatedBenvironment.
,ABpatientBhasBcardiogenicBshockBandBcardiogenicBpulmonaryBedema.BWhichBofBtheBfollowing
BtherapiesBwouldBbeBmostBeffectiveBforBthisBpatient?
(A)BanBintra-aorticBballoonBpumpBtoBincreaseBcoronaryBarteryBperfusion
(B)BaBbetaBblockerBtoBincreaseBcardiacBcontractility
(C)BanBalpha-adrenergicBdrugBtoBincreaseBcoronaryBarteryBperfusion
(D)Bangiotensin-convertingBenzymeBinhibitorsBtoBdecreaseBafterloadB-BAnswer(A)BanBintra-
aorticBballoonBpumpBtoBincreaseBcoronaryBarteryBperfusion
TheBcareBteamBisBconsideringBwhetherBaBpatientBisBaBcandidateBforBhospiceBcare.BWhichBofB
theBfollowingBisBaBspecificBserviceBprovidedBbyBhospiceBcare?
(A)BadvanceBcareBplanning
(B)BsymptomBmanagementB
(C)BcareBforBaBterminalBillnessB
(D)BconsiderationBofBpatient/familyBwishesB-BAnswer(C)BcareBforBaBterminalBillness
ABpatientBhasBaBhistoryBofBchronicBrespiratoryBfailureBsecondaryBtoBCOPDBandBnowBhasBacut
eBrespiratoryBfailureBsecondaryBtoBpneumonia.BUponBarrivalBatBtheBcriticalBcareBunit,BhisBAB
GsBwereBaBpHBofB7.29,BaBPaCO2BofB77,BaBPaO2BofB51,BandBanBHCO3BofB31.BHeBisBreceivin
gBnoninvasiveBventilationBwithBsettingsBthatBreadBasBfollows:BFiO2B0.40,BIPAPB12Bcm,BandBEP
APB5Bcm.BAfterB1BhourBofBtherapy,BtheBpatient'sBABGBresultsBareBaBpHBofB7.20,BaBPaCO2Bo
fB89,BaBPaO2BofB48,BandBanBHCO3BofB32.
WhatBisBtheBcorrectBevaluationBofBthisBdata?
(A)BAlveolarBhyperventilationBisBgettingBworse;BtheBBiPAPBsettingsBneedBadjustment.
(B)BMetabolicBacidosisBisBworse;BtheBFiO,BneedsBtoBbeBincreased.
(C)BAlveolarBhypoventilationBisBgettingBworse;BtheBpatientBneedsBtoBbeBintubated.
(D)BTheBpHBisBacceptableBforBaBpatientBwithBCOPD;BcontinueBtheBcurrentBtherapy.B-
BAnswer(C)BAlveolarBhypoventilationBisBgettingBworse;BtheBpatientBneedsBtoBbeBintubated.
WhichBofBtheBfollowingBisBtrueBregardingBplateauBpressure?
(A)BItBisBaBpressureBthatBisBusedBtoBcalculateBstaticBcomplianceBandBreflectsBpressureBinBthe
Blungs.
(B)BItBisBaBpressureBthatBisBusedBtoBcalculateBvitalBcapacityBandBreflectsBpressureBinBtheBlun
gs.
(C)BItBisBaBpressureBthatBisBusedBtoBcalculateBdynamicBcomplianceBandBreflectsBpressureBinBt
heBairways.
, (D)BItBisBaBpressureBthatBisBusedBtoBmeasureBtidalBvolumeBandBreflectsBpressureBinBtheBairw
ays.B-
BAnswer(A)BItBisBaBpressureBthatBisBusedBtoBcalculateBstaticBcomplianceBandBreflectsBpressur
eBinBtheBlungs.
ABpatientBisBadmittedBwithBaBsalicylateBoverdose.BWhichBofBtheBfollowingBtreatmentsBisBmos
tBeffectiveBforBthisBpatient?
(A)BN-acetylcysteine,BsupportBtheBairway,Bfluids
(B)BgastricBlavage,BanBantidote,Bfluids
(C)BactivatedBcharcoal,BurineBalkalinization,Bdialysis
(D)BsupportBtheBairway,BgastricBlavage,BethanolB-
BAnswer(C)BactivatedBcharcoal,BurineBalkalinization,Bdialysis
WhichBofBtheBfollowingBpatientsBwhoBhaveBsustainedBmultipleBtraumaBisBmostBlikelyBhowBto
BhaveBaBpoorBoutcomeBbasedBonBpatientBcharacteristics?
(A)BtheBcollegeBgraduate
(B)BtheBownerBofBaBsuccessfulBbusinessB
(C)BtheBmarriedBman
(D)BtheBhomelessBmanB-BAnswer(D)BtheBhomelessBman
WhichBofBtheBfollowingBmayBbeBaBreasonBtoBuseBrestraintsBforBaBpatient?
(A)BTheBpatientBisBscreamingBobscenities.B
(B)BTheBpatientBisBspitting.
(C)BTheBpatientBisBpullingBatBhisBcentralBvenousBcatheter.
(D)BTheBpatientBhasBanBendotrachealBtube.B-
BAnswer(C)BTheBpatientBisBpullingBatBhisBcentralBvenousBcatheter.
ABpatientBhasBacuteBrightBventricularBinfarctBandBRVBfailure.BWhichBofBtheBfollowingBisBanBin
dicationBthatBthisBpatient'sBconditionBhasBimproved?
(A)BTheBPAOPBhasBdecreased.
(B)BTheBRABpressureBhasBdecreased.B
(C)BTheBRVBpressureBhasBincreased.B
(D)BTheBPABdiastolicBpressureBhasBdecreased.B-BAnswer(B)BTheBRABpressureBhasBdecreased.
