CCRN adult EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

CCRN EXAM vc




Exam Solution vc




Pass CCRN test bank 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (63DC9)
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QUESTION 1 vc




Which of the following would be the earliest auscultatory finding in left ventricular failur
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e (LVF)?
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A. Crackles
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B. S3 vc



C. Murmur of mitral regurgitation
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D. Pericardial friction rub
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ANSWER

B. S3 LVF would be the most subtle because early changes are usually subtle changes. Choose "S3."
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QUESTION 2 vc




Oxygen delivery (DO2) is the product of which of the following?
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A. PaO2, hemoglobin, mean arterial pressure
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B. SaO2, hemoglobin, cardiac output
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C. SvO2, cardiac index, SaO2
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D. PaO2, mean arterial pressure, SvO2
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ANSWER

B. SaO2, hemoglobin, cardiac output Oxygen is delivered from the arterial end, so choose an option that
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has SaO2 vc




QUESTION 3 vc




Which of the following is the most significant complication of status asthmaticus?
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A. Pulmonary embolism
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B. Acute respiratory failure
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C. Hypertension
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D. Anaphylaxis
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ANSWER

,B. Acute respiratory failure
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QUESTION 4 vc




Which of the following is associated with chest pain, confusion, and petechiae?
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A. Dissecting aneurysm
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B. Fat embolism
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C. Pneumothorax
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D. Myocardial infarction
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ANSWER

B. Fat embolism Chest pain, confusion, and petechiae are suggestive of a fat embolism, especially within
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the first 48 to 72 hours after a long-
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bone fracture. The clincher is the petechiae. None of the other choices would cause petechiae.
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QUESTION 5 vc




Which type of shock is most likely to be iatrogenic?
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A. Hypovolemic
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B. Cardiogenic
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C. Septic
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D. Neurogenic
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ANSWER

C. Septic Iatrogenic means caused by treatment or diagnostic procedures or medically induced. Septic sh
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ock is the type of shock most likely to be iatrogenic. Significant contributors include immunosuppressiv
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e medications and therapies and invasive procedures.
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QUESTION 6 vc




Which of the following is not an indication for mechanical ventilation in patients with ast
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hma?
A. Respiratory alkalosis
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B. Cardiopulmonary arrest
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C. Respiratory muscle fatigue
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D. Hypercapnia and respiratory acidosis
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ANSWER

A. Respiratory alkalosis Respiratory alkalosis is seen early in asthma because of hyperventilation.
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QUESTION 7 vc




A patient exhibiting nystagmus, ataxia, unsteady gait, and problems with rapid, alternati
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ng movements probably has a lesion in the:
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, A. frontal lobe.
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B. pituitary gland.
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C. cerebellum.
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D. brainstem.
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ANSWER

C. cerebellum The pituitary is an endocrine gland that controls release of hormones within the body, so
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eliminate "pituitary gland." The brainstem contains the cardiac and respiratory centers, temperature, an
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d other basic drives, so eliminate "brainstem." The frontal lobe controls voluntary motor function and b
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ehavior, so eliminate "frontal lobe." The cerebellum controls balance and coordination. Associate bellum
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with ballerina, who must balance to dance. Choose "cerebellum."
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QUESTION 8 vc




Which route would be preferred for the rapid administration of fluids in hypovolemic sh
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ock?
A. Central venous catheter
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B. Large-gauge, short peripheral catheter
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C. Needle inserted into saline lock
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D. Large-gauge, long peripheral catheter
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ANSWER

B. Large-
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gauge, short peripheral catheter The most rapid administration of fluids is achieved through a large-
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gauge, short catheter. Central venous catheters are long and, if multiple-
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lumen, each lumen may be smaller gauge than large-gauge peripheral catheters. Large-
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gauge, long peripheral catheters, including peripherally inserted central catheters, would be slower than
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a short peripheral catheter.
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QUESTION 9 vc




A patient received Humulin NPH insulin at 7 am. He was nauseated and vomiting at lunc
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htime and cannot tolerate PO. If this patient develops manifestations of hypoglycemia, tr
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eatment would include: vc vc



A. 25 ml of 50% dextrose in water (D50W).
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B. glucagon subcutaneously.
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C. 4 oz of apple juice.
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D. 100 ml of 5% dextrose in water (D5W).
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ANSWER

A. 25 ml of 50% dextrose in water (D50W). A volume of 25 ml of D50W would provide 12.5 g of carboh
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ydrate and 50 calories. vc vc vc




QUESTION 10 vc