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

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Exam Solutionvc




adult CCRN/PCCN certification 2026 A+ GRADE ASSURE
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D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (7F
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BAA)




QUESTION 1 vc




The nursing staff does not wish to be assigned a difficult patient who continues to demon
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strate disorderly behavior. Which of the following is an acceptable solution?
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A. Request the family control the patient's behavior.
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B. Transfer the patient
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C. The patient assignment should be decided by the Charge Nurse.
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D. Alternate the patient assignment among the nursing staff.
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ANSWER

D. Alternate the patient assignment among the nursing staff.
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QUESTION 2 vc




ARDS is characterized by which of the following:
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A. Refractory hypercarbia
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B. Increase in surfactant
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C. Increased lung compliance
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D. Shunting
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ANSWER

D. Shunting Rationale: ARDS is characterized by refractory hypoxia, shunting, decreased lung complianc
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e, and decreased surfactant.
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QUESTION 3 vc




A 42 y/o woman with a 6 month history of worsening anxiety, heat intolerance, and weig
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ht loss presents to the emergency department. Which of the following are indicators of h
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yperthyroidism?
A. Constipation, lower body temperature, and edema
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, B. High T3 and T4 and low TSH.
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C. Depression, dementia, and reflex changes
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D. Low T3 and T4 and high TSH
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ANSWER

B. High T3 and T4 and low TSH. Rationale: Constipation, lower body temperature, edema, depression, d
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ementia, reflex changes, low T3, low T4, high TSH are all indicators of hypothyroidism.
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QUESTION 4 vc




Successful treatment of DKA revolves around: vc vc vc vc vc



A. Correction of orthostatic hypotension with electrolytes
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B. Administration of fluids, electrolytes and insulin
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C. Gradually decreasing a patient's excessive fluid volume from hyperosmolality
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D. Administration of glucagon to elevate plasma blood levels
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ANSWER

B. Administration of fluids, electrolytes and insulin
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QUESTION 5 vc




What is the Somogyi phenomenon generally attributed?
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A. Prolonged hyperglycemia that has led to neurological damage and impaired counterre
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B. Cyclic rise in blood glucose associated with increased need for insulin
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C. Nocturnal food ingestion
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D. Counter-regulatory response to severe hypoglycemia
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ANSWER

D. Counter-regulatory response to severe hypoglycemia
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QUESTION 6 vc




The serum potassium (K+) of a patient with DKA is 5.4 mEq/l. What changes would the n
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urse expect to see on an EKG?
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A. Peaked T waves and widened QRS complex.
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B. Abnormal Q waves and prolonged ST segments.
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C. Abnormal P waves and depressed T waves.
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D. Peaked P waves and increased T waves.
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ANSWER

A. Peaked T waves and widened QRS complex.
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