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

CCRN EXAM zm




Exam Solution zm




CCRN: Complete Barron's Review 2026 A+ GRADE ASS
zm zm zm zm zm zm zm




URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
zm zm zm zm zm z




(50D36)
m




QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




Which of the following are s/s of hypoglycemia?
zm zm zm zm zm zm zm



A) Bradycardia + diaphoresis
zm zm zm



B) Tachycardia + trembling
zm zm zm



C) Flushed, dry skin + tachycardia
zm zm zm zm zm



D) Anxiety + flushed, dry skin
zm zm zm zm zm




ANSWER

B) Tachycardia + trembling When BG drops, SNS stimulation occurs. (S/s of hypoglycemia are maske
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



d by beta-blockers)
zm zm




QUESTION 3 zm




Patient post head trauma has ICP of 32. Which is contraindicated?
zm zm zm zm zm zm zm zm zm zm



A) Enteral feedings via NGT
zm zm zm zm



B) HOB 30-45
zm zm



C) Maintain a MAP 50-60
zm zm zm zm



D) Avoid hypotonic IV solutions
zm zm zm zm




ANSWER

C) Maintain a MAP 50-
zm zm zm zm



60 Pt has elevated ICP + requires a MAP >60 in order to maintain CPP and prevent brain ischemia.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



All other interventions are indicated for elevated ICP
zm zm zm zm zm zm zm

,QUESTION 4 zm




Which is associated w Mitral Regurgitation
zm zm zm zm zm



A) Systolic murmur, sinus brady
zm zm zm zm



B) Diastolic murmur, HF
zm zm zm



C) Systolic murmur, inferior wall MI
zm zm zm zm zm



D) Diastolic murmur, CHB
zm zm zm




ANSWER

C) Systolic murmur, inferior wall MI Inferior MI may result in ischemia and dysfn (regurg) of the Mi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



tral Valve. MV= closed during systole (LV ejection), murmur is heard when MV is not fully closed du
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ring systolezm




QUESTION 5 zm




A nurse knows that research supports a pt having unrestricted access to his support s
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ystem (Fam). However, the unit restricts all visitors to set times. Nurse best response
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



is to:
zm



A) Gather the facts + propose a policy change to the unit manager
zm zm zm zm zm zm zm zm zm zm zm zm



B) Tell pt that policy is outdated but there is nothing we can do bout it
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



C) continue to follow unit policy
zm zm zm zm zm



D) complain to colleagues about the policy
zm zm zm zm zm zm




ANSWER

A) Gather the facts + propose a policy change to the unit manager This is an effective strategy for c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



hange. AACN synergy model supports pt advocacy and has EBP to support fam presence: visitation i
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



n adult ICU
zm zm




QUESTION 6 zm




Nitrate therapy is indicated for tx of unstable angina + acute HF because it:
zm zm zm zm zm zm zm zm zm zm zm zm zm



A) Decreases preload + increases myocardial O2 demand
zm zm zm zm zm zm zm



B) Increases preload + decreases myocardial O2 demand
zm zm zm zm zm zm zm



C) increases preload + increases myocardial O2 demand
zm zm zm zm zm zm zm



D) Decreases preload + decreases myocardial O2 demand
zm zm zm zm zm zm zm




ANSWER

D) Decreases preload + decreases myocardial O2 demand Nitrates cause vasodilation, which results i
zm zm zm zm zm zm zm zm zm zm zm zm zm



n decrease venous return to heart (LV preload reduction). This decrease in preload decreases the w
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



orkload of the LV + myocardial O2 demand
zm zm zm zm zm zm zm




QUESTION 7 zm

,A pt post-
zm zm



op CABG had a sudden decrease in mediastinal chest tube drainage w HYPOTN, narro
zm zm zm zm zm zm zm zm zm zm zm zm zm



wing PP, + resp variation on Art. Line waveform (Pulsus paradoxus). What other s/s c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



an you expect?
zm zm



A) Muffled Heart Sounds
zm zm zm



B) Decreased CVP + increased PAOP
zm zm zm zm zm



C) Flat neck veins
zm zm zm



D) Back pain
zm zm




ANSWER

A) Muffled Heart Sounds Pt s/s are indicative of cardiac tamponade, which muffled HS are another s
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ign, the pt will likely have an increased CVP and increased peak pressures
zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 8 zm




Pt requests his wife to be present for chest tube insertion procedure. The nurse shoul
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



d:
A) Explain to pt that this is against infection control policies
zm zm zm zm zm zm zm zm zm zm



B) Tell the pt that he will be able to see his wife ASAP after procedure
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



C) Tell pt it will be too much for the wife to handle
zm zm zm zm zm zm zm zm zm zm zm zm



D) Prepare wife for what to expect + allow her to be present
zm zm zm zm zm zm zm zm zm zm zm zm




ANSWER

D) Prepare wife for what to expect + allow her to be present AACN supports family presence as it
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



may improve pt outcomes
zm zm zm




QUESTION 9 zm




ST-elevation on EKG leads that would be indicative of a Lateral Wall STEMI include:
zm zm zm zm zm zm zm zm zm zm zm zm zm



A) II,III,aVF
zm



B) V1,V2,V3
zm



C) V2,V3,V4
zm



D) V5,V6,I,aVL
zm




ANSWER

D) V5,V6,I,aVL V5 + V6 represent the lower wall of the LV, and I and aVL represent the high lateral
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



wall of the LV, supplied by the Left Circumflex Artery (LCA)
m zm zm zm zm zm zm zm zm zm zm




QUESTION 10 zm




Which lab finding is most specifically indicative of DIC as the cause of bleeding:
zm zm zm zm zm zm zm zm zm zm zm zm zm



A) Elevated fibrin split products and D-dimer
zm zm zm zm zm zm



B) Prolonged PT,PTT, + bleeding time
zm zm zm zm zm



C) Decreased Plts
zm zm



D) Decreases Hgb
zm zm

, ANSWER

A) Elevated fibrin split products and D-
zm zm zm zm zm zm



dimer DIC is a clotting problem w massive coagulation. As clots breakdown, fibrin split products are
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



produced. Therefore, w DIC, FSPs will be high= MOST SPECIFIC. D-
m zm zm zm zm zm zm zm zm zm zm



dimer is present d/t presence of clots, not specific but good rule out test
zm zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 11 zm




29 yr old in for MVC has been in ICU for 2 days and has developed acute tubular necr
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



osis. She was normotensive, what is the most likely cause?
zm zm zm zm zm zm zm zm zm



A) Hemorrhage
zm



B) Rhabdomyolysis
zm



C) CK release
zm zm



D) Dysrhythmias
zm




ANSWER

B) Rhabdomyolysis MVC most likely resulted in a crush injury w destruction of skeletal muscle tissu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



e (Rhabdomyolysis). This results in a release of massive amounts of CK that in turn may clog renal
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



tubules and lead to ATN zm zm zm zm




QUESTION 12 zm




Pt w CKD presents to ED w SOB, mouth twitching after missing 2 dialysis sessions. Nu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



rse notes carpopedal spams when inflating the BP cuff. Which may need to be adminis
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



tered
A) Calcium gluconate for hypocalcemia
zm zm zm zm



B) Potassium for Hypokalemia
zm zm zm



C) Aluminum hydroxide for hyperphosphatemia
zm zm zm zm



D) Magnesium hydroxide for hypermagnesemia
zm zm zm zm




ANSWER

C) Aluminum hydroxide for hyperphosphatemia CKD pts w/o dialysis are susceptible to electrolyte i
zm zm zm zm zm zm zm zm zm zm zm zm zm



mbalances like hyperphosphatemia; therefore phosphate binding drug like Aluminum hydroxide is in
zm zm zm zm zm zm zm zm zm zm zm



dicated. Hypocalcemia is not caused by CKD and Hypermagnesemia does not cause hyperreflexia
zm zm zm zm zm zm zm zm zm zm zm zm




QUESTION 13 zm




Pt w cellulitis has flushed, moist skin and is slow to respond to stimuli. Pt VS are T=1
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



02F, BP: 88/50, HR=120, RR=26. The nurse should expect:
zm zm zm zm zm zm zm zm



A) ABX + IV crystalloids
zm zm zm zm



B) Antipyretics + Dopamine
zm zm zm



C) CT scan of head + drug screen
zm zm zm zm zm zm zm



D) Colloids + Levo
zm zm zm




ANSWER