CCRN PRE TEST |ACTUAL QUESTIONS AND
VERIFIED ANSWERS 2026-2027 UPDATED
EDITION|GRADED A+
Question 1
Which of the following are symptoms of hypoglycemia?
A - tachycardia and trembling
B - bradycardia and diaphoresis
C - anxiety and flushed, dry skin
D - flushed, dry skin and tachycardia
CORRECT ANSWER
A - tachycardia and trembling
When the blood glucose drops, sympathetic stimulation occurs. (symptoms are masked
for a patient who is receiving beta-adrenergic blocker drugs.) Flushed, dru skin is a sign of
hyperglycemia.
Question 2
Which of the following is TRUE for a patient who has had a right-sided stroke and develops
increased intracranial pressure?
A - pupils will change before level of consciousness does, there will be right-sided paralysis,
eyes will be deviated to the left, and there will be a left pupil change
B - pupils will change before level of consciousness does, there will be left-sided paralysis,
eyes will be deviated to the right, and there will be a right pupil change
C - level of consciousness will change before pupil changes, there will be right-sided
paralysis, eyes will be deviated to the left, and there will be a left pupil change
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, D - level of consciousness will change before there will be pupil changes, there will be left-
sided paralysis, eyes will be deviated to the right, and there will be a right pupil change
CORRECT ANSWER
D - level of consciousness will change before there will be pupil changes, there will be
left-sided paralysis, eyes will be deviated to the right, and there will be a right pupil
change
Higher brain centers (cerebral cortex) are the first to be affected by increased ICP.
Therefore, the level of consciousness is the first sign (except for epidural hematoma).
Pupil changes are ipsilateral (same side as the injury) d/t compression of cranial nerve III
against the transtentorial notch. Motor changes are contralateral (oppo side of the
injury) d/t motor fiber crossing in the brain stem.
Question 3
A patient status-post head trauma has an IP of 32 mmHG. Which of the following
interventions is contraindicated for this patient?
A - provide enteral feeding via nasal tube
B - elevate HOB 30-45 degrees
C - maintain MAP 50-60 mmHg
D - avoid hypotonic IV solutions
CORRECT ANSWER
C - maintain MAP 50-60 mmHg
Patient has an elevated ICP and requires MAP > 50-60 mmHg in order to maintain
cerebral perfusion pressure and prevent brain ischemia. The remaining interventions are
INDICATED for a patient with elevated ICP.
Question 4
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VERIFIED ANSWERS 2026-2027 UPDATED
EDITION|GRADED A+
Question 1
Which of the following are symptoms of hypoglycemia?
A - tachycardia and trembling
B - bradycardia and diaphoresis
C - anxiety and flushed, dry skin
D - flushed, dry skin and tachycardia
CORRECT ANSWER
A - tachycardia and trembling
When the blood glucose drops, sympathetic stimulation occurs. (symptoms are masked
for a patient who is receiving beta-adrenergic blocker drugs.) Flushed, dru skin is a sign of
hyperglycemia.
Question 2
Which of the following is TRUE for a patient who has had a right-sided stroke and develops
increased intracranial pressure?
A - pupils will change before level of consciousness does, there will be right-sided paralysis,
eyes will be deviated to the left, and there will be a left pupil change
B - pupils will change before level of consciousness does, there will be left-sided paralysis,
eyes will be deviated to the right, and there will be a right pupil change
C - level of consciousness will change before pupil changes, there will be right-sided
paralysis, eyes will be deviated to the left, and there will be a left pupil change
1
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, D - level of consciousness will change before there will be pupil changes, there will be left-
sided paralysis, eyes will be deviated to the right, and there will be a right pupil change
CORRECT ANSWER
D - level of consciousness will change before there will be pupil changes, there will be
left-sided paralysis, eyes will be deviated to the right, and there will be a right pupil
change
Higher brain centers (cerebral cortex) are the first to be affected by increased ICP.
Therefore, the level of consciousness is the first sign (except for epidural hematoma).
Pupil changes are ipsilateral (same side as the injury) d/t compression of cranial nerve III
against the transtentorial notch. Motor changes are contralateral (oppo side of the
injury) d/t motor fiber crossing in the brain stem.
Question 3
A patient status-post head trauma has an IP of 32 mmHG. Which of the following
interventions is contraindicated for this patient?
A - provide enteral feeding via nasal tube
B - elevate HOB 30-45 degrees
C - maintain MAP 50-60 mmHg
D - avoid hypotonic IV solutions
CORRECT ANSWER
C - maintain MAP 50-60 mmHg
Patient has an elevated ICP and requires MAP > 50-60 mmHg in order to maintain
cerebral perfusion pressure and prevent brain ischemia. The remaining interventions are
INDICATED for a patient with elevated ICP.
Question 4
2
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