(CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
(CCRN- Critical Care Registered
Nurse) Questions 2024/2025
Update Fully Solved 100%
The Nurse Is Caring For A Patient With Acute Inferior Wall Mi, Post-Coronary Artery
Stent Deployment, For Optimal Care Of The Patient, The Nurse Should:
[Correct Ans Is: - Continuously Monitor The Patient In Lead Ii
It Is Best Practice To Monitor The Patient Status Post Pci With Stent, In The Lead
That Was Most Abnormal During The Acute Occlusion.
The Ecg Demonstrates St Elevation In Leads Ii, Iii And Avf. The Nurse Needs To
Monitor The Patient Closely For Which Of The Following?
[Correct Ans Is: - Complication Likely To Occur After An Acute Inferior Wall Mi
Include Bradycardia Secondary To Ischemia To The Sa And/Or Av Node, And
Papillary Muscle Rupture Or Dysfunction Due To The Anatomical Distance Between
The Rca And The Papillary Muscle.
Which Of The Following Hemodynamic Profiles Would Benefit From The Aggressive
Fluid Administration, Pressers And Antibiotics Therapy?
A. Rap: 1mm Hg; Paop: 4 Mmhg; Svr: 1800 Dynes/Sec; Co: 2l/Min
B. Rap: 5; Paop: 7; Svr: 400; Co; 8l
[Correct Ans Is: - B. The Hemodynamic Profile Of Rap 5, Paop 7, Svr 400 Is Typical
Of Septic Shock, And Choice B Would Be The Best Approach.
Which Of The Following Is Indicative Of A Mixed Acid-Base Disorder?
A. Ph 7.18; Paco2 25; Pao2 64; Hco3 11
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
B. Ph 7.33; Paco2 29; Pao2 72; Hco3 15
[Correct Ans Is: - The Decrease In Paco2 Is Evidence Of Respiratory Alkalosis And
The Decreased Hco3 Is Evidenced Of A Metabolic Acidosis. The Pt With Severe
Sepsis Or Septic Shock May Present With This Mixed Acid-Base Disorder.
The Patient With A Temporary Pacemaker Develops Pacemaker Malfunction. The
Oriented Is Instructed To Reposition The Patient To Try And Correct The Problem.
The Cardiac Monitor Most Likely Demonstrates?
[Correct Ans Is: - Failure To Capture (Pacemaker Without A Qrs) May Be Corrected
By Repositioning The Patient To The Side.
The Patient With Diastolic Heart Develops Svt, Heart Rate 220/Min. The Most
Dangerous Hemodynamic Effect Is A Decrease In:
[Correct Ans Is: - Coronary Artery Perfusion.
Diastolic Heart Failure Results In A Problem With Left Ventricular Filling Secondary
To Ventricular Thickening, And Contractility And Ejection Are Maintained In
Diastolic Failure. The Rapid Heart Rate Will Decrease Filling Time, Worsen Left
Ventricular Filling And Because Coronary Artery Perfusion Occurs During Diastole,
This Arrhythmia May Be Life-Threatening.
The Patient Is Receiving Heparin Infusion For The Treatment Of Pulmonary
Embolism. There Has Been A 60% Decrease In The Platelet Count And No Clinical
Change. Which Of The Following Is Indicated?
[Correct Ans Is: - Discontinue Heparin And Being Argatroban.
The Patient Most Likely Has Hit. Exposure To Heparin Needs To Discontinued And A
Direct Thrombin Inhibitor Started For Continued Anticoagulation.
The Patient With Oat Cell Carcinoma Has The Following Clinical Findings: Low Urine
Output, Low Serum Osmolality, Hyponatremia, And Elevated Urine Sodium. The
Nurse Anticipates Which Of The Following As Part Of The Treatment Plan?
[Correct Ans Is: - Phenytoin (Dilantin), 3% Saline.
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
The Patient Has Signs Of Siadh Which Results In Production Of Excessive Adh.
Dilantin Will Inhibit Adh Secretion And 3% Saline Will Increase Serum Sodium.
Peep Therapy And Mechanical Ventilation Are Ordered For The Patient With Acute
Respiratory Failure. Which Of The Following Is A Possible Complication?
[Correct Ans Is: - Barotrauma
The Addition Of Positive End-Expiratory Pressure Will Increase Alveolar
Recruitment, Prevent Atelectasis And Improve Oxygenation. However, The Increase
In Intrathoracic Pressure May Lead To Pneumothorax Or Subcutaneous Emphysema.
The Postoperative Thoracic Surgery Patient Has Bubbling In The Water Seal
Drainage Chamber Of The Chest Tube. Which Of The Following Interventions Is
Indicated?
[Correct Ans Is: - Avoid High Airway Pressures
Bubbling In The Water Seal Chamber Is Due To A Pleural Air Leak, And High Airway
Pressure Will Either Prevent Resolution Of The Current Air Leak Or Make It Worse.
Which Clinical Sign Might Patients With Both Systolic And Diastolic Heart Failure
Have In Common?
[Correct Ans Is: - Lung Crackles
Both A Problem With Systolic (Ejection Problem) And Diastolic (Filling Problem) Will
Increase Left Heart Pressure And Cause Cardiogenic Pulmonary Edema (Lung
Crackles).
Which Of The Following Is Most Likely To Result In A Low Sv02?
A. Hypotermia
B. Fever
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
C. Severe Sepsis
[Correct Ans Is: - Fever
Fever Increases Metabolic Rate And Consumption, Which May Lead To A Drop In
Mixed Venous Oxygen Saturation.
The Nurse Needs To Assess Adequacy Of The Tubing/Catheter System For The
Arterial Line. Which Of The Following Interventions Will Best Assess This?
[Correct Ans Is: - Perform A Square Wave Test
The Patient Requires Fluid Resuscitation And 8 Units Of Prbc's Status Post
Traumatic Injury. Which Of The Following Interventions Is Most Appropriate?
[Correct Ans Is: - Warm Blood Products And Crystalloids
Warming Fluids And Blood Needed For Traumatic Injury Will Prevent Hypothermia
And Its Related Adverse Effects.
Which Of The Following Therapies Should Be Avoided For The Patient With
Cardiogenic Shock?
[Correct Ans Is: - High Dose Vasopressors
Vasopressors Increase Left Ventricular After Load, Which Would Increase
Myocardial Work Of A Failing Heart.
The Patient Is Status Post Repair Of An Aneurysm For Subarachnoid Hemorrhage.
Which Of The Following Interventions Is Indicated To Prevent Vasospasm?
[Correct Ans Is: - Nimodipine (Nimotop)
Is A Calcium Channel Blocker That Is Started Immediately Post-Op To Prevent
Arterial Spasm Of The Brain.
(CCRN- Critical Care Registered
Nurse) Questions 2024/2025
Update Fully Solved 100%
The Nurse Is Caring For A Patient With Acute Inferior Wall Mi, Post-Coronary Artery
Stent Deployment, For Optimal Care Of The Patient, The Nurse Should:
[Correct Ans Is: - Continuously Monitor The Patient In Lead Ii
It Is Best Practice To Monitor The Patient Status Post Pci With Stent, In The Lead
That Was Most Abnormal During The Acute Occlusion.
The Ecg Demonstrates St Elevation In Leads Ii, Iii And Avf. The Nurse Needs To
Monitor The Patient Closely For Which Of The Following?
[Correct Ans Is: - Complication Likely To Occur After An Acute Inferior Wall Mi
Include Bradycardia Secondary To Ischemia To The Sa And/Or Av Node, And
Papillary Muscle Rupture Or Dysfunction Due To The Anatomical Distance Between
The Rca And The Papillary Muscle.
Which Of The Following Hemodynamic Profiles Would Benefit From The Aggressive
Fluid Administration, Pressers And Antibiotics Therapy?
A. Rap: 1mm Hg; Paop: 4 Mmhg; Svr: 1800 Dynes/Sec; Co: 2l/Min
B. Rap: 5; Paop: 7; Svr: 400; Co; 8l
[Correct Ans Is: - B. The Hemodynamic Profile Of Rap 5, Paop 7, Svr 400 Is Typical
Of Septic Shock, And Choice B Would Be The Best Approach.
Which Of The Following Is Indicative Of A Mixed Acid-Base Disorder?
A. Ph 7.18; Paco2 25; Pao2 64; Hco3 11
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
B. Ph 7.33; Paco2 29; Pao2 72; Hco3 15
[Correct Ans Is: - The Decrease In Paco2 Is Evidence Of Respiratory Alkalosis And
The Decreased Hco3 Is Evidenced Of A Metabolic Acidosis. The Pt With Severe
Sepsis Or Septic Shock May Present With This Mixed Acid-Base Disorder.
The Patient With A Temporary Pacemaker Develops Pacemaker Malfunction. The
Oriented Is Instructed To Reposition The Patient To Try And Correct The Problem.
The Cardiac Monitor Most Likely Demonstrates?
[Correct Ans Is: - Failure To Capture (Pacemaker Without A Qrs) May Be Corrected
By Repositioning The Patient To The Side.
The Patient With Diastolic Heart Develops Svt, Heart Rate 220/Min. The Most
Dangerous Hemodynamic Effect Is A Decrease In:
[Correct Ans Is: - Coronary Artery Perfusion.
Diastolic Heart Failure Results In A Problem With Left Ventricular Filling Secondary
To Ventricular Thickening, And Contractility And Ejection Are Maintained In
Diastolic Failure. The Rapid Heart Rate Will Decrease Filling Time, Worsen Left
Ventricular Filling And Because Coronary Artery Perfusion Occurs During Diastole,
This Arrhythmia May Be Life-Threatening.
The Patient Is Receiving Heparin Infusion For The Treatment Of Pulmonary
Embolism. There Has Been A 60% Decrease In The Platelet Count And No Clinical
Change. Which Of The Following Is Indicated?
[Correct Ans Is: - Discontinue Heparin And Being Argatroban.
The Patient Most Likely Has Hit. Exposure To Heparin Needs To Discontinued And A
Direct Thrombin Inhibitor Started For Continued Anticoagulation.
The Patient With Oat Cell Carcinoma Has The Following Clinical Findings: Low Urine
Output, Low Serum Osmolality, Hyponatremia, And Elevated Urine Sodium. The
Nurse Anticipates Which Of The Following As Part Of The Treatment Plan?
[Correct Ans Is: - Phenytoin (Dilantin), 3% Saline.
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
The Patient Has Signs Of Siadh Which Results In Production Of Excessive Adh.
Dilantin Will Inhibit Adh Secretion And 3% Saline Will Increase Serum Sodium.
Peep Therapy And Mechanical Ventilation Are Ordered For The Patient With Acute
Respiratory Failure. Which Of The Following Is A Possible Complication?
[Correct Ans Is: - Barotrauma
The Addition Of Positive End-Expiratory Pressure Will Increase Alveolar
Recruitment, Prevent Atelectasis And Improve Oxygenation. However, The Increase
In Intrathoracic Pressure May Lead To Pneumothorax Or Subcutaneous Emphysema.
The Postoperative Thoracic Surgery Patient Has Bubbling In The Water Seal
Drainage Chamber Of The Chest Tube. Which Of The Following Interventions Is
Indicated?
[Correct Ans Is: - Avoid High Airway Pressures
Bubbling In The Water Seal Chamber Is Due To A Pleural Air Leak, And High Airway
Pressure Will Either Prevent Resolution Of The Current Air Leak Or Make It Worse.
Which Clinical Sign Might Patients With Both Systolic And Diastolic Heart Failure
Have In Common?
[Correct Ans Is: - Lung Crackles
Both A Problem With Systolic (Ejection Problem) And Diastolic (Filling Problem) Will
Increase Left Heart Pressure And Cause Cardiogenic Pulmonary Edema (Lung
Crackles).
Which Of The Following Is Most Likely To Result In A Low Sv02?
A. Hypotermia
B. Fever
, (CCRN- CRITICAL CARE REGISTERED NURSE) QUESTIONS
C. Severe Sepsis
[Correct Ans Is: - Fever
Fever Increases Metabolic Rate And Consumption, Which May Lead To A Drop In
Mixed Venous Oxygen Saturation.
The Nurse Needs To Assess Adequacy Of The Tubing/Catheter System For The
Arterial Line. Which Of The Following Interventions Will Best Assess This?
[Correct Ans Is: - Perform A Square Wave Test
The Patient Requires Fluid Resuscitation And 8 Units Of Prbc's Status Post
Traumatic Injury. Which Of The Following Interventions Is Most Appropriate?
[Correct Ans Is: - Warm Blood Products And Crystalloids
Warming Fluids And Blood Needed For Traumatic Injury Will Prevent Hypothermia
And Its Related Adverse Effects.
Which Of The Following Therapies Should Be Avoided For The Patient With
Cardiogenic Shock?
[Correct Ans Is: - High Dose Vasopressors
Vasopressors Increase Left Ventricular After Load, Which Would Increase
Myocardial Work Of A Failing Heart.
The Patient Is Status Post Repair Of An Aneurysm For Subarachnoid Hemorrhage.
Which Of The Following Interventions Is Indicated To Prevent Vasospasm?
[Correct Ans Is: - Nimodipine (Nimotop)
Is A Calcium Channel Blocker That Is Started Immediately Post-Op To Prevent
Arterial Spasm Of The Brain.
