adult CCRN/PCCN certification practice
test
A 14-12 months-vintage with diabetes is admitted for hypoglycemia. The patient admits to
the nurse that he does no longer take insulin or test is blood sugar at college. Which of the
following have to the nurse do?
A. Arrange for the affected person to attend a diabetes assist group for teens
B. Encourage the mother and father to take disciplinary action
C. Counsel the patient on the long time outcomes of now not taking insulin
D. Hold a conference with the faculty nurse concerning the want for tracking students with
diabetes - ANS-A. Arrange for the patient to wait a diabetes support organization for
teenagers
A 30-yr-vintage guy is admitted to the crucial care unit after a motor automobile collision.
The emergency branch nurse reviews that he turned into subconscious on the scene of the
accident however is now alert and oriented. Skull films display a linear fracture of the proper
temporal bone. He is a good sized danger for _______.
A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma - ANS-C. Epidural hematoma
A 42 y/o female with a 6 month history of worsening tension, warmth intolerance, and weight
loss offers to the emergency branch. Which of the subsequent are signs of hyperthyroidism?
A. Constipation, lower body temperature, and edema
B. High T3 and T4 and coffee TSH.
C. Depression, dementia, and reflex adjustments
D. Low T3 and T4 and high TSH - ANS-B. High T3 and T4 and occasional TSH.
Rationale: Constipation, decrease frame temperature, edema, despair, dementia, reflex
adjustments, low T3, low T4, high TSH are all signs of hypothyroidism.
A 44-12 months-vintage lady patient is being suctioned thru her endotracheal tube, and her
coronary heart fee drops dramatically. What should you do?
A. Continue suctioning after which administer 100% oxygen
B. Turn the head to the left facet
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ANS-D. Stop suctioning and administer
100% oxygen
A 46-yr-vintage male advanced an epidural hematoma after being in a motor vehicle
collison. He has had a craniotomy to evacuate the clot, and an intraventricular catheter
, changed into placed all through surgery. Which of the following is important in being
concerned for the affected person with intracranial strain (ICP) monitoring?
A. Use a flush gadget
B. Use a preservative-free isotonic saline
C. Use a strain bag
D. Use heparin to preserve integrity of the road - ANS-B. Use a preservative-unfastened
isotonic saline
A forty seven-year-old male patient is scheduled for an intensive laryngectomy. You are
approximately to witness your patient signing a surgical consent while he tells you that he
does now not genuinely apprehend what is going to be done. What ought to you do?
A. Notify the doctor that the patient desires extra clarification
B. Make drawings explaining the manner after which witness the consent
C. Explain the manner after which witness the consent
D. Tell the patient that he's going to receive additional statistics later however that he have to
signal the consent form now. - ANS-A. Notify the health practitioner that the affected person
desires additional rationalization
A 55 y/o steroid structured girl with rheumatoid arthritis undergoes a CABG x 4. She turned
into doing nicely in the ICU 1 day post op, however then has a run of V-Tach and
V-Fibrillation. The nurse acknowledges this could be because of the following:
A. Reperfusion after CABG
B. Reocclusion after CABG
C. Acute adrenal disaster from being off her medicines preoperatively
D. Hypervolemia and hypokalemia - ANS-C. Acute adrenal crisis from being off her
medicinal drugs preoperatively
A 62-12 months-vintage guy arrives inside the emergency department with the proceedings
of chest ache. The 12-lead electrocardiogram indicates ST phase elevation in leads V3 and
V4. Occlusion of the affected coronary artery most probably would have an effect on
perfusion to which portion of the conduction device?
A. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ANS-B. Bundle of His
A sixty eight y/o male had a AAA repair 3 days in the past but is now in renal failure. The
nurse is aware the probable causes for this could be:
A. Post renal kidney stone obstruction
B. Malignant hyperthermia
C. Rhabdomyolysis
D. Acute tubular necrosis because of aortic cross clamping for longer than half-hour in
surgery. - ANS-D. Acute tubular necrosis due to aortic move clamping for longer than
half-hour in surgical procedure.
Rationale: Kidney stones, malignant hyperthermia, and rhabdomyolysis aren't outcomes of a
AAA surgical treatment mainly.
test
A 14-12 months-vintage with diabetes is admitted for hypoglycemia. The patient admits to
the nurse that he does no longer take insulin or test is blood sugar at college. Which of the
following have to the nurse do?
A. Arrange for the affected person to attend a diabetes assist group for teens
B. Encourage the mother and father to take disciplinary action
C. Counsel the patient on the long time outcomes of now not taking insulin
D. Hold a conference with the faculty nurse concerning the want for tracking students with
diabetes - ANS-A. Arrange for the patient to wait a diabetes support organization for
teenagers
A 30-yr-vintage guy is admitted to the crucial care unit after a motor automobile collision.
The emergency branch nurse reviews that he turned into subconscious on the scene of the
accident however is now alert and oriented. Skull films display a linear fracture of the proper
temporal bone. He is a good sized danger for _______.
A. Subdural hematoma
B. Intracerebral hematoma
C. Epidural hematoma
D. Scalp hematoma - ANS-C. Epidural hematoma
A 42 y/o female with a 6 month history of worsening tension, warmth intolerance, and weight
loss offers to the emergency branch. Which of the subsequent are signs of hyperthyroidism?
A. Constipation, lower body temperature, and edema
B. High T3 and T4 and coffee TSH.
C. Depression, dementia, and reflex adjustments
D. Low T3 and T4 and high TSH - ANS-B. High T3 and T4 and occasional TSH.
Rationale: Constipation, decrease frame temperature, edema, despair, dementia, reflex
adjustments, low T3, low T4, high TSH are all signs of hypothyroidism.
A 44-12 months-vintage lady patient is being suctioned thru her endotracheal tube, and her
coronary heart fee drops dramatically. What should you do?
A. Continue suctioning after which administer 100% oxygen
B. Turn the head to the left facet
C. Instill saline down the endotracheal tube to loosen up the mucus plus
D. Stop suctioning and administer 100% oxygen - ANS-D. Stop suctioning and administer
100% oxygen
A 46-yr-vintage male advanced an epidural hematoma after being in a motor vehicle
collison. He has had a craniotomy to evacuate the clot, and an intraventricular catheter
, changed into placed all through surgery. Which of the following is important in being
concerned for the affected person with intracranial strain (ICP) monitoring?
A. Use a flush gadget
B. Use a preservative-free isotonic saline
C. Use a strain bag
D. Use heparin to preserve integrity of the road - ANS-B. Use a preservative-unfastened
isotonic saline
A forty seven-year-old male patient is scheduled for an intensive laryngectomy. You are
approximately to witness your patient signing a surgical consent while he tells you that he
does now not genuinely apprehend what is going to be done. What ought to you do?
A. Notify the doctor that the patient desires extra clarification
B. Make drawings explaining the manner after which witness the consent
C. Explain the manner after which witness the consent
D. Tell the patient that he's going to receive additional statistics later however that he have to
signal the consent form now. - ANS-A. Notify the health practitioner that the affected person
desires additional rationalization
A 55 y/o steroid structured girl with rheumatoid arthritis undergoes a CABG x 4. She turned
into doing nicely in the ICU 1 day post op, however then has a run of V-Tach and
V-Fibrillation. The nurse acknowledges this could be because of the following:
A. Reperfusion after CABG
B. Reocclusion after CABG
C. Acute adrenal disaster from being off her medicines preoperatively
D. Hypervolemia and hypokalemia - ANS-C. Acute adrenal crisis from being off her
medicinal drugs preoperatively
A 62-12 months-vintage guy arrives inside the emergency department with the proceedings
of chest ache. The 12-lead electrocardiogram indicates ST phase elevation in leads V3 and
V4. Occlusion of the affected coronary artery most probably would have an effect on
perfusion to which portion of the conduction device?
A. Bachmann's Bundle
B. Bundle of His
C. Sinoatrial (SA) node
D. Atrioventricular (AV) nodes - ANS-B. Bundle of His
A sixty eight y/o male had a AAA repair 3 days in the past but is now in renal failure. The
nurse is aware the probable causes for this could be:
A. Post renal kidney stone obstruction
B. Malignant hyperthermia
C. Rhabdomyolysis
D. Acute tubular necrosis because of aortic cross clamping for longer than half-hour in
surgery. - ANS-D. Acute tubular necrosis due to aortic move clamping for longer than
half-hour in surgical procedure.
Rationale: Kidney stones, malignant hyperthermia, and rhabdomyolysis aren't outcomes of a
AAA surgical treatment mainly.
