Adult CCRN/PCCN Certification Practice Test with Questions and Answers

Adult CCRN/PCCN Certification Practice Test with Questions and Answers One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. The findings described above should lead the nurse to suspect that the patient has developed: A. A spontaneous pneumothorax B. A pulmonary embolus C. Aspiration pneumonia D. A pleural effusion ANSWER B. A pulmonary embolus One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. Which of the following will most likely confirm the patient's diagnosis? A. Pulmonary radioisotope scan B. Echocardiogram C. Cardiac enzyme studies D. Chest x-ray and arterial blood gases ANSWER A. Pulmonary radioisotope scan The nursing staff does not wish to be assigned a difficult patient who continues to demonstrate disorderly behavior. Which of the following is an acceptable solution?