CCRN Practice Questions with 100% Correct Answers

CCRN Practice Questions with 100% Correct Answers A 47-year-old male has been admitted to the CCU from the emergency room with a history of sudden diaphoresis, nausea, vomiting and radiating pain down his left arm. He reports no significant medical history, and has been a two PPD smoker since his early twenties. His admitting diagnosis is UA/NSTEMI and he is being prepped for cardiac catheterization for possible angioplasty with stent placement. What type of medication orders might the nurse see prior to his procedure? a. Clopidogrel and ASA b. Clopidogrel and prasugrel c. Clopidogrel and meperidine d. Prasugrel, ASA, and hyoscyamine - Answer- a. Clopidogrel and ASA Agnes is a 65-year-old white female who has a history of pulmonary fibrosis with steroid use for the past two years with concomitant hypertension. She has been on oxygen therapy at 4L per nasal cannula for the past 3 years. Recently, her first great-grandchild was born, and she decided to quit smoking. Three days ago, she experienced nausea and dizziness and was admitted to the CCU with a diagnosis of acute myocardial infarction. During shift change, Agnes' low blood pressure alarm sounds. Upon assessment, she is diaphoretic and has severe dyspnea. What is the most likely cause of her symptoms? a. Exacerbation of pulmonary fibrosis b. Pulmonary embolism c. Recurrent myocardial infarction d. Papillary muscle rupture - Answer- d. Papillary muscle rupture Norman is a 65-year-old paraplegic who resides in a nursing home. He presents with a 3-day history of increased temperature, productive cough, and increased weakness. His caregiver states that he had developed a decubitis ulcer, and has not been able to tolerate sitting in his wheelchair, so has been in bed for the past week. Bibasilar crackles are audible on auscultation, with overall diminished breath sounds bilaterally. Obvious respiratory distress is apparent with tachypnea, suprasternal retractions and use of accessory muscles. Vitals: T-100.2F, HR-120, RR-28, BP 104/50, O2 Sat on RA - 88%. An initial chest x-ray reveals the "spine sign" and a normal cardiac silhouette. What is the most likely cause of Norman's condition? a. CAP b. HCAP c. NHAP d. HAP - Answer- c. NHAP - Nursing home acquired pneumonia What does the finding of "spine sign" on a chest x-ray indicate? a. Pre-existing spinal injury b. Kyphosis c. Pneumonia d. Scoliosis - Answer- c. Pneumonia If a patient is suspected of having an episode of acute hypoglycemia, which of the following is NOT the most appropriate first intervention? a. Draw a STAT blood glucose level. b. Give the patient a ½ glass of orange juice. c. Give the patient IV dextrose or IM glucagon. d. Check the blood glucose with a glucometer. - Answer- a. Draw a STAT blood glucose level. Marilyn is a Type I diabetic who has been admitted to the unit after a severe hypoglycemic episode in which she lost consciousness. She states that she has had many episode of hypoglycemia, but just does not seem to know when they are coming on anymore. What is the term for this phenomenon? a. Hypoglycemia tolerance b. Hypoglycemia unawareness c. Hypoglycemia latency d. Hypoglycemia neurosis - Answer- b. Hypoglycemia unawareness Of the following, which is included in the etiology of idiopathic thrombocytopenic purpura (ITP)? a. Splenomegaly b. Hepatomegaly c. IgG autoantibodies d. Bone marrow depression - Answer- c. IgG autoantibodies Of the following, which is NOT a consideration when administering IVIg therapy? a. Patient's age and comorbidities b. Brand of IVIg product used c. Patient's socioeconomic status d. Access to emergency medications - Answer- c. Patient's socioeconomic status What is the most common site of rupture of a cerebral aneurysm with resulting subarachnoid hemorrhage (SAH)? a. Anterior cerebral artery b. Middle cerebral artery c. Anterior communicating artery d. Posterior communicating artery - Answer- c. Anterior communicating artery Donna is a 43-year-old teacher who was admitted 6 days ago with a ruptured middle cerebral artery (MCA) aneurysm with subarachnoid hemorrhage (SAH). She underwent surgery for aneurysm clipping 12 hours after admission, and has had an excellent post- operative course. However, this morning, she complained of a severe headache, became acutely confused and quickly progressed to unresponsiveness. What is the likely cause for Donna's change of status? a. Expansion of her original SAH b. Uncal herniation c. Cerebral vasospasm d. Medication reaction - Answer- c. Cerebral vasospasm Matthew is a 26-year-old who has been admitted to the ICU following a motor vehicle accident. Upon assessment, it is noted that he has a positive Cullen sign. What does this indicate? a. Basilar skull fracture b. Retroperitoneal hemorrhage c. Pelvic fracture d. Aortic tear - Answer- b. Retroperitoneal hemorrhage If bowel sounds are audible when auscultating Matthew's lungs, what injury may he have sustained? a. Ruptured spleen b. Ruptured liver c. Diaphragmatic injury d. Gastric tear - Answer- c. Diaphragmatic injury If a patient sustains acute renal failure (ARF) secondary to cardiogenic shock, what type of renal failure is this considered? a. Intrinsic b. Prerenal c. Postrenal d. Iatrogenic - Answer- b. Prerenal The RIFLE classification system provides a