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CCRN-Adult Practice Questions

CCRN (Adult) - Direct Care Eligibility Pathway

Last Update 1 day ago
Total Questions : 150

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Question # 21

Which of the following is a sign of splenic injury and diaphragmatic irritation?

Options:

A.  

tachypnea

B.  

flank pain

C.  

left shoulder pain

D.  

hiccoughs

Discussion 0
Question # 22

A nurse has responded to a rapid response call on a medical-surgical floor in the hospital. The nurse finds the patient with the following data:

BP72/30

HR132

RR24

T102.3° F (39.0° C)

SpO295%

Ph7.13

PaCO234 mm Hg

PaO288 mm Hg

HCO3 14 mEq/L

Na+ 142 mEq/L

The nurse should anticipate an order to administer which of the following?

Options:

A.  

8.4% sodium bicarbonate

B.  

phenylephrine (Neo-Synephrine)

C.  

0.9% sodium chloride

D.  

amiodarone (Cordarone)

Discussion 0
Question # 23

The goal of PEEP therapy in acute lung injury (ALI) is to

Options:

A.  

decrease PAP.

B.  

decrease airway resistance.

C.  

increase cardiac output.

D.  

reduce physiologic shunting.

Discussion 0
Question # 24

Treatment of cerebral vasospasm includes administration of

Options:

A.  

lorazepam (Ativan).

B.  

propranolol (Inderal).

C.  

nimodipine (Nimotop).

D.  

pentobarbital (Nembutal).

Discussion 0
Question # 25

Which of the following ECG changes is expected in a patient with a potassium concentration of 3.0 mEq/L?

Options:

A.  

ST segment depression, flattened and inverted T wave, and a U wave

B.  

tall peaked T wave, prolonged PR interval, and prolonged QRS complex

C.  

shortened QT interval and complete atrioventricular block

D.  

inverted P wave, elevated T wave, and prolonged QT interval

Discussion 0
Question # 26

Which of the following diagnostic procedures best pinpoints the location, size, and origin of a cerebral aneurysm?

Options:

A.  

MRI

B.  

cerebral angiography

C.  

positron emission tomography (PET) scanning

D.  

CT scanning

Discussion 0
Question # 27

Assessment of a patient with a head injury reveals increased muscle tone and contractured positioning of the upper extremities. A nurse should

Options:

A.  

use wrist restraints to maintain upper extremity extension.

B.  

obtain an order for a muscle relaxer.

C.  

recognize that contractures are an expected response after a head injury.

D.  

consult a physical therapist regarding appropriate positioning.

Discussion 0
Question # 28

To maintain adequate pain control in a post-surgical patient addicted to heroin, a nurse should plan to

Options:

A.  

administer oral opioids only as needed.

B.  

administer PCA opioids with on-demand dosing only.

C.  

administer PCA with continuous and on-demand opioid delivery.

D.  

avoid administering any intravenous pain medication.

Discussion 0
Question # 29

For a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for

Options:

A.  

a shortened PR interval.

B.  

tall peaked T waves.

C.  

ST segment depression.

D.  

a prolonged PR interval.

Discussion 0
Question # 30

An unconscious patient presents with the following laboratory values:

Question # 30

Appropriate management of this patient should include

Options:

A.  

IV hydration.

B.  

hemodialysis.

C.  

intubation.

D.  

osmotic diuresis.

Discussion 0
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