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CCRN-Adult Practice Exam Questions and Answers

CCRN (Adult) - Direct Care Eligibility Pathway

Last Update 22 hours ago
Total Questions : 150

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Question # 1

An older adult patient has been in the unit for 60 hours. The patient has received benzodiazepines for agitation, opioids for persistent pain, and bronchodilators. The patient reports that there is too much noise, and they cannot get peace and quiet. The nurse should evaluate for

Options:

A.  

sleep disturbances.

B.  

an anxiety disorder.

C.  

situational depression.

D.  

acute manic episodes.

Discussion 0
Question # 2

A patient is admitted with a traumatic brain injury after being thrown from a horse. Despite numerous interventions, the patient is declared brain dead.

The parents have consented for organ donation, and the patient's mother requests to lay next to her daughter before being taken to the operating room.

Which of the following is the nurse's most appropriate response?

Options:

A.  

"I will need a few minutes to prepare and organize this for you."

B.  

"It would be too risky to move all of the machines and wires."

C.  

"We must obtain permission from the organ donation team first."

D.  

"Please sit at the side of the bed, hold her hand, and talk to her."

Discussion 0
Question # 3

A patient presents with the following hemodynamics:

MAP 40 mm Hg

PAD6 mm Hg

PAOP5 mm Hg

CI1.8 L/min/m2

SVR875 dynes/sec/cm-5

Which of the following is essential in the plan of care?

Options:

A.  

loop diuretic

B.  

fluid resuscitation

C.  

vasopressors

D.  

whole blood

Discussion 0
Question # 4

A patient admitted with a diagnosis of pneumonia has a temperature of 103.2° F (39.5° C) and copious pulmonary secretions. ABG results drawn on room air are:

The nurse should expect that hemoglobin's affinity for oxygen in this patient to be

Options:

A.  

unchanged.

B.  

unpredictable.

C.  

increased.

D.  

decreased.

Discussion 0
Question # 5

A patient with history of hypothyroidism is admitted with severe confusion and nonpitting edema. The nurse should anticipate which order?

Options:

A.  

insulin drip

B.  

3% saline 150 mL/hour

C.  

diuretics

D.  

forced air warming blanket

Discussion 0
Question # 6

While recording hourly ventilator checks on a patient who is being mechanically ventilated, the nurse notes that the PIP has gradually increased by 5 cm H2O over the past 4 hours. This increase indicates

Options:

A.  

an improvement in pulmonary function.

B.  

a leak in the ET tube cuff.

C.  

a decrease in airway resistance.

D.  

a decrease in lung compliance.

Discussion 0
Question # 7

The intended effects of medications for a patient in acute CHF are to

Options:

A.  

reduce CVP and increase SVR.

B.  

reduce CVP and reduce SVR.

C.  

increase CVP and reduce SVR.

D.  

increase CVP and increase SVR.

Discussion 0
Question # 8

The purpose of administering a sodium nitroprusside (Nipride) drip after a carotid endarterectomy is to

Options:

A.  

promote myocardial contractility and thus enhance cerebral perfusion.

B.  

increase coronary perfusion and thus increase cardiac output.

C.  

decrease MAP and thus prevent hemorrhage at the operative site.

D.  

increase afterload and thus promote vessel patency.

Discussion 0
Question # 9

For a patient with unstable angina, the major goal of treatment is to

Options:

A.  

increase afterload.

B.  

decrease myocardial contractility.

C.  

increase preload.

D.  

decrease myocardial O2 consumption.

Discussion 0
Question # 10

The first priority in management of an acute GI hemorrhage is

Options:

A.  

monitoring of serial Hgb and Hct.

B.  

fluid resuscitation.

C.  

pain relief.

D.  

Sengstaken-Blakemore tube insertion.

Discussion 0
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