Pass the AACN CCRN CCRN-Adult Questions and answers with CertsForce

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Questions # 21:

In septic shock, a mixed venous O2 saturation (SO2) of 84% indicates that

Options:

A.

O2 delivery to tissues is inadequate due to shunting.


B.

the mixed venous pO2 is low.


C.

venous pO2 and saturation are irrelevant to tissue perfusion.


D.

the tissue cells are being well oxygenated.


Questions # 22:

A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable. Fifteen minutes later,

vital signs are as follows:

BP 86/50

HR 150

RR 36

The most appropriate action should be to

Options:

A.

administer a vasopressor.


B.

administer a second fluid challenge.


C.

request a CT scan of the chest.


D.

request an abdominal ultrasound.


Questions # 23:

A patient who recently lost their spouse is admitted following an emergent cardiac catheterization. The procedure report states chest pain and ST elevation, no significant coronary artery disease, left ventricular dysfunction with apical ballooning, and an EF of 35%. These findings are consistent for

Options:

A.

arrhythmogenic right ventricular cardiomyopathy.


B.

non ischemic cardiomyopathy.


C.

hypertrophic cardiomyopathy.


D.

takotsubo cardiomyopathy.


Questions # 24:

A patient who sustained a C4 fracture requests to be taken off the ventilator 3 days after the initial injury, indicating, "I can't live hooked to this

machine." The nurse's best response to this patient would be,

Options:

A.

"Do you feel that you will be hooked up to this machine forever?"


B.

"Eventually your diaphragm will regain its function, allowing you to breathe independently."


C.

"Many quadriplegics live fulfilling lives as they adjust to their new lifestyle."


D.

"After you have started the rehabilitation process, your outlook will improve."


Questions # 25:

A patient is intubated and receiving assist control mechanical ventilation and is on a norepinephrine drip following a head injury. Patient data are:

Question # 25

Which of the following interventions will improve cerebral perfusion?

Options:

A.

increasing the norepinephrine rate


B.

administering prescribed acetaminophen


C.

requesting an ABG


D.

suctioning the airway


Questions # 26:

A patient who was admitted after an open aortofemoral bypass for claudication at rest has a hemoglobin A1C of 8.9. The patient admits having poor control of blood glucose levels and is scared to use insulin as directed because of a few episodes of hypoglycemia. Which of the following should the nurse initially request to be consulted?

Options:

A.

endocrinology


B.

diabetes educator


C.

hospital pharmacist


D.

vascular surgeon


Questions # 27:

An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing

Options:

A.

heart failure with reduced EF.


B.

heart failure with preserved EF.


C.

left ventricular failure.


D.

advanced heart failure.


Questions # 28:

A patient is admitted with anaphylactic shock secondary to a blood transfusion. The patient's spouse asks the nurse to explain how blood can cause a low blood pressure. The nurse responds that with anaphylactic shock the

Options:

A.

heart muscle weakens and is unable to pump effectively.


B.

peripheral blood vessels dilate, and this creates a maldistribution of volume.


C.

kidneys excrete large amounts of urine dropping the blood pressure.


D.

autonomic nervous system is disrupted dropping blood pressure.


Questions # 29:

Which of the following is a cause of cardiogenic pulmonary edema?

Options:

A.

elevated PAOP reading


B.

RV chamber enlargement


C.

pulmonary hypertension


D.

LV noncompliance


Questions # 30:

There is an increase in catheter-associated urinary tract infections (CAUTIs) following a change in urinary catheter insertion trays. After conducting a literature review of evidence-based practices regarding indwelling catheter insertion and care, the nurse should

Options:

A.

locate a unit in the facility that still has the original trays in stock and restock the supply closet with these.


B.

contact the materials coordinator and request that the previous trays be re-ordered.


C.

share the results of the literature review with the physician team.


D.

lead a meeting in which the results of the literature review are presented, and staff input is obtained.


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