ALL IN ONE PACKAGE DEAL FOR CCRN EXAMS WITH COMPLETE SOLUTIONS

As a general rule, a 4-year-old's systolic blood pressure representing the 50th percentile can be estimated to which of the following? a. 98 b. 94 c. 78 d. 74 Answer : a 90 mmHg plus twice the child's age represents the 50th percentile for blood pressure. 70 mmHg plus twice the child's age r...

PEEP is intended to do which of the following? A. Improve ventilation/perfusion matching B. Decrease functional residual capacity C. Increased venous return to the heart D. Increased cardiac output A. Improve ventilation/perfusion matching - PEEP increases alveolar volume, thereby improving ve...

1. While caring for a patient with salicylate overdose, the nurse should anticipate administration of which of the following as a primary treatment measure? A. protamine sulfate B. glucose C. packed red blood cells D. fluid and electrolytes 2. An adolescent with the developmental age of a 4-year...

A patient in the ED with complaints of chest pain. The 12-lead EKG shows ST elevation in leads V3 and V4. Occlusion of the affected coronary artery most likely would affect perfusion to which portion of the conduction system? A. Sinoatrial (SA) node B. Bachmann's bundle C. Atrioventricular (AV) ...

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...

A 52-year-old accountant is admitted to the critical care unit with frank gastrointestinal bleeding for more than 18 hours. He has had a blood loss of more than 1000 mL. Which of the following sets of vital signs would be consistent with the patient's blood loss? A. Blood pressure (BP) 100/84 mm Hg...

The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment, For optimal care of the patient, the nurse should pressure, right atrial pressure of 12 mm Hg, pulmonary artery pressure of 30/15 mm Hg, and pulmonary artery occlusive pressure of 13 mm Hg. What oth...

A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? Rapidly l...

1. Cardiac Output (CO) CO = HR x SV Amount of blood pumped thru ventricles 4-8L/minute is the normal amount for an adult <800 ml/minute in a newborn 2. Cardiac Index (CI) CI = CO/BSA A measure of the cardiac output tailored to individual height/weight 3.3-6 L/min/m2 normal for adult 3...

1. What are the components of the Central Nervous System?: Cerebral cortex (lobes) • Basal ganglia • Thalamus • Hypothalamus • Cerebellum -Brainstem -Pons -Midbrain -Medulla oblongata 2. What are meninges?: Protect the brain and spinal cord PAD= Pia mater, Arachnoid mater, and Dur...

1. Phenytoin inhibits _______ secretion ADH 2. Most episodes of aspiration result in Right (right/left) lung infiltrates. 3. Best indicator of GFR urine creatinine clearance 4. In a vented patient with status asthmaticus, Auto-PEEP check for _______________ 5. An increase in auto-PEEP is a sig...

1. A deformation is a(n) abnormality caused by unusual mechanical forces on normal tissue. 2. A low birth weight infant's temperature increases during skin-to-skin care. This is an example of heat transfer by conduction. 3. At the onset of labor the release of catecholamines stimulates inc...

1. Describe what is seen in Cushing's Reflex. Widened pulse pressure: Increase in systolic BP greater than diastolic BP Bradycardia Apnea (or decrease in respiratory rate) 2. How is cerebral perfusion pressure calculated? MAP - ICP 3. What is brain death? The irreversible cessation of all ...

A patient who is G3P2 at 32 weeks' gestation arrives at the triage unit complaining of regular uterine contractions. Her pregnancy history includes a preterm delivery at 34 weeks. Before examining her, the nurse performs electronic fetal monitoring and obtains a complete history. The patient...