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CCRN GI QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CCRN GI QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CCRN GI QUESTIONS AND ANSWERSWITH SOLUTIONS 2024
UponNyourNassessmentNofNyourNpatient,NwhoNhasNpancreatitis,NyouNfindNtheNfollowingNvalues:
tempN37.1C,NBPN98/64,NHRN110,NRRN28,NSpO2N88%NonN2LNNC.N
HerNlabsNareNWBCN19,000,NHgbN8.9,NHCTN39%,NNaN144,NKN3.1,NCaN7.7,NandNglucoseN224.
YourNremainingNassessmentNrevealsNLLLNcracklesNofNtheNlungsNandNherNabdomenNw/NCullen'sNsign.NBeside
sNpancreatitis,NwhatNelseNdoNyouNthinkNyourNpatientNmayNhave?
a)NSIRS,NhemorrhagicNpancreatitis,NMODsNandNneedingNfluids
b)NhemorrhagicNshock,NstressNhyperglycemia,Nhypoxemia,NandNneedingNblood
c)Ndehydration,NARDS,NstressNhyperglycemia,NandNneedsNintubation
d)NhypovolemicNshock,Ndiabetes,NsevereNsepsis,NandNneedingNantibioticsN-
NANSWERNa)NSIRS,NhemorrhagicNpancreatitis,NMODSNandNneedingNfluids
--
YourNpatientNhasNSIRSNbcNofNtheNincreasedNRR,NHR,NandNWBC.NDueNtoNtheNCullen'sNsign,NyourNpatientNmos
tNlikelyNhasNhemorrhagicNpancreatitis,Nw/signsNofNMODSNbyNtheNlowNSpO2NandNtheNlowNBP.NFluidsNareNnee
dedNr/tNtheNmassiveNfluidNshiftsNinNacuteNpancreatitis
--
ThisNptNdoesNnotNhaveNdiabetesNandNdoesNnotNneedNantibiotics.NHowever,NisNatNaNhighNriskNofNARDSNbutNd
oesNnotNhaveNbilateralNinfiltratesNorNrefractoryNhypoxemia
ANnewNpatientNjustNarrivedNtoNtheNhospitalNs/pNacuteNabdominalNtrauma.NTheNpatientNisNnowNexperiencin
gNKehr'sNsign.NWhichNofNtheNfollowingNmayNbeNtheNcauseNofNKehr'sNsign?
a)NdiaphragmaticNirritation
b)NliverNcontusion
c)NrupturedNkidney
d)NrupturedNbladderN-NANSWERNa)NdiaphragmaticNirritation
, --
TraumaNthatNcausesNsplenicNruptureNalsoNcausesNdiaphragmaticNirritationNandNsubsequentNreferredNpainNt
oNtheNleftNshoulderN(Kehr'sNsign).NTheNotherNchoicesNdoNnotNcauseNKehr'sNsign.
YourNcoworkerNgoesNonNbreakNandNasksNyouNtoN"lookNout"NforNherNpatients.NHerNptNthenNcallsNyouNtoNtheN
roomNw/aNcomplaintNofN"somethingNdoesn'tNfeelNrightNinNmyNabdomen".NAfterNauscultatingNtheNpt'sNbow
elNsounds,NwhichNofNtheNfollowingNisNpresentNinNanNearlyNmechanicalNbowelNobstruction?
a)NnormalNbowelNsounds
b)NhypoactiveNbowelNsounds
c)NhyperactiveNbowelNsounds
d)NabsentNbowelNsoundsN-NANSWERNc)NhyperactiveNbowelNsounds
--
InNearlyNbowelNobstruction,NtheNbowelNsoundsNbecomeNhyperactive.NInNaNlateNbowelNobstruction,NbowelN
soundsNbecomeNhypoactiveNorNabsent.
YouNareNassistingNonNtheNadmissionNofNaNnewNpatientNintoNtheNICUNforNaNdiagnosisNofNbleedingNesophagea
lNvariesNandNhypovolemicNshock.NWhichNofNtheNfollowingNcloselyNresemblesNcompensationNforNtheNhypov
olemicNshock?
a)Nvasodilation
b)NcapillaryNfluidNshiftNintoNtheNinterstitialNspace
c)NdecreaseNinNreninNsecretion
d)NincreaseNinNre-absorptionNofNsodiumNandNwaterN-NANSWERNd)NanNincreaseNinNre-
absorptionNofNsodiumNandNwater
--W/NvolumeNdepletion,NaldosteroneNisNreleasedNbyNtheNrenin-angiotensin-
aldosteroneNmechanisNwhichNwillNallowNextraNNaNandNwaterNtoNbeNreabsorbedNinNanNattemptNtoNincreaseN
theNvascularNvolume.NTheNotherNchoicesNareNnotNsignsNofNaNcompensatoryNresponse.
YouNsuspectNacuteNappendicitisNw/NaNbowelNperforationNbeingNpresentNinNyourNnewNpatient.NWhichNofNth
eNfollowingNanswersNcloselyNdescribesNpain/discomfortNassociatedNw/NperitonealNirritation?
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