CCRN EXAM 2 LATEST WITH UPDATED QUESTIONS AND ANSWERS (ALREADY GRADED A+)
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Course
CCRN
Institution
CCRN
CCRN EXAM 2 LATEST WITH UPDATED
QUESTIONS AND ANSWERS (ALREADY GRADED A+)
After attending an educational session that reviewed drug dosing
and provided a review of the literature, the nurse would like to
start using the admission weight to calculate drug dosing during
titration of vasoac...
After attending an educational session that reviewed drug dosing
and provided a review of the literature, the nurse would like to
start using the admission weight to calculate drug dosing during
titration of vasoactive drugs rather than the current practice of
using daily weights. What would be the most effective next step
for the nurse to take to implement this change?
(A) Begin the adaptation of the practice by using the admission
weight for patients.
(B) Identify the key stakeholders related to the proposed change
in practice.
(C) Ask the attending physician on rounds what her thoughts are
about the practice.
(D) Discuss the educational session with nurse colleagues. -
ANSWER-(B) Identify the key stakeholders related to the
proposed change in practice.
A patient presents with a productive cough, hypoxemia, a fever,
hypotension, tachycardia, and tachypnea. Hypoxemia was
,2|Page
corrected with the administration of oxygen. Which of the
following should be done next?
(A) Administer antibiotics.
(B) Start a vasopressor.
(C) Collect a sputum culture.
(D) Initiate 0.9 normal saline. - ANSWER-(D) Initiate 0.9 normal
saline.
A patient with a urinary tract infection presented with a
temperature of 39°C (102.2°F), a heart rate of 132 beats/minute,
a respiratory rate of 24 breaths/minute, a BP of 78/49 (a MAP of
59 mmHg), and a lactate of 2.8 mmol/L. The patient received 2 L
of 0.9 NS within 1 hour. The BP is now 100/52 (the MAP is 68
mmHg), the heart rate is 118 beats/minute, the respiratory rate is
20 breaths/minute, and the lactate is 2.1 mmol/L. The patient
requires treatment for:
(A) bacteremia.
(B) sepsis.
(C) SIRS.
(D) septic shock. - ANSWER-(B) sepsis.
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A patient is 48 hours post aortic valve replacement. Which of the
following would be a major goal for this patient?
(A) diuretic therapy
(B) stabilizing the blood pressure
(C) prophylactic antibiotics
(D) preventing a thrombus - ANSWER-(D) preventing a thrombus
A patient with hypoxic encephalopathy has been opening his eyes
to touch for the past 24 hours. The patient now withdraws to
painful stimuli, has developed unequal pupils, and has a positive
Babinski reflex. Which of the following interventions should the
nurse anticipate?
(C) osmotic diuretic, intubation, and monitor the pCO2
(D) lumbar puncture and increase the FiO2 - ANSWER-(C)
osmotic diuretic, intubation, and monitor the pCO2
A 19-year-old patient who was admitted with sickle cell crisis and
acute kidney injury requests to use a phone to update her friends
on her condition. The nurse's best response would be to:
, 4|Page
(A) explain to the patient that calls can be made when she is
transferred out of the critical care unit.
(B) allow the patient to make the calls in order to meet the
patient's need for social support.
(C) explain to the patient that she needs to rest in order for the
analgesic medication to take effect.
(D) allow the patient to make the calls in order to reduce the
patient's anxiety. - ANSWER-(B) allow the patient to make the
calls in order to meet the patient's need for social support.
The unit quality council wants to reduce the number of CAUTIS.
Which of the following strategies has been demonstrated to
reduce incidences of CAUTIS?
(A) Remove the indwelling urinary catheter on day 3 post-op.
(B) Place the drainage collection system on the patient's
abdomen during transport.
(C) Assess the competency of the staff using a simulated
environment.
(D) Avoid the use of intermittent straight catheterization. -
ANSWER-(C) Assess the competency of the staff using a
simulated environment.
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