100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Kassi - CCRN Questions and Correct Answers | Latest Updat $13.49   Add to cart

Exam (elaborations)

Kassi - CCRN Questions and Correct Answers | Latest Updat

 11 views  0 purchase
  • Course
  • CCRN
  • Institution
  • CCRN

A patient in hyperosmolar hyperglycemic state (HHS) is being admitted with dehydration and a serum glucose level of 836 mg/dL. Which of the following additional laboratory findings should the nurse anticipate? a. decreased BUN, decreased creatinine, and elevated serum osmolality b. elevated ...

[Show more]

Preview 4 out of 130  pages

  • September 19, 2024
  • 130
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCRN
  • CCRN
avatar-seller
TestTrackers
2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




Kassi - CCRN Questions and Correct
Answers | Latest Update
A patient in hyperosmolar hyperglycemic state (HHS) is being admitted with dehydration

and a serum glucose level of 836 mg/dL. Which of the following additional laboratory

findings should the nurse anticipate?




a. decreased BUN, decreased creatinine, and elevated serum osmolality


b. elevated BUN, decreased creatinine, and decreased serum osmolality


c. decreased BUN, elevated creatinine, and decreased serum osmolality


d. elevated BUN, elevated creatinine, and elevated serum osmolality


-:- d. elevated BUN, elevated creatinine, and elevated serum osmolality




Rationale: Typical presentation of HHS includes elevations in BUN and creatinine levels

resulting from hypovolemia. Serum osmolality >320 mOsm/kg distinguishes HHS from DKA.




On the fifth day post-admission, a patient with Q waves if V1, V2, and V3 develops

hypotension, tachycardia, and a pansystolic murmur that is loudest at the lower left sternal

border. This patient has MOST LIKELY developed




1|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



a. idiopathic hypertrophic cardiomyopathy


b. inferior wall myocardial infarction


c. cardiac tamponade


d. a ruptured interventricular septum


-:- d. a ruptured interventricular septum




Rationale: Q waves in V1 and V2 indicate septal wall MI, which puts the patient at risk for

septal wall rupture. Pansystolic murmur at the left sternal border is consistent with a

ruptured interventricular septum




A patient with a history of chronic pain, asthma, diabetes and heavy alcohol intake is now

experiencing cognitive impairment from medications. Assessment: awake but confused, BP

155/82, HR 84, RR 16 and SpO2 95% on RA. This patient is at high risk for




a. intubation


b. needing long-term psychiatric care


c. attempting suicide


d. oversedation by staff



2|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



-:- c. attempting suicide




Rationale: The risk factors listed for suicide are part of the Suicide Risk Assessment -

chronic medical illness, heavy alcohol intake and chronic pain.




Which of the following 12-lead ECG changes should be expected in a patient with ACS

involving the inferior wall?




a. ST segment elevation and deeply inverted T waves in leads V4-V6, I and aVL


b. ST segment elevation in leads II, III and all the precordial leads


c. ST segment elevation and deeply inverted T waves in leads II, III and aVF


d. ST segment depression and T wave elevation in leads II, III and aVL


-:- c. ST segment elevation and deeply inverted T waves in leads II, III and aVF




Rationale: An anterior wall MI is associated with changes in leads II, III and aVF


a. anterolateral MI


b. lateral MI


d. ACS not associated with these changes


3|P a g e | G r a d e A + | 2 0 2 0 2 5

, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




The major effect of acute lung injury (ALI) on the lung tissue is




a. decreased capillary permeability


b. increased functional residual capacity (FRC)


c. decreased compliance


d. decreased alveolar surface tension


-:- c. decreased compliance




Rationale: It is related to alteration of lung endothelium and vascular tissue. Pathophysiologic

changes in lung vascular tissue and increased lung edema contribute to the decrease in

compliance. The end result is stiffness of the fluid-filled non-aerated airways.




A patient with mitral regurgitation suddenly develops atrial fibrillation with rate of 156. BP is

118/74. The nurse should anticipate medication orders for




a. beta-blockers and vasopressors


b. warfarin (Coumadin) and alpha-agonists


4|P a g e | G r a d e A + | 2 0 2 0 2 5

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller TestTrackers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart