Exam (elaborations)
ADULT CCRN/PCCN CERTIFICATION EXAM 2024/2025
- Course
- Institution
ADULT CCRN/PCCN CERTIFICATION EXAM 2024/2025
[Show more]
Content preview
ADULT CCRN/PCCN CERTIFICATIONEXAM 2024/2025
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain.
Her heart rate is 122/min., she is afebrile, and exhibits slightly
diminished breath sounds on the right side.
The findings described above should lead the nurse to suspect that the
patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion - Precise Answer ✔✔B. A pulmonary embolus
One day following posterior spinal fusion surgery a 35 year old female
suddenly exhibits restlessness, labored breathing and acute chest pain.
Her heart rate is 122/min., she is afebrile, and exhibits slightly
diminished breath sounds on the right side.
Which of the following will most likely confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
,B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood gases - Precise Answer ✔✔A.
Pulmonary radioisotope scan
The nursing staff does not wish to be assigned a difficult patient who
continues to demonstrate disorderly behavior. Which of the following is
an acceptable solution?
A. Request the family control the patient's behavior.
B. Transfer the patient
C. The patient assignment should be decided by the Charge Nurse.
D. Alternate the patient assignment among the nursing staff. - Precise
Answer ✔✔D. Alternate the patient assignment among the nursing staff.
A patient who is 72 hours postoperative repair of a bowel obstruction
suddenly demonstrates shortness of breath and his respiratory rate
increases from 22 to 45/min. His SpO2 went from 95% to 88% acutely.
An arterial blood gas sample obtained while the patient is receiving
oxygen via a nasal cannula at 6L/min reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Auscultation of the lungs reveals diffuse crackles that were not
present previously.
, The findings described above should lead the nurse to believe that the
patient has:
A. Acute respiratory distress syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia - Precise Answer ✔✔A. Acute respiratory
distress syndrome
A patient who is 72 hours postoperative repair of a bowel obstruction
suddenly demonstrates shortness of breath and his respiratory rate
increases from 22 to 45/min. His SpO2 went from 95% to 88% acutely.
An arterial blood gas sample obtained while the patient is receiving
oxygen via a nasal cannula at 6L/min reveals the following results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is
reported. Auscultation of the lungs reveals diffuse crackles that were not
present previously.
On admission, your patient's arterial blood gas on room air is: pH 7.23,
PaCO2 55, PaO2 90, HCO3 30. The correct arterial blood gas
interpretation is:
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 YANCHY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75619 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now