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HealthStream CCRN Review Questions and Answers
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HealthStream CCRN Review Questions and Answers
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HealthStream CCRN Review Questionsand Answers
The iilatent iiphase, iithe iifirst iiphase iiof iiARDS iidevelopment, iioccurs ii6 iito ii48 iihours
iiafter iiinjury. iiCharacteristics iiof iithis iiinitial iiphase iiinclude iiwhich iiof iithe iifollowing?
A. iiChest iiX-ray iishows iipulmonary iiinfiltrates iiconsistent iiwith iipulmonary iiedema
B. iiChest iiX-ray iiremains iiclear iias iilung iidamage iicannot iiyet iibe iiidentified
C. iiIrreversible iiloss iiof iifunctional iialveoli
D. iiSevere iihypoxia ii- iiAnswers ii-A. iiChest iiX-ray iishows iipulmonary iiinfiltrates
iiconsistent iiwith iipulmonary iiedema
The iiacute iirespiratory iifailure iiphase iioccurs iione iito iifour iiweeks iiafter iionset iiof iiinitial
iilung iiinjury. iiWhich iiof iithe iifollowing iioccur iiduring iithis iiphase? iiSelect iiall iithat iiapply.
A. iiIncreased iiwork iiof iibreathing.
B. iiProgressive iipulmonary iiedema iiresults iiin iihypoxemia iiand iiintrapulmonary
iishunting.
C. iiSurfactant iiloss iileads iito iialveolar iicollapse. ii- iiAnswers ii-A, iiB, iiC
A iipatient iiin iithe iifinal iiphase iiof iiPARDS iiis iidetermined iito iieither iibe iiin iia iistate iiof
iirecovery iior iiin iithe iichronic/fibrotic iiphase. iiHow iiis iirecovery iidifferentiated iifrom
iichronic iifibrosis? iiSelect iiall iithat iiapply.
A. iiHypoxemia iiresolves
B. iiNormalization iiof iilung iiparenchyma iioccurs
C. iiPulmonary iicompliance iiimproves ii- iiAnswers ii-A, iiB, iiC
A iipatient iiwho iireceives iioxygen iiat iiconcentrations iigreater iithan ii50 iipercent iifor ii16 iito
ii24 iihours iiis iisusceptible iito?
A. iiAtelectasis
B. iiOxygen iitoxicity
C. iiPneumonia
D. iiPneumothorax
E. iiVolutrauma ii- iiAnswers ii-B. iiOxygen iitoxicity
Weakened iilungs, iihigh iipressures iifrom iithe iiventilator iiand iithe iihigh iivolume iiof iiair
iiincrease iithe iirisk iifor
A. iiPneumonia
B. iiPneumothorax
C. iiVolutrauma ii- iiAnswers ii-B. iiPneumothorax
, Atelectasis iiis iithe iicollapse iiof iialveoli. iiThis iican iioccur iias iia iiresult iiof iiinadequate iitidal
iivolume iior iisecondary iito ii_________.
A. iiPneumonia
B. iiPneumothorax
C. iiVolutrauma ii- iiAnswers ii-A. iiPneumonia
_________ iiis iiused iias iia iipharmacological iiadjunct iito iihelp iiprevent iialveolar iicollapse,
iimaintain iipulmonary iicompliance iiand iioptimize iioxygenation.
A. iiNitric iioxide
B. iiProstaglandin iiinhibitors
C. iiSteroids
D. iiSurfactant ii- iiAnswers ii-D. iiSurfactant
Administration iiof iisurfactant iimay iihelp iito iiprevent iialveolar iicollapse, iimaintain
iipulmonary iicompliance iiand iioptimize iioxygenation. iiAdministration iiof iisurfactant
ii(compared iiwith iia iiplacebo) iihas iiprovided iia iisignificant iireduction iiin iimortality iiin
iichildren iiwith iiPARDS.
The iicornerstone iiof iimanaging iithe iipatient iiwith iiPARDS iiis:
A. iiInotropic iisupport
B. iiMechanical iiventilation
C. iiNutritional iisupport
D. iiPerfluorocarbons ii- iiAnswers ii-B. iiMechanical iiventilation
Mechanical iiventilation ii(either iiconventional iior iihigh-frequency iioscillation) iiis iithe
iicornerstone iiof iimanagement iifor iipatients iiwith iiPARDS. iiMaintaining iitidal iivolumes iiof
ii5 iito ii8 iimL/kg iiand iian iiarterial iisaturation iigreater iithan ii85 iipercent iion iia iilow iiFiO2
iican iireduce iimortality iifrom iiPARDS.
You iiare iicaring iifor iia iipatient iiwho iiwas iiadmitted iito iithe iihospital iiabout iione iiweek
iiago iiafter iisuffering iia iisubmersion iiinjury. iiWhat iiis iione iiof iithe iifirst iisigns iiyou iimay
iinotice iiindicating iithat iithe iipatient iihas iiprogressed iito iiPARDS?
A. iiInfiltrates iiindicative iiof iiaspiration
B. iiPneumothorax
C. iiTachycardia iiwith iihypercarbia
D. iiTachypnea iiwith iihypoxemia ii- iiAnswers ii-D. iiTachypnea iiwith iihypoxemia
The iifirst iisymptoms iiof iiPARDS iiare iiusually iidyspnea, iitachypnea iiand iihypoxemia.
You iiare iicaring iifor iiMary iiJane, iia iipreviously iihealthy ii8-year-old iigirl. iiShe iiwas
iirescued iifrom iia iihouse iifire iiand iiintubated iiat iithe iiscene iidue iito iialtered iimental
iistatus iiand iipresence iiof iisoot iiin iiher iimouth iiand iinares. iiShe iiwas iiadmitted iito iithe
iiPICU iifor iimanagement iiof ii30% iiTBSA iiburn iiof iiher iiface iiand iichest. iiShe iiwas iiinitially
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