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Exam (elaborations)

Pass CCRN test bank Questions and Correct Answers the Latest Update

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  • Course
  • CCRN
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  • CCRN

Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)? A. Crackles B. S3 C. Murmur of mitral regurgitation D. Pericardial friction rub B. S3 LVF would be the most subtle because early changes are usually subtle changes. Choose "S3." A pat...

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  • November 12, 2024
  • 102
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCRN
  • CCRN
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Pass CCRN test bank Questions and
Correct Answers the Latest Update
Which of the following would be the earliest auscultatory finding in left ventricular failure

(LVF)?




A. Crackles

B. S3

C. Murmur of mitral regurgitation

D. Pericardial friction rub

✓ B. S3



✓ LVF would be the most subtle because early changes are usually subtle changes. Choose
"S3."



A patient with a triple-lumen subclavian catheter has been receiving total parenteral nutrition,

maintenance fluids, and antibiotics by the catheter. He has been slightly confused. Suddenly he

grasps the catheter and pulls it out. He then complains of shortness of breath, and his pulse

oximetry indicates an SpO2 of 84%. How should this patient be positioned?




A. Head down, left side

B. Head down, right side

C. Head of bed elevated, left side


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D. Head of bed elevated, right side

✓ A. Head down, left side



✓ Envision a big air bubble in the patient's heart. Think: what position would decrease the
movement of the air embolism out of the right side of the heart. Chose "Head down, left
side."



Oxygen delivery (DO2) is the product of which of the following?




A.

PaO2, hemoglobin, mean arterial pressure

B.

SaO2, hemoglobin, cardiac output

C.

SvO2, cardiac index, SaO2

D.

PaO2, mean arterial pressure, SvO2

✓ B. SaO2, hemoglobin, cardiac output





✓ Oxygen is delivered from the arterial end, so choose an option that has SaO2




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Which of the following is the most significant complication of status asthmaticus?




A.

Pulmonary embolism

B.

Acute respiratory failure

C.

Hypertension

D.

Anaphylaxis

✓ B. Acute respiratory failure



A 22-year-old man is admitted to the critical care unit after a motor vehicle collision. The

emergency department nurse reports that he was unconscious at the scene of the accident, but

he is now alert and oriented. Skull films show a linear fracture of the right temporal bone. He

is at significant risk for:




A.

scalp hematoma.

B.

subdural hematoma.

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C.

epidural hematoma.

D.

intracerebral hematoma.

✓ C. epidural hematoma.



✓ Linear fractures of the temporal bone frequently disrupt the middle meningeal artery and
cause epidural hematoma. Patients with an epidural hematoma classically present with a
short period of unconsciousness followed by a lucid interval and then rapid deterioration.
An epidural hematoma is usually caused by arterial bleeding.



A patient is admitted to the ICU after sustaining a concussion and blunt abdominal trauma to

the right upper quadrant in a domestic dispute. The patient's vital signs are BP 145/86 mm

Hg, pulse 86 beats/min, respiration 15 breaths/min, and temperature 98.8° F. The nurse is

monitoring the patient's bowel sounds, abdominal tenderness, and abdominal girth frequently.

Which of the following laboratory parameters is especially important for the nurse to closely

monitor for bleeding in this patient?




A.

Platelet count

B.

Protime

C.


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