CCRN CRITICAL CARE REGISTERED NURSE
EXAM LATEST 2023/2024 QUESTIONS AND 100%
CORRECT ANSWERS TEST BANK
CCRN: Test Prep
Description:
This unique two-day program presents the content of the CCRN exam in a
question and answer format. By the conclusion of the program the participant will have
answered 150 questions in the format and distribution of the actual exam. In-depth
explanations will be presented for rationale behind correct and incorrect answers, along
with the theoretical underpinnings of essential concepts.
This unique, informative and fun seminar is perfect for CCRN preparation, or a
comprehensive critical care review.
Objectives:
1. Examine strategies for successful completion of the CCRN exam.
2. Describe common hematologic and immunologic dysfunction in the critical care
patient.
3. Describe the process of coagulopathy in DIC.
4. Compare and contrast common GI disorders.
5. Plan care for the patient suffering from abdominal trauma.
6. Compare and contrast septic, hypovolemic, and cardiogenic shock.
7. Describe hemodynamic changes that occur with shock.
8. Plan care for patients with cardiopulmonary disorders.
9. Compare and contrast acute and chronic renal failure.
10. Describe clinical symptoms of electrolyte disturbances.
11. Plan care for patients with electrolyte and water emergencies.
12. Explain the benefits of several treatment options for acute respiratory failure.
13. Plan care for patients with respiratory disorders.
14. Describe a simple assessment plan for patients with increased intracranial pressure.
15. Evaluate nursing interventions for increased intracranial pressure.
16. Describe common endocrine dysfunctions in the critical care patient.
17. Compare and contrast diabetic ketoacidosis and hyperosmolar, hyperglycemic
syndrome.
18. Define professional and ethical nursing care using AACN definitions.
A+
, Hematologic / Immunologic (3%) 4 questions
1. The nurse is caring for a 32-year-old experiencing organ rejection after a kidney
transplant. Which of the following signs will the patient exhibit?
a. Decreased BUN/Creatinine
b. Increased transaminase level
c. Increased urine output
d. Increased BUN/Creatinine
2. A primary chemical mediator in anaphylactic reaction is?
a. Myocardial Depressant Factor
b. Histamine
c. Complement
d. Interferon
3. Which of the following laboratory diagnostic findings will most likely be seen in
DIC?
a. PT and PTT prolonged
b. Fibrinogen increased
c. Platelet count increased
d. D-dimer normal
4. The beneficial effects of heparin in DIC are thought to be due to its:
a. Stimulating effect on platelet manufacture
b. Neutralizing of free-circulating thrombin
c. Antifibrinolysin activity
d. Inhibition of platelet factor XII release
Hematology
1. Functions:
a. Medium for transport of O2 and CO2 and nutritients
b. Maintains hemostatsis
c. Maintains internal environment
d. Immune
e. Inflammation
f. Stress Response
i. Impaired skin barrier or irritated mucous membrane
ii. Impaired gag, cough or swallow
iii. Increased gastric pH, colonization = aspiration
iv. Acute Stress Reactions
1. Catabolism
2. Decreased healing
3. Inhibit immune response
4. Inflammatory Response
g. Hemostasis
i. Termination of bleeding
ii. Vascular response
iii. Platelet response
iv. Coagulation
1. Platelets
A+
, 2. Thrombocytopenia
3. HITT response
Disseminated Intravascular Coagulation (DIC)
1. Definition
2. Factors Triggering
DIC
3. Etiology:
a. Bleeding
b. Trauma
c. Sepsis
d. Abrupto
Placenta
4. Clinical Presentation
a. Bleeding
b. Signs of Thrombosis
c. Clinical Presentation
i. Petechiae
ii. Ecchymosis
iii. Purpura
d. Labs in DIC
i. Platelets
ii. PTT
iii. PT
iv. Fibrinogen
v. FDP/FSP
vi. D-dimer
vii. Antithrombin III
5. Medical Management
a. Maintain ABC’s
b. Careful or oral and mucosal bleeding
c. Treat stimuli
d. Correct hypovolemia, hypotension, hypoxia, and acidosis
e. Stop microclotting to maintain perfusion
f. Stop Bleeding
A+
, g. Stop Thrombosis
h. Administer IV Heparin
i. Plasmapheresis
j. Nursing Management
k. Nursing Care of the Bleeding Patient
l. Blood Products
i. Risks of transfusion
ii. PRBC’s
iii. Platelets
iv. FFP
v. Cryoprecipitate
vi. Adverse Reactions
6. Complications of DIC
a. Mortality
b. Hypovolemic Shock
c. Acute Renal Failure
d. Infection
e. Acute Respiratory Distress Syndrome
f. Stroke
g. GI dysfunction
7. Nursing
a. Administer Vitamin K and Folic Acid
b. Treat Ischemic Pain
c. Maintain skin integrity
Acquired Immunodeficiency Syndrome (AIDS)
1. Etiology
a. HIV, CD4 retrovirus
b. High-risk groups
i. High-risk sexual behavior
ii. Infected sex partners
iii. IV drug users
iv. Recipients of blood products before 1985
c. Pathophysiology
i. Invasion and destruction of T4 (helper) cells
ii. Incubation 6 months to 10 years
iii. Decreased immune response
iv. Opportunistic infection
2. General principles for management
a. Universal precautions
b. Protect from infection
c. Inflammatory response will be muted
Transplantation
Criteria for organ transplantation
1. Recipient criteria
a. End-stage organ disease
b. Absence of:
i. Infection
A+
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