CCRN

CCRN practice questions, page 4 of 6, with answer review and explanations.

Question 16

Inhaled beta2-agonists are administered to patients with status asthmaticus primarily to

  1. dilate pulmonary vessels and decrease shunting.
  2. suppress the inflammatory response and decrease mucous production.
  3. decrease airway resistance.
  4. stabilize capillary membranes.

Question 17

A patient who received a kidney transplant 2 years ago is admitted with GI bleeding and probably GI cancer. The patient and his family ask, "How did I get cancer?" The best response should be that cancer occurs in patients with transplants due to

  1. anti-rejection drugs.
  2. dialysis prior to transplant.
  3. x-rays over the course of treatment.
  4. elevated creatinine and BUN prior to transplant.

Question 18

A patient on prolonged mechanical ventilation and in an unresponsive state is showing no signs of progression toward recovery. The healthcare team suggested a comfort care approach. Family members are conflicted, and the patient has no advance directive. Which of the following should the nurse suggest as the next course of action?

  1. meeting with the stakeholders to discuss the issue and options
  2. palliative care consult to assist with symptom management
  3. meeting with the institutional ethics committee to examine the case
  4. hospice consult to prepare the family for end-of-life care

Question 19

Hypoalbuminemia lowers the intravascular colloidal osmotic pressure and allows fluid to shift from the

  1. intracellular spaces into the extracellular spaces.
  2. extracellular spaces into the intravascular spaces.
  3. circulating blood volume into the intracellular spaces.
  4. circulating blood volume into the extracellular spaces.

Question 20

An unconscious patient presents with the following laboratory values: Appropriate management of this patient should include

  1. IV hydration.
  2. intubation.
  3. hemodialysis.
  4. osmotic diuresis.