CCRN

CCRN practice questions, page 5 of 6, with answer review and explanations.

Question 21

A patient with a history of heart failure and MI presents following an episode of syncope. A urinary catheter is inserted. Two hours later, assessment reveals the following: A nurse should plan to initiate

  1. vasopressors.
  2. IV fluids.
  3. osmotic diuretics.
  4. vasodilators.

Question 22

Hyperthermia, ventricular dysrhythmias, and hypertension are consistent with an overdose of which of the following?

  1. opioids
  2. tricyclic antidepressants
  3. amphetamines
  4. barbiturates

Question 23

Common sequelae of inflammation secondary to pulmonary infection are

  1. V/Q mismatch and intrapulmonary shunting.
  2. increased anterior-posterior lung diameter.
  3. decreased dead space and increased minute volume.
  4. leftward shift of the oxyhemoglobin dissociation curve.

Question 24

A unit council is requesting to change a documentation screen of the electronic health record (EHR) at a large health system. The change was not discussed with the department prior to the request and was denied by the EHR committee. Which of the following strategies will most likely lead to accomplishing the team's goals?

  1. Attempt to change the process through another format.
  2. Work with key staff members to rewrite the request to present at the next meeting.
  3. Have nursing leadership evaluate the proposal before resubmitting the request.
  4. Discuss the proposed solution with stakeholders to determine buy in.

Question 25

A patient with a traumatic brain injury has been hospitalized for 3 weeks. He has garbled speech and right-sided weakness. He has refused to cooperate with staff, frequently gets frustrated, and punches. Which of the following is a nurse's best response?

  1. "Let's discuss this behavior when you've calmed down."
  2. "You need to participate in your therapy if you want to get better."
  3. "Getting angry won't change what happened."
  4. "I realize you're angry and frustrated, but it is not okay to punch."