Philip's CCRN Test

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Test your knowledge for CCRN :)

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Anh Cao

United States

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Philip's CCRN Test


Froggy Jumps Philip's CCRN TestOnline version Test your knowledge for CCRN :) by Anh Cao 1 Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)? a Crackles b S3 c Murmur of mitral regurgitation 2 Oxygen delivery (DO2) is the product of which of the following? a PaO2, hemoglobin, mean arterial pressure b SvO2, cardiac index, SaO2 c SaO2, hemoglobin, cardiac output 3 Which of the following is the most significant complication of status asthmaticus? a Acute respiratory failure b Pulmonary embolism c Hypertension 4 Which of the following is associated with chest pain, confusion, and petechiae? a Dissecting aneurysm b Myocardial infarction c Fat embolism 5 Which type of shock is most likely to be iatrogenic? a Septic b Cardiogenic c Neurogenic 6 Which of the following is not an indication for mechanical ventilation in patients with asthma? a Respiratory muscle fatigue b Respiratory alkalosis c Hypercapnia and respiratory acidosis 7 A patient exhibiting nystagmus, ataxia, unsteady gait, and problems with rapid, alternating movements probably has a lesion in the: a pituitary gland b frontal lobe c cerebellum 8 Which route would be preferred for the rapid administration of fluids in hypovolemic shock? a Large-gauge, short peripheral catheter b Central venous catheter c Large-gauge, long peripheral catheter 9 A patient received Humulin NPH insulin at 7 am. He was nauseated and vomiting at lunchtime and cannot tolerate PO. If this patient develops manifestations of hypoglycemia, treatment would include: a 100 ml of 5% dextrose in water (D5W). b glucagon subcutaneously. c 25 ml of 50% dextrose in water (D50W). 10 A patient is being treated for hypertrophic cardiomyopathy. Which of the following drugs would be contraindicated for this patient? a Nitroprusside b Digoxin c Propranolol 11 How would a pneumothorax appear on chest x-ray film? a Less radiopaque than normal lung b More radiolucent than normal lung c More radiopaque than normal lung 12 Altering the pH of the gastric secretions through the use of H2 receptor antagonists, antacids, and proton pump inhibitors contributes to which potential complication? a Pneumonia b Pulmonary embolism c Stress ulcer 13 76y.o. patient on a norepinephrine gtt. The patient is complaining of severe pain & area around her IV is becoming translucent, cool to touch, and discolored. What stage is this and what medication should you administer to prevent extravasation? a Stage 1, phentolamine b Stage 4, hyaluronidase c Stage 4, phentolamine 14 Which of the following solutions would be most appropriate for initial fluid resuscitation of a patient with severe hypovolemia caused by several days of diarrhea and vomiting? a A hypotonic crystalloid b An isotonic crystalloid c A hypertonic crystalloid 15 A patient with acute kidney injury has the following arterial blood gas results: pH7.32Paco235 mm HgHCO318 mEq/L. This acid-base imbalance is the result of the inability of the kidney to: a excrete acid by-products of metabolism b excrete carbon dioxide c excrete bicarbonate ions 16 A 42-year-old woman is admitted with myasthenic crisis after a viral illness. Which of the following are characteristics of myasthenia gravis? a It causes muscle weakness and fatigability. b It is associated with demyelination of peripheral nerve fibers. c It may result in adrenergic crisis. 17 Which ventilator mode requires close monitoring for auto-PEEP (positive end-expiratory pressure)? a Intermittent mandatory ventilation b Pressure support ventilation c Pressure-controlled inverse ratio ventilation 18 Which of the following best differentiates hypovolemic from cardiogenic shock? a Decreased urine output b Decreased pulmonary artery occlusive pressure c Decreased cardiac index 19 A patient develops carpopedal spasm and neuromuscular irritability manifested by Chvostek and Trousseau signs. Which electrolyte imbalance should you suspect? a Hyperphosphatemia b Hyperkalemia c Hypercalcemia 20 Which mode of mechanical ventilation requires the nurse to monitor closely for auto-PEEP (positive end-expiratory pressure)? a High-frequency jet ventilation b Pressure support ventilation c Inverse ratio ventilation 21 If a patient has a palpable radial pulse, the systolic blood pressure (BP) is at least: a 50 mm Hg. b 80 mm Hg. c 60 mm Hg. 22 Your patient has an increase in venous oxygen saturation (SvO2) along with a decrease in oxygen consumption (VO2) and pH. What do you suspect? a Early septic shock b Hemorrhagic shock c Cardiogenic shock 23 In multiple organ dysfunction syndrome (MODS), clinical indications of respiratory failure include: a PaO2/FiO2 (fraction of inspired oxygen) ratio of greater than 300 mm Hg. b narrow A:a gradient. c increased PaCO2. 24 A 52-year-old patient with a history of alcoholism is admitted with massive esophageal bleeding. Which of the following would be an indication for the administration of blood in this patient? a Symptoms of hypoperfusion such as chest pain or dyspnea b Hematocrit less than 30% c Hemoglobin less than 10 g/dl 25 Which of the following are the major sources of intracranial hypertension after craniocerebral trauma? a Hypervolemia and hyperthermia b Hydrocephalous and infection c Cerebral edema and expanding lesions 26 A patient received one unit of packed cells. Which of the following would be the expected effects of the transfusion? a Increase in hemoglobin by 0.5 g/dl and increase in hematocrit by 2% b Increase in hemoglobin by 1 g/dl and increase in hematocrit by 3% c Increase in hemoglobin by 1 g/dl and increase in platelets by 50,000/mm3 27 A 20-mm S wave in lead V1 and a 25-mm R wave in lead V6 are noted on a patient's 12-lead electrocardiogram. This would indicate which of the following? a Left ventricular hypertrophy b Right bundle branch block (RBBB) c Right ventricular hypertrophy 28 Which of the following arterial blood gas findings supports the diagnosis of pulmonary embolism? a Hypercapnia b Low pH c Hypoxemia 29 What would be the best laboratory test to evaluate this patient's glomerular filtration rate (GFR)? a Urine creatinine clearance b Serum creatinine c Blood urea nitrogen 30 Which of the following is the oxygen concentration to be used in patients with cardiopulmonary arrest? a 100% b 100% except for patients with chronic hypercapnia c 80% 31 The physician has prescribed mannitol for a patient with intracranial hypertension. Which of the following is an important consideration when administering mannitol? a The drug must be administered into a central venous catheter. b The drug must be administered through an in-line filter. c The drug must be refrigerated.

Philip's CCRN Test

Froggy Jumps

About this activity

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Download the paper version to play

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Philip's CCRN TestOnline version

by Anh Cao

Which of the following would be the earliest auscultatory finding in left ventricular failure (LVF)?

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

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

Which of the following is associated with chest pain, confusion, and petechiae?

Which type of shock is most likely to be iatrogenic?

Which of the following is not an indication for mechanical ventilation in patients with asthma?

A patient exhibiting nystagmus, ataxia, unsteady gait, and problems with rapid, alternating movements probably has a lesion in the:

Which route would be preferred for the rapid administration of fluids in hypovolemic shock?

A patient received Humulin NPH insulin at 7 am. He was nauseated and vomiting at lunchtime and cannot tolerate PO. If this patient develops manifestations of hypoglycemia, treatment would include:

A patient is being treated for hypertrophic cardiomyopathy. Which of the following drugs would be contraindicated for this patient?

How would a pneumothorax appear on chest x-ray film?

Altering the pH of the gastric secretions through the use of H2 receptor antagonists, antacids, and proton pump inhibitors contributes to which potential complication?

76y.o. patient on a norepinephrine gtt. The patient is complaining of severe pain & area around her IV is becoming translucent, cool to touch, and discolored. What stage is this and what medication should you administer to prevent extravasation?

Which of the following solutions would be most appropriate for initial fluid resuscitation of a patient with severe hypovolemia caused by several days of diarrhea and vomiting?

A patient with acute kidney injury has the following arterial blood gas results: pH7.32Paco235 mm HgHCO318 mEq/L. This acid-base imbalance is the result of the inability of the kidney to:

A 42-year-old woman is admitted with myasthenic crisis after a viral illness. Which of the following are characteristics of myasthenia gravis?

Which ventilator mode requires close monitoring for auto-PEEP (positive end-expiratory pressure)?

Which of the following best differentiates hypovolemic from cardiogenic shock?

A patient develops carpopedal spasm and neuromuscular irritability manifested by Chvostek and Trousseau signs. Which electrolyte imbalance should you suspect?

Which mode of mechanical ventilation requires the nurse to monitor closely for auto-PEEP (positive end-expiratory pressure)?

If a patient has a palpable radial pulse, the systolic blood pressure (BP) is at least:

Your patient has an increase in venous oxygen saturation (SvO2) along with a decrease in oxygen consumption (VO2) and pH. What do you suspect?

In multiple organ dysfunction syndrome (MODS), clinical indications of respiratory failure include:

A 52-year-old patient with a history of alcoholism is admitted with massive esophageal bleeding. Which of the following would be an indication for the administration of blood in this patient?

Which of the following are the major sources of intracranial hypertension after craniocerebral trauma?

A patient received one unit of packed cells. Which of the following would be the expected effects of the transfusion?

A 20-mm S wave in lead V1 and a 25-mm R wave in lead V6 are noted on a patient's 12-lead electrocardiogram. This would indicate which of the following?

Which of the following arterial blood gas findings supports the diagnosis of pulmonary embolism?

What would be the best laboratory test to evaluate this patient's glomerular filtration rate (GFR)?

Which of the following is the oxygen concentration to be used in patients with cardiopulmonary arrest?

The physician has prescribed mannitol for a patient with intracranial hypertension. Which of the following is an important consideration when administering mannitol?