Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care - Question List

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1. A patient has been admitted to the intensive care unit with a diagnosis of “rule out” Guillain-Barre syndrome. The nurse is completing the admission data base and asking about the patient’s history. What diagnosis might precipitate a diagnosis of Guillian-Barre syndrome?
  1. Myocardial infarction within the last 6 months
  2. Headache, nausea and nuchal rigidity
  3. Mild fevers, upper respiratory infection or a minor virus
  4. Slurred speech and weakness in one or both sides of the body
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2. Which of the following statements would reflect that the patient does not understand the long term effects of liver failure?
  1. “If I stop drinking, my liver will get better.”
  2. “I need to monitor and limit my salt intake.”
  3. “It is important that I get more rest.”
  4. “My skin might become more yellow and change in color.”
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3. What characteristics would the nurse most likely assess in a patient with reduced Renal Reserve (early stages of renal disease)?
  1. Elevated BUN (blood, urea, nitrogen) lab value.
  2. Mild anemia and hypertension
  3. Terminal uremia
  4. Nocturia
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4. A patient is transferred from the medical-surgical floor to the intensive care unit for a blood pressure of 70/40, increased confusion over the past 6 hours, nausea, vomiting and urine output of 50 mL over the last 6 hours. The patient also has a diagnosis of diabetes mellitus and the blood sugars have remained less than 60 despite a bolus of 50 mL of dextrose. What would the nurse do upon receiving the patient?
  1. Begin an intravenous bolus of fluid.
  2. Administer an injection of glucocorticoid replacement.
  3. Send the patient for an abdominal x-ray.
  4. Assess vital signs, put the patient on the telemetry monitor and draw labs.
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5. A patient present with sudden onset shortness of breath and difficult breathing. Her tongue is swollen and she states she is feeling very dizzy. What would the medication most likely given to her?
  1. Diphenhydramine
  2. Dopamine
  3. Aminophylline
  4. Epinephrine
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