Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care - Question List

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46.

Roxanne, a 32-year-old waitress, underwent a cerebral angiogram through the right femoral site. Which procedural nursing assessment(s) would justify calling the physician? Select all that apply.

  1. Intact dressing that needs reinforcement due to bloody drainage
  2. Right pedal pulse weaker than left pedal pulse
  3. Equal, bilateral pedal pulses
  4. Bilateral pink, warm toes
  5. Blood pressure 88/52 mmHg
See answer
47.

A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse's response is based on the understanding that this could result in:

  1. A fall and further injury
  2. Injury to the brachia plexus nerves
  3. Skin breakdown in the area of the axilla
  4. Impaired range of motion while the client ambulates
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48. A client with myasthenia gravis is given a Tensilon test. Forty minutes after the test, the client develops severe weakness and ptosis. The nurse should be prepared to:
  1. Administer atropine
  2. Administer pyridostigmine
  3. Check for constricted pupils
  4. Intubate the client
See answer
49.

Mr. Kent, 42 years old, had a cuffed tracheostomy tube placed 4 weeks ago. This morning, his doctor made an order for him to begin eating by mouth, with the tracheostomy in place. To prevent aspiration, the nurse will: Select all that apply:

  1. Raise the head of the bed to high Fowler's
  2. Increase Mr. Kent's FiO2
  3. Deflate the cuff on the tracheostomy tube
  4. Suction the client before eating
  5. Assess gag and swallow ability
See answer
50. Eddie, a plane crash victim, undergoes endotracheal intubation and positive pressure ventilation. The most immediate nursing intervention for him at this time would be to:
  1. Facilitate his verbal communication
  2. Maintain sterility of the ventilation system
  3. Assess his response to the equipment
  4. Prepare him for emergency surgery
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