CCRN Nursing Exam Prep - Adult Critical Care - Question List

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71.

Which of the following findings in a client awaiting abdominal aortic aneurysm repair would you report immediately to the physician?

  1. Severe back pain
  2. Swelling of the arms and face
  3. Increased blue areas of the feet
  4. Hoarseness or difficulty swallowing
72.

The physician has ordered a 24-hour urine specimen collection. After explaining the procedure to the client, the nurse collects the first specimen. She is doing the right thing if she ________.

  1. Discards the first specimen, and then starts the collection
  2. Saves this specimen as part of the 24-hour collection
  3. Tests the specimen, and then discards it
  4. Places this specimen in a separate container and later adds to the collection
73. Ms. Margaret Shawn, a 45-year-old librarian, was ordered by her physician to undergo an oral cholecystography. Which nursing action is inappropriate in preparing Ms. Shawn for this procedure?
  1. Administering a fat-free diet the evening before the test
  2. Administering Telepaque (iopanoic acid) tablets in 5-minute intervals 1 hour after supper
  3. Administering at least 6 oz. of water with each Telepaque (iopanoic acid) tablet
  4. Allowing the client, after ingesting the tablets, to drink water until midnight, then NPO
74.

Kevin, 23 years old, was admitted for closed head injury following a motor vehicle accident. Which of the following interventions should the nurse plan that would minimize increased intracranial pressure?

  1. Maintain head of the bead at less than 10 degrees
  2. Group all nursing activities and leave the client undisturbed for 2 hours
  3. Maintain alignment of the head and neck
  4. Elevate the client's legs
75.

Mikaela, 25 years old, is scheduled for a skin biopsy and asks the nurse how painful the procedure is. The appropriate response by the nurse is:

  1. "There is no pain associated with this procedure."
  2. "The local anesthetic may cause a burning or stinging sensation."
  3. "A preoperative medication will be given so you will be sleeping and will not feel any pain."
  4. "There is some pain, but the physician will prescribe an opioid analgesic following the procedure."

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