CCRN Nursing Exam Prep - Adult Critical Care - Question List

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76.

Ana, 55 years old, is admitted to the hospital to rule out pernicious anemia. A Schilling test is ordered for Ana. The nurse recognizes that the primary purpose of the Schilling test is to determine the client's ability to:

  1. Store vitamin B12
  2. Digest vitamin B12
  3. Absorb vitamin B12
  4. Produce vitamin B12
77. A client with multiple injuries following a vehicular accident is transferred to the critical care unit. He begins to complain of increased abdominal pain in the left upper quadrant. A ruptured spleen is diagnosed and he is scheduled for emergency splenectomy. In preparing the client for surgery, the nurse should emphasize in his teaching plan the:
  1. Complete safety of the procedure
  2. Expectation of postoperative bleeding
  3. Risk of the procedure with his other injuries
  4. Presence of abdominal drains for several days after surgery
78. The non-insulin-dependent diabetic who is obese is best controlled by weight loss because obesity:
  1. Reduces the number of insulin receptors
  2. Causes pancreatic islet cell exhaustion
  3. Reduces insulin binding at receptor sites
  4. Reduces pancreatic insulin production
79. The nurse prepares discharge instructions for Mayra, 27 years old, following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instructions?
  1. Avoid showering for 7 to 10 days.
  2. Apply ice to the site to prevent discomfort.
  3. Apply alcohol-soaked dressings twice a day.
  4. Clean the site with hydrogen peroxide to prevent infection.
80.

Marcia, 68 years old, presents to the gynecology clinic with complaints of painless vaginal bleeding. The nurse should be certain the client is tested for which of the following health problems?

  1. Ovarian cyst
  2. Cervical or uterine cancer
  3. Hormonal imbalances
  4. Endometriosis

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