Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care - Question List

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96. Arnold Swanson, who had a myocardial infarction 2 days ago, has been complaining to the nurse about issues related to his hospital stay. The best initial nursing response would be to:
  1. Allow him to release his feelings and then leave him alone to allow him to regain his composure.
  2. Refocus the conversation on his fears, frustrations, and anger about his condition.
  3. Explain how his being upset dangerously disturbs his need for rest.
  4. Attempt to explain the purpose of different hospital routines.
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97.

A patient is hospitalized with pheochromocytoma. A critical vital sign to monitor is:

  1. Urine output
  2. Blood pressure
  3. Respiratory rate
  4. Temperature
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98. Which client is at greatest risk for developing hypertension?
  1. Mr. Lincoln, a 52-year-old Caucasian with a family history of hypertension and heart disease
  2. Mrs. Franklin, a 50-year-old African-American who is 24 pounds overweight
  3. Mr. Bush, a 52-year-old African-American who smokes cigarettes
  4. Mr. Carter, a 67-year-old Caucasian with diabetes
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99. The nurse is developing a plan for Mrs. Ramos, a 38-year-old housewife, who is going home with a new diagnosis of heart failure. The nurse is teaching Mrs. Ramos to monitor fluid status. Which of the following is the best instruction?
  1. Restrict fluid intake to 800ml per day
  2. Increase the dose of diuretics if there is decreased urination
  3. Record body weight every day before breakfast and report a weight gain of 3 or more pounds in a week
  4. Keep track of daily output and call the doctor for if it is less than 1 liter on any day
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100.

The nurse is providing discharge teaching for a client's family member on the administration of enoxaparin (Lovenox). Which action by the family member would indicate an understanding of the administration procedure for the drug?

  1. An 18-gauge, 1½-inch needle is selected for injection
  2. The family member administers the medication subcutaneously
  3. The family member aspirates for blood return after the needle is inserted in the muscle
  4. The same administration site is used for every injection
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