CCRN Nursing Exam Prep - Adult Critical Care - Question List

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101. Thrombus formation is a danger for all postoperative clients. The nurse should act independently to prevent this complication by:
  1. Reducing fluid intake
  2. Encouraging less movement/activity
  3. Gently massaging the legs with lotion
  4. Performing active-assistive leg exercises
102. A diabetic client with the flu asks why he should drink juices, check his finger stick glucose every 4 hours, and take insulin when he is not eating and is vomiting. Which of the following would be the best explanation by the nurse?
  1. He needs to prevent dehydration, excessive breakdown of fats for glucose, and monitor for hyperglycemia.
  2. He needs to check his blood glucose because vomiting could cause hypoglycemia and drinking fluids will prevent dehydration.
  3. His body uses protein for energy when he is sick, causing increased ketones and hypoglycemia.
  4. If he could substitute water for the juices to prevent dehydration, then he would not need to check his blood glucose levels so often
103. A patient is hemorrhaging from multiple trauma sites. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the following symptoms except:
  1. Hypertension
  2. Oliguria
  3. Tachycardia
  4. Tachypnea
104.

Mr. Tuxen, a 66-year-old male, has been hospitalized as he is increasingly confused and coughing blood. His medical diagnosis is cirrhosis of the liver. While assessing Mr. Tuxen, the nurse understands that the correct technique when doing an abdominal assessment is:

  1. Palpate the most painful area progressing to the least painful parts
  2. Begin with inspection and end with palpation
  3. Follow the sequence of auscultation, inspection, percussion, and palpation
  4. Auscultate the bowel sound first then perform palpation and percussion
105.

Because aldosterone is the major mineralocorticoid secreted by the adrenal cortex, which fluid and electrolyte imbalance should the nurse anticipate with decreased secretion of this hormone?

  1. Hyperkalemia
  2. Hypernatremia
  3. Hypervolemia
  4. Hypercalcemia

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