CCRN Nursing Exam Prep - Adult Critical Care - Question List

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11. The nurse is taking care of a patient who is post operative day one for a total Thyroidectomy. He calls the nurse into the room and states that he has tingling around his mouth and in his fingers and toes. What are the next actions of the nurse?
  1. Obtain a set of vital signs.
  2. Restrict pain medication until the tingling stops.
  3. Check the calcium level.
  4. Asses the dressing for drainage.
12.

The nurse is developing a teaching plan for a patient who just received an inserted permanent pacemaker. Which of the following concepts should the nurse teach the patient?

  1. Advise the patient to avoid tight clothing
  2. It is okay to resume all physical activities
  3. Avoid computerized tomography (CT) scans
  4. Hiccups can be normal for a few days after pacemaker insertion
13. The nurse has just inserted a Nasogastric tube on a patient who is experiencing a severe gastrointestinal bleed and has been continuously vomiting for 24 hours. She has Hemoglobin of 6.4. What nursing intervention would be most likely to prevent aspiration?
  1. Continue with intravenous fluids.
  2. Monitor the electrolyte levels.
  3. Administer a proton pump inhibitor via the intravenous route.
  4. Keep the head of the bed elevated.
14. A patient comes to the Cardiovascular Care Unit with a blood pressure of 94/68, a heart rate of 124 and chest pain rated as 8/10. The patient has already taken one 0.04 mg tablet of Nitroglycerin five minutes ago. What should the nurse do next?
  1. Take the patient’s blood pressure and put them on the monitor.
  2. Administer a dose of Morphine 2 mg IV and re-assess pain.
  3. Obtain a stat EKG.
  4. Administer another dose of 0.04 mg tablet of Nitroglycerin.
15. A nurse is reviewing the tests results of a patient with a diagnosis of rule out contusion. What would a computerized tomography CT scan show in a patient who has a contusion?
  1. No changes would be seen on a CT scan.
  2. Changes in tissue density and evidence of hematomas.
  3. Structural shifts within the cranium.
  4. Altered blood flow within the area.

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