CCRN Nursing Exam Prep - Adult Critical Care - Question List

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41.

A client with a left leg fracture is to be taught the three-point gait before discharge. Which instruction should the nurse give to this client?

  1. "your right crutch, swing the left foot forward, advance the left crutch, and then bring the right foot forward."
  2. "Move your right crutch and left foot forward together, and then swing the right foot and left crutch in one movement."
  3. "While partially bearing weight on your left leg, advance both crutches and then bring your right leg forward."
  4. "Using one movement, advance your left foot and both crutches and then bring right leg forward."
42. What is a normal tidal volume for a client on a ventilator?
  1. 5-7 ml/kg
  2. 7-9 ml/kg
  3. 9-11 ml/kg
  4. 11-13 ml/kg
43.

In a client with right lung pneumonia, the nurse should encourage which position to facilitate optimal oxygenation?

  1. Prone position
  2. Supine position with head elevated at 30 degrees
  3. Positioned with the right side dependent
  4. Positioned with the left side dependent
44. Two hours ago the client had a left thoracotomy with a lobe resection. The sanguineous drainage in the chest tube collection chamber is 325 mL. The nurse recognizes that this is:
  1. Normal chest tube drainage
  2. Indicative of a pneumothorax
  3. Chyle drainage
  4. A sign of hemorrhage
45. A client with fat embolism is receiving 100% FiO2 on a mechanical ventilator and continues to be hypoxic. Which of the following measures can improve his oxygenation?
  1. Add positive end-expiratory pressure (PEEP)
  2. Give beta blockers
  3. Give diuretics
  4. Increase the FiO2 on the ventilator

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