Practice Quiz

CRNE Exam Prep - Question List

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191. A nurse working in the ICU is concerned that a client who has overdosed will be violent when she regains consciousness. The nurse has seen this happen with other clients. This client has an endotracheal tube, plus several intravenous lines, running. The nurse believes it would be in the client’s best interest to apply wrist restraints. What must she do prior to applying the restraints?
  1. Obtain consent from the family.
  2. Go ahead and apply the restraints, as it is a nursing decision.
  3. Discuss the situation with the physiotherapist.
  4. Discuss the decision with her coworkers.
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192. Mr. Stark is a resident in a long term care facility. He has signed a facility form which states he does not wish to be resuscitated in the event he should have a heart attack or just stop breathing. You arrive in his room to deliver his medications and find him lying on his bed, unresponsive with no apparent pulse or breaths. What should you do?
  1. Immediately call a code and have someone bring the crash cart.
  2. Give two rescue breaths and then start CPR.
  3. Call for a coworker and have them call the resident’s doctor to inform him that the client has died.
  4. Quietly leave the room and hope someone else finds him.
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193. As the RN is charting on a client, he realizes that the medication bag that was hung for his client an hour ago had twice the dose it should have. Upon reviewing the doctor’s orders, the nurse realizes the order had been transcribed incorrectly on to the medication record. What should the nurse do?
  1. Go to the head nurse and complain that someone transcribed the order incorrectly.
  2. Nothing, and hope no one notices the error.
  3. Erase the incorrect entry and correct it to what was originally written by the doctor.
  4. Check on the client right away, including taking vital signs, then immediately report the incident to your supervisor.
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194. Your client was prescribed a narcotic, every four hours, for post-surgical pain. When you arrive in his room to give him the medication, he refuses it. He is alert, oriented and does not seem in distress. What should you do?
  1. Return the medication to the med room, then chart the refusal, and the reason the client gave, on the client’s chart.
  2. Become stern with the client and tell him he must take the medication the doctor has ordered.
  3. Try to calmly and politely talk him into taking the medication.
  4. Shrug your shoulders and just leave the client’s room. Later, you can chart that he refused his medication.
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195. A forty-year-old woman arrives in the emergency room and is diagnosed with a ruptured appendix. She is febrile and seems only vaguely aware of where she is, and you are having difficulty knowingwhether she understands that the surgeon has ordered she be taken to the O.R. immediately. Thereis no other family or next of kin with her. What should you, as the nurse, do next?
  1. Take her to the operating room as ordered.
  2. Wait until the fever medication takes effect, hoping she will be more conscious and can sign a surgical consent form.
  3. Contact the nursing supervisor for further direction.
  4. Search through her belongings to try to find a family contact number.
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