CRNE Exam Prep - Question List

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21. A physician ordered Anthony, a male client who was admitted due to aspiration of gastric contents, to undergo decompression of the stomach. A nurse is tasked withinserting a nasogastric tube. As the nurse inserts the tube, resistance is met. Which of the following is the next action of the nurse?
  1. Ask the client to drink swallow by sipping on small amounts of water.
  2. Remove the tube and insert it into the other nostril.
  3. Pull back the tube a little and then try to continue pushing the tube into the nostril.
  4. Check patency by placing the open end of the tube in a cup of water.
22. A nurse is caring for Mrs. Thomas, an adult female who sustained second-to-third-degree burn injuries in the anterior and posterior thorax. A physician orders silver sulfadiazine during wound dressing. The nurse recognizes the client’s susceptibility to infection. Which of the following is the best action to prevent wound infection during cleaning and dressing?
  1. Clean the burned areas using an irrigation system.
  2. Clean the burned areas with povidine iodine before applying silver sulfadiazine.
  3. Initiate contact precautions, and inform the other health care professionals about it.
  4. Wear sterile gloves, mask, and gown during wound care.
23. A nurse is monitoring an 82-year-old male who had a transurethral resection of the prostate 12 hours ago. A three-way urinary catheter is inserted through the client’s urethra and into the bladder for continuous irrigation. A total of 3,000 mL of bladder irrigant has been infused for the past 8 hours. After assessing the client, the nurse immediately contacts the physician for a possible complication of the procedure. Which of the following is most likely noted by the nurse during the assessment?
  1. Urinary output of 3,500 mL for the past 8 hours
  2. Pain and sense of urgency to urinate are reported by the client
  3. Blood pressure of 110/50 mm Hg; 120 bpm
  4. Blood in urine with small clots
24. A nurse is caring for Elaine, a 5-year-old child who was admitted due to a suspected case of brain tumor. Diagnostic tests reveal that the child has a brain tumor involving the cerebellum. A surgery is ordered. During the pre-operative period, which of the following is the most important nursing intervention for the client?
  1. Initiate seizure precautions.
  2. Monitor the child’s temperature every 2 hours.
  3. Measure the child’s circumference every morning.
  4. Initiate fall precautions
25. A nurse is assigned to the in-hospital triage area, which utilizes a three-tier system: emergent, urgent, and non-urgent. Which of the following clients has an emergent condition and needs to receive treatment immediately or within 15 to 30 minutes of admission?
  1. An 11-year-old boy with wheezing and difficulty breathing.
  2. A 12-year-old boy with a complex long bone fracture.
  3. A 5-year-old girl with a high fever with stable vital signs.
  4. A 3-year-old girl with minor laceration in the abdominal region.

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