Questions and Answers
Which of the following types of shock is incorrectly matched with its causes?
A patient having which condition is at higher risk for developing infective endocarditis?
Which hemodynamic pressures would be increased in mitral stenosis?
Cindy is diagnosed with Kawasaki's disease. While reviewing her clinical exam, which of the following characteristics of this disease should the nurse note?
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A child is admitted after sustaining a head injury. What is the most important aspect of the nurse's continuing neurological assessment?
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For the patient in renal failure, potential metabolic derangements include all of the following except:
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Betsy, age 13, is diagnosed as having a pheochromocytoma. What would include appropriate initial nursing care?
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An 11-year-old patient admitted to the PICU in respiratory distress has the following ABG readings: pH: 7.3, PaCO2: 75, PaO2: 50, HCO3: 26. This ABG reflects:
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Beyonce is a 15-year-old female with nausea and vomiting for 24 hours. Her lab values are K: 6.2, Bicarb: 14, Glu: 455. Based on these findings, the RN should anticipate the following treatments:
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Jason has had nausea and vomiting for several days prior to admission. He is diagnosed with acute tubular necrosis. Which lab abnormalities would the critical care nurse expect?
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Primary pharmacological management of a septic patient would include:
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Early symptoms of fluid overload and pulmonary edema are:
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Which of the following is NOT a contraindication to ECMO?
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Which of the following drugs can NOT be administered via the ETT?
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What level of EtCO2 generally indicates inadequate compressions during CPR?
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Study Notes
Shock Types and Causes
- Distributive shock can be caused by anaphylaxis.
- Cardiogenic shock results from dysrhythmia.
- Obstructive shock is associated with adrenal insufficiency.
- Plasma loss is not a cause of hemorrhagic shock.
Risk Factors for Infective Endocarditis
- Conditions that increase risk include patent ductus arteriosus (PDA).
Hemodynamic Pressures in Mitral Stenosis
- Left atrial and pulmonary capillary wedge pressures will be increased in mitral stenosis.
Kawasaki's Disease Characteristics
- Key features include fever lasting more than 5 days unresponsive to antibiotics, rash, and oral mucosal changes.
Neurological Assessment Post-Head Injury
- The most critical aspect is monitoring the level of consciousness.
Metabolic Derangements in Renal Failure
- Potential issues include metabolic acidosis, hyperkalemia, and hypocalcemia.
- Metabolic alkalosis is not typically associated with renal failure.
Care for Pheochromocytoma
- Initial nursing care involves close monitoring of vital signs, especially blood pressure.
Pediatric Respiratory Distress Case
- ABG reflects respiratory acidosis with severe hypoxemia due to inadequate venting.
Treatment for Hyperglycemia in a Child
- Anticipated treatment includes normal saline infusion and IV insulin.
Acute Tubular Necrosis Lab Abnormalities
- Expected lab findings include hyperkalemia, acidosis, and azotemia.
Pharmacological Management of Sepsis
- Primary management includes the administration of antibiotics.
Symptoms of Fluid Overload and Pulmonary Edema
- Early symptoms include increased respiratory rate and subjective dyspnea.
ECMO Contraindications
- Septic shock is not a contraindication for ECMO.
ET Administration of Medications
- Amiodarone cannot be administered via the endotracheal tube (ETT).
Inadequate Compressions During CPR
- An EtCO2 level of less than 5 mmHg indicates inadequate compressions during CPR.
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Description
Test your knowledge with these CCRN review questions covering various critical care topics. Each question challenges your understanding of conditions and their associations, particularly in shock and infective endocarditis. Ideal for nursing students preparing for their CCRN certification.
