CCRN Adult Dumps Help You Study Objectives

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March 20, 2025

By practicing with CCRN Adult exam-like questions, you can identify areas where you may need to focus your studies. AACN CCRN Adult dumps can help you create a more targeted study plan and avoid wasting time studying topics you already know well. Taking CCRN Adult dumps can help you get used to the format and structure of the real exam. CCRN Adult dumps can help you feel more comfortable and confident on exam day, which can improve your chances of success. Practice AACN CCRN Adult exam free dumps below.

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1. A patient who is confused and dyspneic is admitted with ABG values that reveal hypoxemi a. Results from insertion of a pulmonary artery catheter are:

PAP 38/18 mm Hg

PAOP 10 mm Hg

CI 3.5 L/min/m2

These values are most indicative of

hypovolemia.

hypervolemia.

pulmonary dysfunction.

left ventricular failure.

2. The most appropriate therapy for carboxyhemoglobinemia is

100% O2 administration.

inhaled corticosteroids.

hyperventilation.

aerosolized beta-agonists.

3. A patient has gained 8 kg in the past week. Serum sodium is 115 mEq/L, CVP is 20 mm Hg, and serum osmolality is decreased. The patient has just experienced a generalized tonic-clonic seizure.

In this situation, which of the following IV solutions should a nurse be prepared to administer?

3% sodium chloride

0.45% sodium chloride

0.9% sodium chloride

5% dextrose with 0.25% sodium chloride

4. A patient who underwent bowel resection surgery due to small bowel rupture is tachycardic and hypotensive. A nurse calls the on-call surgical resident and reports the findings. No new orders are received. The nurse should continue to monitor the patient and

notify the charge nurse during nightly rounds.

inform the clinical manager in the morning.

initiate the rapid response team.

consult the nearest nursing colleague.

5. A patient is admitted with an acute anterior wall MI.

Initial hemodynamic readings are:

The nurse anticipates initiating a plan of care for

pulmonary hypertension.

cardiogenic shock.

volume overload.

right ventricular infarct.

6. A unit council is requesting to change a documentation screen of the electronic health record (EHR) at a large health system. The change was not discussed with the department prior to the request and was denied by the EHR committee.

Which of the following strategies will most likely lead to accomplishing the team's goals?

Have nursing leadership evaluate the proposal before resubmitting the request.

Discuss the proposed solution with stakeholders to determine buy in.

Work with key staff members to rewrite the request to present at the next meeting.

Attempt to change the process through another format.

7. The first priority in management of an acute GI hemorrhage is

monitoring of serial Hgb and Hct.

fluid resuscitation.

pain relief.

Sengstaken-Blakemore tube insertion.

8. A patient is receiving therapeutic hypothermia post-cardiac arrest.

Which of the following orders should a nurse clarify?

chemistry labs every day

ABGs every 4 hours and with any ventilator changes

hourly intake and output

sequential compression devices

9. The purpose of administering a sodium nitroprusside (Nipride) drip after a carotid endarterectomy is to

promote myocardial contractility and thus enhance cerebral perfusion.

increase coronary perfusion and thus increase cardiac output.

decrease MAP and thus prevent hemorrhage at the operative site.

increase afterload and thus promote vessel patency.

10. A patient with a sodium level of 114 mEq/L is most likely to develop

tetany.

flaccid paralysis.

seizures.

cardiac arrhythmias.

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11. For a patient with unstable angina, the major goal of treatment is to

increase afterload.

decrease myocardial contractility.

increase preload.

decrease myocardial O2 consumption.

12. A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive.

To address the situation, a nurse should

ask the family member to visit during scheduled visiting hours.

ask the family member to visit before work.

not allow the visit, as the patient will be sleeping.

allow the family member to visit after setting behavioral limits.

13. An older adult patient has been in the unit for 60 hours. The patient has received benzodiazepines for agitation, opioids for persistent pain, and bronchodilators. The patient reports that there is too much noise, and they cannot get peace and quiet. The nurse should evaluate for

sleep disturbances.

an anxiety disorder.

situational depression.

acute manic episodes.

14. Which of the following are physiologic effects of pulmonary contusion?

increased dead space and decreased airway resistance

increased gas diffusion and decreased lung compliance

increased airway resistance and decreased gas diffusion

increased lung compliance and decreased dead space

15. A patient is admitted with a traumatic brain injury. During assessment, a nurse notes increased urinary output from the catheter.

Which of the following should the nurse suspect?

syndrome of inappropriate antidiuretic hormone (SIADH)

central diabetes insipidus

cerebral salt wasting

nephrogenic diabetes insipidus

16. A physician tries three times to insert a central line, then says, "I think I can get it this time." A nurse should

suggest that another physician insert the line.

administer an analgesic.

allow the physician to try again.

start a peripheral line.

17. After the administration of haloperidol (Haldol), a nurse should monitor closely for

prolonged QT interval and cardiac dysrhythmias.

respiratory failure and cardiac failure.

widened QRS complex.

increased agitation.

18. Following a splenectomy, a patient is most at risk for

sepsis.

pulmonary embolism.

hypertension.

wound dehiscence.

19. A patient who survives near-drowning develops hypoxia-induced cerebral edema. Interventions should include

administration of osmotic diuretics.

maintaining a MAP of 60-70 mm Hg.

keeping the patient flat, in a supine position.

hyperventilation to maintain PaCO2 of 40-45 mm Hg.

20. A patient has a linear skull fracture with multisystem trauma.

The patient's vital signs are as follows:

BP 80/50

HR 120

CVP 2 mm Hg

Which of the following is the most appropriate explanation for this patient's condition?

The patient has lost a significant amount of blood because of intracranial hemorrhage.

Fluid regulation by the neurohypophysis is impaired because of increased intracranial pressure.

Parasympathetic stimulation is causing significant vasodilatation and pooling of blood.

Blood loss is occurring from a noncerebral injury.

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21. A patient is 2 days post MI. The patient was stable until this morning, when severe chest discomfort developed.

Assessment reveals:

BP 70/palpable

HR 122

RR 38

PAOP 28 mm Hg, with large V waves

CI 1.6 L/min/m2

Cool, clammy skin

Inspiratory crackles throughout the lung field

Loud blowing holosystolic murmur at the apex

The patient's present clinical status is most likely a result of

papillary muscle rupture.

cardiac tamponade.

acute aortic insufficiency.

ventricular septal defect.

22. While recording hourly ventilator checks on a patient who is being mechanically ventilated, the nurse notes that the PIP has gradually increased by 5 cm H2O over the past 4 hours.

This increase indicates

an improvement in pulmonary function.

a leak in the ET tube cuff.

a decrease in airway resistance.

a decrease in lung compliance.

23. A patient with cardiogenic shock for several days has been managed aggressively with vasopressor and inotrope therapies.

Which of the following indicates organ dysfunction from hypoperfusion?

decreased insulin requirements and abdominal pain

elevated creatinine and fever

abdominal pain and elevated creatinine

fever and decreased insulin requirements

24. The family of a patient with trauma believes that the patient is in pain and requests that a neighbor, a therapeutic touch practitioner, be allowed to see the patient. Unit policy allows visits by immediate family only.

Which of the following is the most important consideration in a nurse's decision about facilitating the visit?

Alternative modalities have been associated with enhancements in pharmacologic effects.

Research does not support the value of therapeutic touch in pain management.

Alternative therapies are not generally acceptable in an ICU setting.

The family needs an explanation of the rationale for unit visitation policies.

25. A terminally ill patient is deteriorating. The patient's family states, "We don't want him to suffer any more." The most appropriate response is

"I have given him the medication that was ordered."

"Do you feel he is suffering now?"

"He probably isn't feeling anything right now."

"I will make a referral to the chaplain."

26. An unconscious patient presents with the following laboratory values:

Appropriate management of this patient should include

IV hydration.

hemodialysis.

intubation.

osmotic diuresis.

27. A patient underwent bariatric surgery for weight loss 3 days ago. The patient appears anxious, restless, and reports increased abdominal pain over the last 24 hours. The nurse palpates mild subcutaneous crepitus over the neck.

Vital signs are:

BP 106/64

HR 128

RR 27

T 100.4° F (38°C)

Which action should the nurse anticipate?

Obtain labs.

Administer a 1000 mL bolus of normal saline.

Provide broad spectrum antibiotics.

Prepare the patient for surgery.

28. An oncology patient presents with hematuria and bleeding from previous injection sites.

Which diagnostic test result should the nurse review first?

complete blood count

arterial blood gas

complete metabolic panel

coagulation panel

29. A patient is admitted with a traumatic brain injury after being thrown from a horse. Despite numerous interventions, the patient is declared brain dead.

The parents have consented for organ donation, and the patient's mother requests to lay next to her daughter before being taken to the operating room.

Which of the following is the nurse's most appropriate response?

"I will need a few minutes to prepare and organize this for you."

"It would be too risky to move all of the machines and wires."

"We must obtain permission from the organ donation team first."

"Please sit at the side of the bed, hold her hand, and talk to her."

30. Which of the following assessment findings would be found in a patient with pulmonary hypertension?

crackles in the bases bilaterally

rhonchi in the apices bilaterally

pink frothy sputum

distended neck veins

Page 4 of 5

31. Which of the following ECG changes is expected in a patient with a potassium concentration of 3.0 mEq/L?

ST segment depression, flattened and inverted T wave, and a U wave

tall peaked T wave, prolonged PR interval, and prolonged QRS complex

shortened QT interval and complete atrioventricular block

inverted P wave, elevated T wave, and prolonged QT interval

32. A patient is admitted with hypotension, tachycardia, and intermittent confusion. Upon arrival, the patient asks to walk to the bathroom.

Which of the following is a nurse's best action?

Assess the patient's vital signs and ask the physician for an order for activity.

Conduct a fall risk assessment and institute appropriate interventions.

Encourage the patient to walk independently to the bathroom to enhance early mobility.

Situate the patient in bed and provide a bed pan.

33. Examination of a patient exhibiting Kernig's and Brudzinski's signs indicates which of the following?

autonomic hyperreflexia

adrenal insufficiency

meningeal irritation

increased intracranial pressure

34. Which of the following is a late finding in hypovolemic shock?

tachycardia

UO greater than 30 mL/hr

cool, dry skin

hypotension

35. Which of the following is a cause of cardiogenic pulmonary edema?

elevated PAOP reading

RV chamber enlargement

pulmonary hypertension

LV noncompliance

36. To maintain adequate pain control in a post-surgical patient addicted to heroin, a nurse should plan to

administer oral opioids only as needed.

administer PCA opioids with on-demand dosing only.

administer PCA with continuous and on-demand opioid delivery.

avoid administering any intravenous pain medication.

37. The goal of PEEP therapy in acute lung injury (ALI) is to

decrease PA

decrease airway resistance.

increase cardiac output.

reduce physiologic shunting.

38. A nurse is providing care to a patient diagnosed with abdominal compartment syndrome.

The nurse should recognize the patient is most at risk for developing

increased urine output.

increased preload.

increased peak inspiratory pressure.

decreased intracranial pressure.

39. A patient is admitted with Gl bleeding. During the assessment, the nurse notes the patient to be tremulous, anxious, and startles every time he is touched by the nurse.

Which of the following is the most pertinent part of the patient's history to obtain?

last alcohol intake

medication history

time of last meal

psychiatric history

40. A patient underwent a successful percutaneous coronary intervention to the left anterior descending coronary artery. The patient suddenly begins to complain of dyspnea, jaw pain, and chest tightness. The bedside monitor displays sinus tachycardia and ST segment elevation in lead V2. The patient's neck veins are flat and BP is 152/98.

Which of the following is the most likely cause of the patient's symptoms?

pulmonary hypertension

coronary artery occlusion

vasovagal reaction

cardiac tamponade

Page 5 of 5

41. A caloric irrigation test of the oculovestibular reflex is performed on a patient who is comatose following a hypoxic brain injury. When cold water is introduced into the left ear, nystagmus occurs with slow deviation of the eyes toward the left, followed by faster eye deviation to the right. This pattern is indicative of a

persistent vegetative state.

brain-stem infarction.

normal response.

third cranial nerve palsy.

42. Which of the following suggests acute peripheral arterial insufficiency?

positive Homans' sign

capillary refill time less than 2 sec

weak equal bilateral pedal pulses

sudden, severe pain at rest

43. A nurse is precepting an experienced critical care nurse who is new to the facility.

To develop the orientation plan, which of the following should the preceptor do first?

Determine the knowledge and skills the new nurse needs to learn.

Teach the new nurse about unit routines and practices.

Explain patient care policies and procedures to the new nurse.

Introduce the new nurse to staff and team members on the unit.

44. The family of a patient requests permission to administer traditional herbs to the patient.

Which of the following should be the nurse's first action?

Inform the family that herbal therapy is not appropriate in the hospital.

Consult with the pharmacist on the effects of the specific herbs.

Allow the patient to take the herbs because they are natural.

Obtain an order for the herbs.

45. Which of the following is a sign of brain death?

positive vestibulo-ocular reflex

negative apnea test

positive cough reflex

negative cold caloric test

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