CCRN : CCRN

Study concepts, example questions & explanations for CCRN

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Example Questions

Example Question #11 : Ccrn

All of the following cranial nerves have a either a sensory or motor function involving the eyes EXCEPT:

Possible Answers:

trochlear nerve

hypoglossal nerve

oculomotor nerve

abducens nerve

Correct answer:

hypoglossal nerve

Explanation:

The trochlear nerve (cranial nerve IV) has a motor function involving eye movement. The oculomotor nerve (cranial nerve III) also has a motor function involving eye movement and contraction of the iris. The abducens nerve (cranial nerve VI) has a sensory function involving eye movement. The hypoglossal nerve (cranial nerve XII) has a motor function involving movement of the tongue.

Example Question #12 : Ccrn

A patient in the ICU presents with an acute disorder of attention, perception, and memory impairment. This is most accurately described as:

Possible Answers:

attention-deficit-hyperactivity-disorder (ADHD)

delirium

dementia

dysthymic disorder

Correct answer:

delirium

Explanation:

Delirium is an acute disorder characterized by attention, perception, and memory impairment. It is often the symptom of an underlying condition such as dementia, medication overdose, substance intoxication, and electrolyte disorders.

Example Question #13 : Ccrn

A patient is suffering from dipsogenic diabetes insipidus. Which of the following correctly characterizes this condition?

Possible Answers:

insufficient insulin production by pancreatic beta-cells

the oral ingestion of excessive amount of water results in a suppression of vasopressin (ADH) release and leads to polyuria.

the kidneys are not adequately responding to vasopressin (ADH)

damage to the posterior pituitary results in a deficiency of vasopressin (ADH)

Correct answer:

the oral ingestion of excessive amount of water results in a suppression of vasopressin (ADH) release and leads to polyuria.

Explanation:

Diabetes insipidus is a condition in which an individual has an insensitivity to or a deficiency of vasopressin (ADH). This is a hormone released by the posterior pituitary that is responsible for increasing water reabsorption in the kidney. There are three types of diabetes insipidus: neurogenic DI, nephrogenic DI, and dipsogenic DI. Neurogenic DI is characterized by damage to the posterior pituitary, which results in a deficiency of vasopressin. Nephrogenic DI is characterized by the kidneys inadequately responding to vasopressin. Dipsogenic DI is characterized by the oral ingestion of excessive amount of water, which results in a suppression of vasopressin release and ultimately leads to polyuria. Diabetes mellitus type 1 results from insufficient insulin production by pancreatic beta-cells.

Example Question #14 : Ccrn

The critical care nurse knows that metabolic acidosis is defined by which of the following parameters?

Possible Answers:

pH < 7.45; and a [HCO3-] < 26 mEq/L

pH < 7.35; and a [HCO3-] < 22 mEq/L

pH > 7.35; and a [HCO3-] > 22 mEq/L

pH < 7.35; and a [HCO3-] > 26 mEq/L

Correct answer:

pH < 7.35; and a [HCO3-] < 22 mEq/L

Explanation:

Metabolic acidosis is one of the four main acid-base disorders. The disorder is characterized by a bloodstream pH < 7.35 and a [HCO3-] < 22 mEq/L. The decrease in bicarbonate ion can be due to an endocrine, gastrointestinal, or renal disorder, as well as a nutritional deficiency.

Example Question #15 : Ccrn

Which of the following is Not one of the four primary acid-base disorders?

Possible Answers:

all of the given answers represent a primary acid-base disorder

renal tubular acidosis

metabolic alkalosis

respiratory acidosis

Correct answer:

renal tubular acidosis

Explanation:

The four main acid-base disorders are: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. Renal tubular acidosis can lead to metabolic acidosis, but it is not one of the primary classifications of acid-base disorders.

Example Question #16 : Ccrn

Which of the following white blood cells release histamine and attract IgE antibodies to their surface?
I. Basophils
II. Neutrophils
III. Mast cells

Possible Answers:

II and III only

III only

I, II, and III

I and III only

Correct answer:

I and III only

Explanation:

Basophils and Mast cells both stimulate an inflammatory response via the release of histamine and attract IgE antibodies to their surface. The major difference between basophils and Mast cells is that basophils survive only a few days circulating in the blood, while Mast cells can survive for weeks while located in bodily tissues. Neutrophils are phagocytic cells that do release cytokines and other granules, but do not release histamine or attract IgE to their surface.

Example Question #17 : Ccrn

A patient is suffering from neurogenic diabetes insipidus. Which of the following correctly characterizes this condition?

Possible Answers:

damage to the posterior pituitary results in a deficiency of vasopressin (ADH)

insufficient insulin production by pancreatic beta-cells

the oral ingestion of excessive amount of water results in a suppression of vasopressin (ADH) release and leads to polyuria.

the kidneys are not adequately responding to vasopressin (ADH)

Correct answer:

damage to the posterior pituitary results in a deficiency of vasopressin (ADH)

Explanation:

Diabetes insipidus is a condition in which an individual has an insensitivity to or a deficiency of vasopressin (ADH). This is a hormone released by the posterior pituitary that is responsible for increasing water reabsorption in the kidney. There are three types of diabetes insipidus: neurogenic DI, nephrogenic DI, and dipsogenic DI. Neurogenic DI is characterized by damage to the posterior pituitary, which results in a deficiency of vasopressin. Nephrogenic DI is characterized by the kidneys inadequately responding to vasopressin. Dipsogenic DI is characterized by the oral ingestion of excessive amount of water, which results in a suppression of vasopressin release and ultimately leads to polyuria. Diabetes mellitus type 1 results from insufficient insulin production by pancreatic beta-cells.

Example Question #18 : Ccrn

In the unlikely situation that an adverse event or error occurs in a health care setting, an investigation into the event occurs. One of the questions asked is called the substitution test. This question asks:

Possible Answers:

"would the same situation occur in three different hospital setting, performed by three different health care providers?"

"would the same situation occur in three different hospital setting, performed by equivalently trained medical personal as the individual being evaluated?"

"would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?"

"would three different health care providers, one of less experience, one of equal experience, and one of greater experience in an equivalent environment act in the same manner as the individual being evaluated acted?"

Correct answer:

"would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?"

Explanation:

The substitution test is a question that asks, "would three other individuals in an equivalent environment with equivalent experience act in the same manner in which the individual being evaluated acted?" If the answer to this question is NO, the individual's act must be deemed a result of incompetency, knowledge deficit, or neglect. If the answer to this question is YES, then the organization and its processes must be evaluated to determine how the event was able to occur. This is viewed as a fair and just culture in which to evaluate and determine the primary cause of the adverse event.

Example Question #19 : Ccrn

In regards to the Synergy Model for Patient Care, all of the following are acceptable outcomes of patient care EXCEPT:

Possible Answers:

uncertain patient prognosis

full recovery to health and wellness

death

the patient perceives a poor outcome

Correct answer:

the patient perceives a poor outcome

Explanation:

In regards to the Synergy Model for Patient Care, acceptable outcomes of patient care include: full recovery to health and wellness, uncertain patient prognosis, as well as death. An unacceptable outcome of patient care is a perception of a poor outcome by the patient.

Example Question #20 : Ccrn

In regards to the Synergy Model for Patient Care, a patient's susceptibility to stressors, which have the potential to adversely affect the patient's outcome, is a characteristic known as:

Possible Answers:

predictability

complexity

vulnerability

resiliency

Correct answer:

vulnerability

Explanation:

Patient characteristics comprise one of the four components of the Synergy Model for Patient Care. Vulnerability is a characteristic that refers to the patient's susceptibility to stressors, which have the ability to adversely affect the patient's outcome. The level of vulnerability can be influenced via the patient's mental and physical health.

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