CCRN Practice Questions

What should the urinary catheter removal protocol be to prevent CAUTIs?

The urinary catheter should be removed as soon as possible.

What is the most important factor implicated in pediatric suicide?

An active psychiatric disorder.

If a caregiver is giving water when a child is on tube feeding, what is the best response from the nurse?

Ask the caregiver to explain why they are giving fluids to their child.

What factors might lead to an increased glucose level in a child with asthma?

Stress and steroid medication.

What action should the nurse take when a mother fears for her safety regarding reporting intimate partner violence?

Immediately share this information with the unit-based social work.

What is the first intervention for a child presenting with respiratory distress and recent bone fracture?

Oxygen administration.

What is the most important aspect of neurological assessment for a child with head injury?

Level of consciousness.

What should a nurse suspect if a child with colitis develops respiratory distress and abdominal distention?

Bowel perforation.

What is a critical strategy to prevent urinary tract infections in patients with indwelling catheters?

Remove the urinary catheter as soon as possible.

In a patient with dilated cardiomyopathy, what kind of intracardiac pressure changes would be expected?

Elevated left atrial pressure and decreased right atrial pressure.

What is the first intervention for a premature infant experiencing apnea?

Lower the isolate temperature.

After a recent MI, which discipline should the nurse collaborate with for ineffective coping?

Pastoral care.

What is the initial response when a family disputes a DNR decision on a patient?

Notify the provider.

For a child with congenital hydrocephalus, what intervention should the nurse anticipate?

An order for a CT scan followed by a possible shunt revision.

What type of shock is characterized by hypotension and unresponsive to fluid resuscitation in septic shock?

Adrenal insufficiency treatment with IV hydrocortisone.

What is the best response when parents decide to extubate a dying premature neonate and express concern for pain?

We will ensure your baby is comfortable, and as you hold your baby, you will help provide comfort.

What condition should be suspected with respiratory distress, tachypnea, and low O2 saturation in a 10-year-old?

Anaphylactic shock.

In monitoring a patient's chest tube after cardiac surgery, what finding may indicate cardiac tamponade?

Sudden decrease in chest tube output.

What immediate intervention should be done after stopping an infiltration of dopamine?

Elevate the affected extremity.

What is the primary goal in treating a newborn with persistent pulmonary hypertension?

Dilate the pulmonary vascular bed.

What action should be taken to verify a diagnosis of DIC?

Elevation in fibrin split products.

What is the first ventilator parameter to be weaned in a patient with bronchopulmonary dysplasia (BPD)?

Oxygen FiO2.

What should the nurse's initial response be to a patient with potential acute kidney transplant rejection?

Irrigate urinary catheter with sterile sodium chloride.