CCRN Adult Exam Dumps [2025] – Download DumpsBase’s CCRN Adult Dumps (V8.02) to Pass Your CCRN (Adult) – Direct Care Eligibility Pathway Exam

1. A patient with a history of asthma presents with acute onset of dyspnea, a non-productive cough, and tachypnea. He is very anxious, restless, and tachycardic.

Which of the following is a first-line drug for these symptoms?

2. 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?

3. A patient's IV with norepinephrine (Levophed) infusing is red, swollen, and the IV pump is alarming. A nurse should anticipate

4. A patient who had a liver resection now has a copious amount of serous drainage from the surgical incision.

Which of the following should a nurse anticipate when caring for this patient?

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

Which of the following orders should a nurse clarify?

6. The nurse is caring for a patient with neutropenia secondary to chemotherapy.

When communicating dietary needs to the provider, the nurse should request which of the following to improve the patient's immune function?

7. Appropriate outcomes for a patient with status asthmaticus include

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

9. 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

10. A patient with end-stage COPD who has failed multiple mechanical ventilation weaning trials communicates a desire to discontinue mechanical ventilation and be extubated.

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

11. 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?

12. A patient who experienced a blunt chest trauma in an automobile crash is admitted with multiple rib fractures. The patient is dyspneic and hypotensive and is reporting left shoulder pain. On auscultation, a nurse notes that bowel sounds can be heard over the lower left thorax.

These findings are consistent with

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

14. A patient's blood culture report notes the presence of vancomycin resistant enterococcus.

The nurse should place the patient in which type of isolation?

15. A nurse has responded to a rapid response call on a medical-surgical floor in the hospital.

The nurse finds the patient with the following data:

BP 72/30

HR 132

RR 24

T 102.3° F (39.0° C) SpO2 95%

Ph 7.13 PaCO2 34 mm Hg

PaO2 88 mm Hg

HCO3 14 mEq/L

Na+ 142 mEq/L

The nurse should anticipate an order to administer which of the following?

16. Which of the following is most indicative of successful treatment for salicylate poisoning?

17. A patient is admitted for sepsis secondary to pneumonia. The patient has received 2000 mL of plasmalyte and their BP remains 80/50.

What should the nurse anticipate next for the patient?

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

19. A patient with a history of six cardiac catheterizations relates that he has received differing instructions about the duration of required bedrest after the procedure.

To further investigate this issue, which of the following is a nurse's most appropriate action?

20. 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

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

22. A patient admits to a nurse that he has struggled with depression and feelings of isolation and abandonment since moving into a nursing home last year, but he has recently started taking an anti-depressant. The patient states, "Sometimes it takes everything I've got just to go on each day."

Which of the following is the nurse's best initial response?

23. A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

24. The intended effects of medications for a patient in acute CHF are to

25. Potentially life-threatening consequences of diabetic ketoacidosis (DKA) include

26. Postoperatively, symptoms that may indicate hemothorax or internal bleeding in a video-assisted thoracic surgery (VATS) patient include

27. A patient who is post repair of an abdominal aortic aneurysm should be monitored for which of the following complications?

28. A patient with hypertension received tPA for an acute embolic stroke with complete resolution of symptoms. Twenty-four hours after tPA administration, the nurse should anticipate an order for

29. A 22-year-old trauma patient sustained multiple fractures after a fall. The patient fell 50 feet from a cliff while rock climbing without a harness. The patient is intubated and sedated with casts to bilateral lower extremities. The nurse should recognize that young adults are

30. In septic shock, a mixed venous O2 saturation (SO2) of 84% indicates that

31. A patient with a history of COPD is admitted with increasing dyspnea and fatigue. O2 is initiated via nasal cannula at 4 L/min with an O2 saturation of 99%. One hour later, the patient becomes lethargic.

Which of the following is the most likely cause for the change in the patient's mental status?

32. A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable.

Fifteen minutes later, vital signs are as follows:

BP 86/50

HR 150

RR 36

The most appropriate action should be to

33. A patient presents with the following hemodynamics:

MAP 40 mm Hg

PAD 6 mm Hg

PAOP 5 mm Hg

CI 1.8 L/min/m2

SVR 875 dynes/sec/cm-5

Which of the following is essential in the plan of care?

34. Which of the following is a sign of splenic injury and diaphragmatic irritation?

35. A patient presents with fever and chills, is diaphoretic, and reports experiencing abdominal and intermittent left shoulder pain for the past week. An ultrasound shows an enlarged spleen. Vital signs are:

When reviewing the lab report, which of the following findings is most significant to this presentation?

36. An unconscious patient in hepatic failure secondary to alcoholism becomes acutely hypoglycemic. Glucagon administration is contraindicated for this patient because glucagon

37. An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing

38. A patient is recovering from CABG surgery. On postoperative day 3, the patient's laboratory values indicate thrombocytopenia and elevated liver function tests. The patient is scheduled for hemodialysis today. A nurse notifies the physician of the abnormal laboratory values. The nurse should next anticipate an order to

39. 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?

40. The family member of a patient who is receiving mechanical ventilation is to be taught suctioning. When developing a teaching plan, the nurse should first

41. A patient who was admitted after an open aortofemoral bypass for claudication at rest has a hemoglobin A1C of 8.9. The patient admits having poor control of blood glucose levels and is scared to use insulin as directed because of a few episodes of hypoglycemia.

Which of the following should the nurse initially request to be consulted?

42. A patient with history of hypothyroidism is admitted with severe confusion and nonpitting edema. The nurse should anticipate which order?

43. Which of the following signs is most frequently associated with meningitis?

44. A patient with a left ventricular assist device has been hospitalized for 5 days. A nurse notes anasarca and skin breakdown over multiple pressure points.

When addressing the patient's nutritional needs, which of the following should the nurse consider?

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

46. A common problem in patients with third-degree AV block is

47. For a patient with suspected pulmonary embolism, which of the following is the most definitive diagnostic test?

48. When assessing a patient who has acute pancreatitis, which of the following findings require immediate notification to the provider?

49. A patient with a C5 spinal cord injury calls the nurse every 15 minutes with requests for juice, water, and repositioning.

Which of the following is the nurse's best response?

50. A patient who sustained acute head trauma exhibited intermittent unconsciousness prior to admission. The patient is disoriented initially and exhibits rapid deterioration in neurological status shortly after admission. X-rays reveal a right temporal bone fracture, and a diagnosis of epidural hematoma is made. The deterioration in the patient's condition is most likely associated with

51. A patient with a history of alcohol abuse has been admitted for progressive dyspnea and leg swelling.

Assessment findings include:

Which of the following tests will provide the most definitive diagnosis?

52. Treatment of cerebral vasospasm includes administration of

53. 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?

54. The nurse who is caring for a patient following an esophagectomy notes new subcutaneous emphysema in the upper chest and neck. The nurse should expect an order for