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Adult CCRN Exam Premium: Study Guide for

the Latest Exam Blueprint, Includes 3 Practice

Tests, Comprehensive Review, and Online

Study Prep (Barron's Test Prep) Third Edition

1. What is the normal range for cardiac output in adults? A) 3-5 L/min B) 4-8 L/min C) 5-7 L/min D) 1-3 L/min Answer: B) 4-8 L/min
2. Which arrhythmia represents a serious loss of atrial contraction? A) Atrial flutter B) Ventricular tachycardia C) Atrial fibrillation D) Sinus tachycardia Answer: C) Atrial fibrillation
3. The nurse is caring for a patient with a myocardial infarction. What is the priority nursing intervention? A) Administering nitroglycerin B) Obtaining a 12-lead ECG C) Monitoring vital signs D) Initiating oxygen therapy Answer: D) Initiating oxygen therapy

7. Which condition is commonly associated with wheezing? A) Pneumonia B) Pulmonary edema C) Asthma D) Pleural effusion Answer: C) Asthma
8. What is a common indication for mechanical ventilation? A) Respiratory alkalosis B) Hypoventilation C) Acute respiratory failure D) Tachypnea Answer: C) Acute respiratory failure
9. A patient with chronic obstructive pulmonary disease (COPD) is at risk for which complication? A) Respiratory acidosis B) Metabolic alkalosis C) Hyperventilation D) Hypocapnia Answer: A) Respiratory acidosis

10. What is the main function of surfactant in the lungs? A) Prevent airway obstruction B) Facilitate gas exchange C) Reduce surface tension in alveoli D) Provide energy for cellular metabolism Answer: C) Reduce surface tension in alveoli Neurologic System
11. Which sign is characteristic of Cushing's triad? A) Bradycardia, hypertension, irregular respirations B) Tachycardia, hypotension, irregular respirations C) Hypertension, tachycardia, hyperventilation D) Bradycardia, hypotension, hyperventilation Answer: A) Bradycardia, hypertension, irregular respirations
12. What is the most common type of stroke? A) Hemorrhagic B) Ischemic C) Transient ischemic attack D) Subarachnoid Answer: B) Ischemic

D) Encourage fluid intake Answer: A) Maintain head elevation at 30° Renal System

16. What is the primary function of the kidneys? A) Hormone secretion B) Fluid regulation C) Waste elimination D) All of the above Answer: D) All of the above
17. Which laboratory value is indicative of acute kidney injury (AKI)? A) Low creatinine levels B) High blood urea nitrogen (BUN) C) High urine osmolality D) Low potassium levels Answer: B) High blood urea nitrogen (BUN)
18. What is a major complication of chronic kidney disease (CKD)? A) Anemia B) Polycythemia

C) Hypercalcemia D) Thrombocytopenia Answer: A) Anemia

19. What is the primary reason for administering dialysis? A) To replace hormone functions B) To regulate electrolytes C) To remove waste products from the blood D) To increase urine output Answer: C) To remove waste products from the blood
20. A patient presents with flank pain, hematuria, and kidney stones. What condition is likely? A) Acute kidney injury B) Chronic urinary tract infection C) Renal calculi D) Pyelonephritis Answer: C) Renal calculi Gastrointestinal System
21. What is the hallmark symptom of an upper gastrointestinal bleed? A) Melena

A) High protein B) Low sodium C) High carbohydrate D) Low fat Answer: B) Low sodium

25. What is the primary cause of peptic ulcers? A) Stress B) Helicobacter pylori infection C) Overuse of antacids D) Caffeine consumption Answer: B) Helicobacter pylori infection Endocrine System
26. Which statement best describes diabetes mellitus type 2? A) It is characterized by absolute insulin deficiency. B) It is commonly diagnosed in childhood. C) It involves insulin resistance and relative insulin deficiency. D) It requires lifelong insulin therapy. Answer: C) It involves insulin resistance and relative insulin deficiency.

27. What is the classic triad of symptoms for diabetes mellitus? A) Hyperglycemia, polyuria, weight gain B) Polydipsia, hyperglycemia, fatigue C) Polyuria, polydipsia, polyphagia D) Weight loss, fatigue, increased appetite Answer: C) Polyuria, polydipsia, polyphagia
28. Which hormonal disease is characterized by an excess of cortisol? A) Addison's disease B) Cushing's syndrome C) Hyperthyroidism D) Acromegaly Answer: B) Cushing's syndrome
29. What is the most common complication of diabetes? A) Acute renal failure B) Cardiovascular disease C) Thyroid dysfunction D) Hyperlipidemia Answer: B) Cardiovascular disease

Answer: B) Prothrombin time (PT)/International normalized ratio (INR)

33. What is the term for the abnormal increase in white blood cell count? A) Leukopenia B) Leukocytosis C) Thrombocytopenia D) Hemolysis Answer: B) Leukocytosis
34. Which clotting factor is absent in hemophilia A? A) Fibrinogen B) Factor VII C) Factor VIII D) Factor X Answer: C) Factor VIII
35. What is the primary treatment for a patient with sickle cell disease in crisis? A) Antibiotics B) Pain management C) Blood transfusion

D) Increased hydration Answer: B) Pain management Infection Control

36. What is the most common cause of hospital-acquired infections? A) Bacteria B) Viruses C) Fungi D) Parasites Answer: A) Bacteria
37. Which precautions should be used for a patient with tuberculosis? A) Standard precautions B) Contact precautions C) Airborne precautions D) Droplet precautions Answer: C) Airborne precautions
38. What is the primary purpose of hand hygiene in clinical settings? A) To maintain personal hygiene

B) 3.5-5.0 mEq/L C) 8-10 mg/dL D) 95-105 mEq/L Answer: A) 135-145 mEq/L

42. Which electrolyte imbalance is often seen in patients with heart failure? A) Hypercalcemia B) Hyponatremia C) Hyperkalemia D) Hypomagnesemia Answer: B) Hyponatremia
43. What is the primary clinical manifestation of hypokalemia? A) Muscle cramps B) Diarrhea C) Nausea D) Bradycardia Answer: A) Muscle cramps
44. What is the most serious complication of hyperkalemia? A) Ventricular tachycardia

B) Respiratory failure C) Cardiac arrest D) Renal failure Answer: C) Cardiac arrest

45. A nurse assesses a patient with fluid overload. Which finding is expected? A) Increased urine output B) Weight loss C) Edema D) Dry mucous membranes Answer: C) Edema Pharmacology
46. What is the primary action of beta-blockers? A) Increase heart rate B) Decrease heart rate and contractility C) Vasodilation D) Increase blood pressure Answer: B) Decrease heart rate and contractility
47. Which class of medications is used to treat hypertension by inhibiting angiotensin converting enzyme?

B) Epinephrine C) Prednisone D) Albuterol Answer: B) Epinephrine Ethical and Legal Issues

51. What is the legal principle that requires nurses to obtain informed consent? A) Autonomy B) Beneficence C) Non-maleficence D) Justice Answer: A) Autonomy
52. Which of the following actions would be considered an example of negligence? A) Administering a medication without a prescription B) Following hospital protocols C) Documenting patient assessments in a timely manner D) Consulting with a physician as needed Answer: A) Administering a medication without a prescription

53. What is the primary purpose of a code of ethics in nursing? A) To direct legal actions B) To publicize malpractice cases C) To provide guidelines for professional behavior and decision- making D) To enforce hospital policies Answer: C) To provide guidelines for professional behavior and decision-making
54. Which ethical principle is violated if a patient’s medical information is shared without consent? A) Autonomy B) Confidentiality C) Beneficence D) Justice Answer: B) Confidentiality
55. What should a nurse do if they suspect a colleague is impaired while on duty? A) Ignore the behavior B) Confront the colleague directly