CCRN Test 02: Clinical Judgment & Professional Practice

CCRN Test 02: Essential Nursing Knowledge

This exam reviews heart valve leaks, sepsis markers, and brain swelling.

Sepsis Alert: Older sepsis rules (SIRS) looked for high fever or fast breathing. Newer rules focus on blood pressure and brain status.
Privacy Law: HIPAA is all about keeping patient secrets safe. This is called patient confidentiality.
Heart Sounds: A machine-like sound in an infant often means they have a PDA (a heart pipe that did not close).
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Q:1In mitral valve regurgitation, where does the blood flow back into?
Mitral regurgitation means the valve between the left atrium and left ventricle leaks. Blood flows back into the left atrium.
Q:2In the Synergy Model, what is it called when a nurse understands how one choice affects the whole hospital system?
Systems thinking means a nurse sees how all the parts of healthcare work together.
Q:3What is encephalitis?
Encephalitis is a serious swelling of the brain tissue, usually caused by a virus.
Q:4Which ethical rule do HIPAA laws support most?
HIPAA rules ensure that a patient’s private health info stays secret.
Q:5Which of these is an "atypical" bacteria that causes pneumonia?
Atypical bacteria are harder to find and treat. Chlamydia pneumoniae is a common one.
Q:6Which cranial nerve does NOT help move or feel the eyes or eyelids?
The hypoglossal nerve moves the tongue. Nerves 3, 4, and 6 are for eye movement.
Q:7A patient in the ICU has attention problems that come and go quickly. What is this called?
Delirium is a sudden state of confusion often seen in very sick patients.
Q:8The old sepsis rules (SIRS) used four signs. Which of these is NOT a SIRS sign?
Actually, heart rate over 90 IS a SIRS sign. This question is a test of the specific criteria used for screening.
Q:9What does the "Substitution Test" ask after a medical mistake?
This test helps find out if the problem was one person’s mistake or a bad hospital system.
Q:10A kidney patient has very watery urine and high salt levels. Why?
If the kidneys ignore the hormone (ADH) that tells them to hold onto water, the water just leaks out as watery urine.
Q:11A patient who does not drink alcohol has a swollen pancreas. What is the most likely cause?
Gallstones can get stuck and cause the pancreas to get very inflamed.
Q:12Which of these is NOT a direct measurement from a blood gas (ABG) test?
FiO2 is how much oxygen the nurse sets on the machine. The ABG test measures the blood itself.
Q:13Which cell types release histamine during an allergy?
1. Basophils
2. Neutrophils
3. Mast cells
Basophils and Mast cells are the main ones that release histamine.
Q:14In the Synergy Model, what do we call a patient’s risk of being hurt by stress?
Vulnerability is how easily a patient can be affected by bad events or stressors.
Q:15What is neurogenic diabetes insipidus (DI)?
Neurogenic means the problem is in the brain. The brain stops making the hormone that saves water.
Q:16A baby has a machine-like heart murmur and strong pulses. What is the cause?
A PDA is a small heart pipe that should close after birth but stays open.
Q:17In premature babies, breathing that stops for how long is considered "apnea"?
Stopping breathing for 15 seconds or more is the standard for apnea in preemies.
Q:18A newborn has head swelling (caput succedaneum). Which of these is NOT true?
Caput usually goes away fast, often within 2 or 3 days.
Q:19When is a baby's scalp blood pH low enough to require fast delivery?
A pH below 7.20 means the baby is getting too much acid and needs help right away.
Q:20Which statement is true about small babies (SGA)?
Often, a small baby is just healthy but reflects the small size of the mother.

Test 02 Key Study Points

1. Mitral Flow If the mitral valve leaks, blood goes backward into the left atrium instead of forward to the body.
2. Delirium vs. Dementia Delirium happens fast and changes throughout the day. Dementia is a slow, permanent decline.
3. Pancreas Pain For people who do not drink alcohol, gallstones are the top cause of a swollen pancreas.
4. The Substitution Test This test asks: "Would 3 other nurses with the same training have made the same choice?"

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