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CCRN Test 04: Critical Decisions & Patient Advocacy

Q: What is a reason to NEVER give clot-busting drugs (tPA) to a stroke patient?

A brain bleed in the past means the risk of a new, deadly bleed is too high for these drugs.

Q: Which fluid lab result means there is pus (empyema) in the lung space?

Bacteria eat the sugar and make the fluid acidic. This leads to low pH and low glucose.

Q: Which drug should be given first for a blood pressure of 268/180 from a tumor (pheochromocytoma)?

This tumor floods the body with stress signals. You need a drug that opens blood vessels fast.

Q: A heart monitor shows extra heart beats every other beat (bigeminy). What do you do first?

Always check the patient first. You need to know if the extra beats are hurting their blood flow.

CCRN Test 04: Clinical Priorities

This exam reviews clot-busting drugs, lung taps, and heart emergencies.

Stroke Safety: Never give clot-busting drugs (tPA) to a patient who has had a brain bleed. It can be fatal.

Heart Check: If you see extra heart beats (PVCs), check the patient first. Check their pulse and BP before calling the doctor.

Clean Care: Once a bottle of sterile water is opened, you cannot use it again for a sterile field. The lid is dirty.

Edited by: Test-Questions.com

Last Updated: February 14, 2026

Q:1What is a reason to NEVER give clot-busting drugs (tPA) to a stroke patient?

Patient is over age 65

Patient has diabetes

Patient takes aspirin

Prior brain bleed

Q:2Which fluid lab result means there is pus (empyema) in the lung space?

pH 7.3 and high sugar

pH 7.1 and very low sugar

pH 7.3 and normal sugar

pH 7.2 and medium sugar

Q:3Which drug should be given first for a blood pressure of 268/180 from a tumor (pheochromocytoma)?

Phentolamine or Nitroprusside

Dopamine

Norepinephrine

Ephedrine

Q:4A heart monitor shows extra heart beats every other beat (bigeminy). What do you do first?

Check the patient’s BP and pulse

Call the doctor first

Put on pacing pads

Call a Code Blue

Q:5What should a nurse do if a patient is ... [Show Full Question 5]

Change the subject

Give a short medical talk

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Defer entirely to the provider

Q:6What breathing tube pressure is too ... [Show Full Question 6]

5 mmHg

10 mmHg

15 mmHg

▬▬▬▬▬▬▬▬▬▬▬▬ View Correct Answer (Q:6)

Q:7A patient has lots of swelling and protein in their ... [Show Full Question 7]

Renal ultrasound

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A blood protein test

A special antibody test

Q:8Where should a needle be put in for a lung ... [Show Full Question 8]

Between ribs 2 and 3

Between ribs 3 and 4

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Between ribs 11 and 12

Q:9Which symptom is NOT common when ... [Show Full Question 9]

Fast heart rate

Anxiety

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Sweating

Q:10Which of these breaks a clean ... [Show Full Question 10]

Pulling flaps away from the body

Facing the sterile field

Washing hands first

▬▬▬▬▬▬▬▬▬▬▬▬ View Correct Answer (Q:10)

Q:11In which case is Morphine used as ... [Show Full Question 11]

Enlarged prostate

Serious brain injury

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Bad asthma attack

Q:12How much IV fluid should an adult in ... [Show Full Question 12]

500 mL

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3000 mL

5000 mL

Q:13What do you do if a dialysis patient ... [Show Full Question 13]

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Raise the patient's feet

Give a breathing treatment

Give oxygen

Q:14Why do we keep the mean blood pressure ... [Show Full Question 14]

To lower heart work

To help the skin

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To help the brain work on its own

Q:15Why do leg ulcers from bad veins ... [Show Full Question 15]

Long-term infection

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Not enough blood getting to the leg

Skin irritation

Q:16A metal pin in a bone has green, smelly ... [Show Full Question 16]

Atropine

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Water pill

Clot-buster

Q:17What does PEEP do for a patient on ... [Show Full Question 17]

Increases heart output

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Lowers chest pressure

Lowers the need for sleep meds

Q:18What is the normal Cardiac Index ... [Show Full Question 18]

0.5 to 1.5 L/min/m2

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4.5 to 6.0 L/min/m2

6.5 to 8.0 L/min/m2

Q:19Which IV fluid is the ONLY one ... [Show Full Question 19]

▬▬▬▬▬▬▬▬▬▬▬▬ View Correct Answer (Q:19)

Lactated Ringers

Sugar water (D5W)

Half-normal saline

Q:20If a patient cannot think or talk, ... [Show Full Question 20]

The patient anyway

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The doctor

The next of kin

Test 04 Key Study Points

1. Empyema Pus in the lung space has very low sugar and a low pH. It means a bad infection is present.

2. Breathing Tubes Keep the cuff pressure below 22 mmHg (30 cmH2O). Too much pressure can hurt the windpipe.

3. Blood Transfusions Only use 0.9% Normal Saline with blood. Other fluids can make blood cells pop or clump.

4. Legal Proxy If a patient cannot think clearly, their legal guardian or health proxy must sign for surgery.

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