General Review Flashcards
7 cards from real CCRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 General Review flashcards as text
A patient with a chest tube has continuous bubbling in the water-seal chamber. What does this most likely indicate?
Answer: An air leak in the system or patient
Continuous bubbling in the water-seal chamber indicates an air leak that must be investigated.
Which intervention is most appropriate for a patient with symptomatic bradycardia unresponsive to atropine?
Answer: Transcutaneous pacing
Transcutaneous pacing is the next step when atropine fails to treat symptomatic bradycardia.
A patient on a continuous insulin infusion has a glucose of 65 mg/dL. What is the priority nursing action?
Answer: Treat hypoglycemia and recheck glucose
A glucose of 65 mg/dL requires treating hypoglycemia and rechecking before continuing insulin.
Which clinical sign is most consistent with right ventricular failure?
Answer: Jugular venous distension and peripheral edema
Right-sided failure causes systemic venous congestion, leading to JVD and peripheral edema.
A patient with acute kidney injury has a rising creatinine and a urine output of 15 mL/hr. Which electrolyte imbalance poses the greatest immediate threat?
Answer: Hyperkalemia
Hyperkalemia in oliguric AKI can cause life-threatening cardiac dysrhythmias.
What is the most reliable indicator of correct endotracheal tube placement after intubation?
Answer: Waveform capnography confirming end-tidal CO2
Continuous waveform capnography is the most reliable method to confirm ET tube placement.
A patient develops flushing, hypotension, and wheezing minutes after starting a blood transfusion. What is the priority action?
Answer: Stop the transfusion immediately
These signs indicate a transfusion reaction, and the transfusion must be stopped immediately.