December 2005, Volume 35 Number 12 , p 32cc6 - 32cc7
Thinking of taking the critical care nursing certification exam? This self-test can help you prepare by reviewing key concepts in the CCRN exam offered by the American Association of Critical-Care Nurses. Answers and rationales appear at the end.
1. You're performing the initial assessment of a patient admitted to the intensive care unit (ICU) with a suspected bowel obstruction. You know that auscultation of the abdomen a. should be performed after palpation. b. is best done with the bell of the stethoscope. c. should reveal hyperactive sounds above the obstruction and absent sounds below the obstruction. d. should be performed after percussion. 2. During an initial assessment, you notice that the patient's arterial systolic BP decreases by 14 mm Hg on inspiration. When documenting this change, you should note it as a. pulsus magnus. b. pulsus alternans. c. pulsus parvus. d. pulsus paradoxus. 3. An unresponsive patient is admitted to the emergency department (ED); you suspect ...