CRNE Sample Questions (71-75)

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71. Mrs. Ranger, 39 years old, is hospitalized because she is in the terminal stage of a disease. She clutches the hand of her husband who is at her bedside. She says to the nurse, “It’ll be difficult for my husband and my family to sit by my side and see me die.” What should the nurse reply?

a) you no doubt have experienced moments that you can reminisce about together
b) you seem to be very close to your family, they will be able to support you when the time comes
c) the nurse will spend extra time getting you ready for the visits
d) dying people often find internal strength to help strengthen family ties

 

72. Which one of the following strategies should the nurse use to gather data when she suspects that a 19-year old man is substituting alcohol for food?

a) conduct a health assessment
b) consult the dietician
c) ask the client to keep a daily food diary
d) check the client’s blood status

 

73. CRNE Sample Questions – On of the second postoperative day after an abdominal perineal resection. Mr. Wilson states that he feels bloated and would like to vomit. The nurse observes that the nasogastric tube is not draining. What should be the nurse’s intervention?

a) check the tube for patency
b) remove the tube, and call the physician
c) administer the prescribed antiemetic
d) apply gentle pressure to the upper abdomen

 

74. Mr. Taylor, 85 years, has a history of dementia. He is known to strike out during personal care. What is the best way to minimize risk to the nurse when giving Mr. Taylor a tub bath?

a) encourage the client to remain calm
b) ask a colleague for assistance
c) give him a shower instead
d) administer a sedative prior to his bath

 

75. Mrs. James, 42 years old, is recovering from a total abdominal hysterectomy. The nurse notes during assessment on t he first postoperative day that the client is disoriented., hypotensive, and tachycardic. What is the most common cause of these symptoms?

a) hypothermia
b) hypovolemia
c) pain
d) anxiety

 

 

CRNE Sample Questions
Answers and Rationale

 

71) A – Correct
Rationale: The nurse provides both Mrs. Ranger and her husband with a tangible, helpful way of facing the situation

B – Incorrect
Rationale: the first part of the statement encourages communication but is supported by false reassurance

C – Incorrect
Rationale: this will not ease Mrs. Ranger’s concerns about her death, and the activity is centered on the nurses

D – Incorrect
Rationale: this places all the responsibility on the dying person and leaves resolution of the problem to chance

 

72) A – Correct
Rationale: when conducting a health assessment, the nurse can gather all the necessary data and identify the changes in health

B – Incorrect
Rationale: the nurse must first take into account the health evaluation before consulting the dietician

C – Incorrect
Rationale: this method is not reliable data collection tool for this client

D – Incorrect
Rationale: the screening test is an appropriate data collection technique. It becomes a measurement of the alcohol level in the blood, but it is not independent nursing intervention

 

73) A – Correct
CRNE Sample Questions Rationale: bloating and vomiting are signs of a blocked nasogastric tube and its patency should be verified

B – Incorrect
Rationale: there should be a physician’s order for removing the nasogastric tube

C – Incorrect
Rationale: bloating and vomiting are signs of a blocked nasogastric tube. Administering an antiemetic will not alleviate the cause of these symptoms

D – Incorrect
Rationale: the intervention could potentially rupture the incision line and may cause aspiration of stomach contents

 

74) B – Correct
Rationale: the presence of a colleague is an effective safety measure in case Mr. Taylor becomes violent

A – Incorrect
Rationale: this is not an effective intervention as it may escalate the situation

C – Incorrect
Rationale: this is not an effective intervention to protect the nurse from a potentially abusive situation. The shower is no more likely to minimize the risk of a violent outburst than the bathtub

D – Incorrect
Rationale: a sedative may exacerbate the situation and pose a potential risk to the client

 

75) B – Correct
Rationale: these are classic signs of hypovolemia. A common cause of hypovolemia is unreplaced fluid loss

A – Incorrect
Rationale: these symptoms are not associated with hypothermia

C – Incorrect
Rationale: disorientation and hypotension are not associated with pain

D – Incorrect
Rationale: hypotension is not associated with anxiety

 

After you reviewed your answers through its rationale, you can proceed to the next set of questions:

CRNE Sample Questions (71-75)

 

or start from the beginning:

CRNE Sample Questions (1-3)

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