CCRN Domain 3: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary Welcome to your CCRN Domain 3: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary 1. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with chronic kidney disease is at risk for developing renal osteodystrophy. Which laboratory finding is most indicative of this condition? Increased serum calcium Decreased serum phosphorus Increased intact parathyroid hormone (iPTH) Decreased serum creatinine None 2. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In patients with acute pancreatitis, which of the following is a critical indicator of systemic complications and should be monitored closely? Serum lipase levels White blood cell count Blood glucose levels Serum amylase levels None 3. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with Addison's disease is admitted to the ICU. Which of the following is the most likely finding in this patient's electrolyte profile? Hypernatremia Hypokalemia Hyperkalemia Hypochloremia None 4. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In a patient with suspected gastrointestinal bleeding, which of the following laboratory tests would be most indicative of ongoing blood loss? Elevated serum amylase Decreased serum albumin Elevated blood urea nitrogen (BUN) Decreased hemoglobin and hematocrit None 5. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A nurse is caring for a patient with severe burns covering 30% of the total body surface area. Which of the following renal changes is most likely to occur in this patient? Increased glomerular filtration rate Decreased urine specific gravity Acute tubular necrosis Decreased blood urea nitrogen (BUN) None 6. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In a patient with diabetic ketoacidosis 'DKA', which of the following laboratory findings is most characteristic? Low serum ketones Elevated blood pH Elevated serum bicarbonate High anion gap metabolic acidosis None 7. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with cirrhosis is showing signs of hepatic encephalopathy. Which of the following treatments is most effective in reducing ammonia levels in this patient? Lactulose Vitamin K Spironolactone Propranolol None 8. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with end-stage renal disease 'ESRD' is most likely to exhibit which acid-base imbalance? Respiratory alkalosis Metabolic alkalosis Respiratory acidosis Metabolic acidosis None 9. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In evaluating a patient with suspected acute adrenal crisis, which of the following symptoms is most indicative of this condition? Hypertension Bradycardia Hyperglycemia Hypotension None 10. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary For a patient with a hematologic disorder, which of the following findings is most consistent with disseminated intravascular coagulation 'DIC'? Increased platelet count Decreased D-dimer Prolonged prothrombin time (PT) and partial thromboplastin time (PTT) Elevated fibrinogen levels None 11. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with acute kidney injury (AKI) demonstrates a sudden rise in serum creatinine and oliguria. Which phase of AKI is the patient most likely experiencing? Initiation Maintenance Recovery Resolution None 12. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In a patient with Zollinger-Ellison syndrome, which of the following is the most likely gastrointestinal manifestation? Decreased gastric acid secretion Peptic ulcers Malabsorption syndrome Gastric polyps None 13. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with severe burns is most likely to experience which type of metabolic disturbance? Metabolic alkalosis Metabolic acidosis Respiratory alkalosis Respiratory acidosis None 14. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In patients with acute liver failure, which neurological condition is of greatest concern due to the accumulation of ammonia? Meningitis Encephalopathy Stroke Seizures None 15. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A critical care nurse is assessing a patient with suspected gastrointestinal bleed. Which of the following is the most reliable initial diagnostic test? Abdominal ultrasound Esophagogastroduodenoscopy 'EGD' Stool occult blood test Complete blood count 'CBC' None 16. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient in the ICU with a history of renal transplantation is showing signs of graft rejection. Which of the following lab findings would most likely indicate acute rejection? Decreased serum creatinine Elevated blood urea nitrogen (BUN) and creatinine Decreased blood urea nitrogen (BUN) Normal urinalysis None 17. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In a patient with primary hyperparathyroidism, which of the following clinical manifestations is most likely to be observed? Hypocalcemia Hypercalcemia Hypophosphatemia Hyperphosphatemia None 18. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A critical care nurse is caring for a patient with acute liver failure. Which of the following interventions is most crucial to prevent the progression of hepatic encephalopathy? Administration of lactulose High protein diet Fluid restriction Administration of beta-blockers None 19. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary A patient with chronic kidney disease 'CKD' is undergoing evaluation for anemia. Which of the following is a common cause of anemia in CKD? Vitamin B12 deficiency Increased erythropoietin production Iron deficiency Decreased hepcidin levels None 20. CCRN: Endocrine/Hematology/Gastrointestinal/Renal/Integumentary In evaluating a patient with suspected Cushing's syndrome, which of the following findings would be most indicative of this condition? Low serum cortisol levels High adrenocorticotropic hormone (ACTH) levels Hyperkalemia Hypertension and hyperglycemia None 1 out of 20 Time is Up! Time's up