Study topics for CRNE exam prep.

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Specializes in Er/Cardiac.

Hi everyone,

CRNE exam is around the corner! Please share your questions and knowledge, and anything you come across during your preparation and think it's good to know for the exam. Our fellow RNs and future coworkers! we need your expertise and input here. And those of you who wrote the exam already are more than welcome to contibute to this thread too.

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Specializes in NICU, PICU, PCVICU and peds oncology.

Everybody just remember that those who have taken the exam already are not permitted to reveal any of the actual exam questions. So anyone posting topics in the form of a question please include a disclaimer that you've made the question up and not taken it from the exam. Thanks in advance.

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Specializes in Er/Cardiac.

Here's a question on maternity I came up with. It might help with further discussion.

The nurse who assesses a pregnant mom understands that physiological maternal changes include:

a. polyuria as a result of sodium loss

b. Lower but stronger heart rate

c. anemia

d. lower but deeper respiratory rate

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Here's a question on maternity I came up with. It might help with further discussion.

The nurse who assesses a pregnant mom understands that physiological maternal changes include:

a. polyuria as a result of sodium loss

b. Lower but stronger heart rate

c. anemia

d. lower but deeper respiratory rate

I think it could be C. Because you have increase in blood volume during pregnancy. Not too sure though.

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Specializes in Er/Cardiac.

It's C.

Total circulating RBC increases by about 40-50% during pregnancy so iron requirements are increased to 20-40 mg/d.

Polyuria, however, I thought is correct too but not because of sodium loss. It's simply caused by the pressure the uterus put on bladder.

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It's C.

Total circulating RBC increases by about 40-50% during pregnancy so iron requirements are increased to 20-40 mg/d.

Polyuria, however, I thought is correct too but not because of sodium loss. It's simply caused by the pressure the uterus put on bladder.

Yes I was debating between A &C too. But i was thinking that polyuria can also occur after the delivery because increase in estrogen would cause NA+ and water retention. Polyuria would help the mother release all the retained fluid. Did you come accross this in your reading? thanks.

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Specializes in Er/Cardiac.

I thought the retention was due to placental lactogen but in either way, the body tries to get rid of extra fluid via diuresis and diaphorsis. Failure of this can cause pulmonary edema.

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Specializes in Er/Cardiac.

Now that we are on this subject I should mention this too. I read today that if anemia is present with a Hgb level of 80g/l or lower, a mom with cardiac disease will probably develop cardiac failure.

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I thought the retention was due to placental lactogen but in either way, the body tries to get rid of extra fluid via diuresis and diaphorsis. Failure of this can cause pulmonary edema.

Hello, I believe the placental lactogen which is aka. Human Chorionic somatropin hormone plays a huge role in regards to metabolism-diabetes, it antagonizes insulin, therefore glucose may spill in the urine which can lead to polyuria (one way of looking at it)

Thanks for the cardio information, by the way are using mosby comprehensive for the canadian exam (orange+blue cover)? would just like to read upon the info you posted thank you.

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Specializes in Er/Cardiac.

Yes I do. The one that is comprehensive review of nursing, it says. And 2nd edition.

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Specializes in MS, Emergency.

I think it should be C.

During pregnancy, there is an increase of blood volume causing a physiologic anemia.

A is not the correct option because it may be common during the 1st and 3rd trim due to pressure of the bladder but not Na.

B is not the correct option because heart rate i think increases rather than decreases.

D is incorrect because a pregnant woman may have a shallow respiration due to the inability of the lungs to fully expand (pressure of the enlarging uterus that pushes the uterus up)

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This is a reworded question, I think we are not allowed to post exact questions from textbooks.

A family likes to visit their 95 year old grandmother who lives in a nursing home. What is an important advice for the nurse to provide to the family in order to prevent their mother from communicable disease?

A. Do not visit if they feel sick

B. Use alcohol gel hand wash before entering the room

C. Do not bring children under 5 years to visit

D. In case of coughing/sneezing use disposable tissue

Sorry for any grammar errors.

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