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AACN CCRN-Adult Exam - Topic 2 Question 15 Discussion

Actual exam question for AACN's CCRN-Adult exam
Question #: 15
Topic #: 2
[All CCRN-Adult Questions]

A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable. Fifteen minutes later,

vital signs are as follows:

BP 86/50

HR 150

RR 36

The most appropriate action should be to

Show Suggested Answer Hide Answer
Suggested Answer: B

by Truman at Oct 14, 2025, 03:54 PM

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Caitlin
27 days ago
D is not relevant. We need to focus on the immediate vitals.
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Gracia
2 months ago
C seems unnecessary right now. We need to stabilize first.
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Lucina
2 months ago
I feel like A is risky without more fluids first.
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Micaela
2 months ago
I’m leaning towards B. Another fluid challenge might be necessary.
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Nickolas
2 months ago
I think A is the best choice. Vasopressors can help stabilize BP.
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Cherry
2 months ago
I’m surprised they didn’t do a CT scan right away!
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Gilma
2 months ago
A second fluid challenge is definitely the way to go here!
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Queen
3 months ago
Totally agree, BP is still low after the first challenge!
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Arminda
3 months ago
Looks like they need more fluids, so B seems right.
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Audria
3 months ago
I'd go with the second fluid challenge. Gotta keep that fluid flowing until the patient's vitals stabilize.
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Pedro
3 months ago
Haha, an abdominal ultrasound? What, are we trying to find the patient's lost car keys or something?
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Dorothy
3 months ago
Hmm, I'm not sure. The CT scan might be a good idea to check for any internal injuries. Better safe than sorry, right?
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Patria
3 months ago
Hmm, this is a tricky one. I'm not sure if a vasopressor or another fluid challenge is the best approach. Maybe I should ask the professor for some clarification before making a decision.
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Taryn
4 months ago
Definitely a second fluid challenge. Gotta get that BP up before even thinking about imaging or vasopressors.
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Annita
4 months ago
I'd go with the vasopressor. The BP is still too low, and the tachycardia and tachypnea suggest the patient needs more than just fluids.
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Danica
4 months ago
The patient's vital signs indicate hypovolemic shock, so a second fluid challenge is the most appropriate action.
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Louvenia
4 months ago
Wait, why not just go straight to a vasopressor?
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Geraldo
4 months ago
I agree with B. We need to address the hypovolemia.
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Adelaide
5 months ago
I feel pretty confident about this one. The patient is clearly in shock, and with the low BP and tachycardia, a second fluid challenge is the way to go. I'd start there and see if that helps stabilize the patient.
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Kent
5 months ago
Okay, let's think this through. The patient's vitals are still pretty unstable, so I don't think a CT or ultrasound is the right call right now. I'm leaning towards option B or A, but I'll need to weigh the risks and benefits of each.
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Willard
5 months ago
I'm a bit confused here. The patient's BP is still pretty low, but the tachycardia and tachypnea suggest they might be going into distributive shock. Maybe a vasopressor would be better to support their blood pressure?
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Kathrine
5 months ago
Hmm, this seems like a classic case of hypovolemic shock. I'd go with option B and administer a second fluid challenge to try to stabilize the patient's vitals.
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Corinne
6 days ago
Let's not forget about imaging if they don't respond. CT could be crucial later.
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Shonda
11 days ago
True, but fluids are usually the first step in hypovolemic shock.
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Raul
16 days ago
But what if they need vasopressors instead? That could help too.
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Lelia
22 days ago
I agree, a second fluid challenge makes sense. We need to stabilize them.
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Ines
5 months ago
I remember that imaging like a CT scan isn't usually the first step in managing shock, but I can't remember the exact order of interventions.
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Trina
6 months ago
I feel like we should definitely do something about that high heart rate, but I can't recall if it's better to give more fluids or start a vasopressor first.
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Catherin
6 months ago
I think I saw a similar question in our practice exams where vasopressors were indicated for low BP after fluids.
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Tegan
6 months ago
I remember we discussed fluid resuscitation in trauma cases, but I'm not sure if a second fluid challenge is the best option here.
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