CRNA (NCE) case studies
CRNA (NCE) · Put your knowledge to work in context.
The National Certification Examination (NCE) is the certification exam administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA), the organization that certifies and recertifies nurse anesthetists in the United States. Candidates are typically registered nurses who have completed or are nearing completion of a nurse anesthesia educational program and are preparing to practice as certified registered nurse anesthetists (CRNAs). The CRNA (NCE) case studies are 5 cases and about 3,606 words.
1Rising End-Tidal CO2 During a Low-Flow Sevoflurane Case
A 42-year-old, 78-kg man is undergoing laparoscopic cholecystectomy. After induction he is intubated with a 7.0-mm cuffed tube and ventilated with a circle system at a fresh gas flow of 1 L/min, sevoflurane 2% in oxygen/air, tidal volume 500 mL, rate 10/min (minute ventilation 5.0 L/min).
763 words, about 4 min2Abrupt Collapse at Insufflation During Laparoscopic Cholecystectomy
A 34-year-old, 60-kg woman with symptomatic cholelithiasis is undergoing laparoscopic cholecystectomy under sevoflurane/oxygen/air anesthesia with rocuronium. A 7.0-mm tube is in place.
742 words, about 4 min3Agitation and Seizure 20 Minutes After an Interscalene Block
A 47-year-old, 82-kg man is scheduled for arthroscopic rotator cuff repair. Under ultrasound guidance, an interscalene block is performed with a single injection of 20 mL of bupivacaine 0.5% with 1:200,000 epinephrine, injected over about 90 seconds with intermittent aspiration.
693 words, about 3 min4Former 26-Week Preterm Infant for Bilateral Hernia Repair
A boy born at 26 weeks' gestation is now 5 months old, giving a postmenstrual age of 48 weeks. He spent 9 weeks in the NICU, had apnea of prematurity treated with caffeine, and has had no apneic spells since 38 weeks' postmenstrual age.
687 words, about 3 min5"Suspend the DNR in the OR - that's standard, right?"
A 78-year-old woman with metastatic pancreatic cancer, a documented DNR/DNI order, and a POLST form stating "comfort-focused treatment" is scheduled for urgent incision and drainage of an infected, necrotic thigh wound. She is febrile at 38.9°C, hypotensive at 84/50, tachycardic at 118, and confused, with a lactate of 4.2 mmol/L.
721 words, about 4 min