Online CCRN-Adult Training - CCRN-Adult Download Pdf
Online CCRN-Adult Training - CCRN-Adult Download Pdf
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Tags: Online CCRN-Adult Training, CCRN-Adult Download Pdf, CCRN-Adult Exam Details, Latest CCRN-Adult Dumps Files, Practice CCRN-Adult Exams Free
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AACN CCRN-Adult Exam Syllabus Topics:
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Online CCRN-Adult Training - The Best AACN CCRN-Adult Download Pdf: CCRN (Adult) - Direct Care Eligibility Pathway
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q523-Q528):
NEW QUESTION # 523
A 43-year-old male patient is admitted to the ICU following a high-speed motor vehicle collision. He has sustained multiple fractures, a lacerated liver, and blunt chest traum a. His blood pressure is 84/49 mmHg, heart rate 112/min, and his respiratory rate is 25/min. He is becoming increasingly agitated and hypoxemic despite receiving 100% oxygen via non-rebreather mask.
Which of the following actions should the nurse prioritize?
- A. Prepare for immediate intubation
- B. Administer pain medication
- C. Expedite the insertion of an arterial line
- D. Start aggressive fluid resuscitation
Answer: A
Explanation:
The patient's increasing agitation and hypoxemia despite 100% FiO2 and the mechanisms of his injuries all indicate impending respiratory failure, which necessitates immediate intubation. While fluid resuscitation may be beneficial, it does not directly address the patient's compromised breathing and is a secondary concern to facilitating improved oxygenation. Administering pain medication is secondary to addressing the respiratory status. Insertion of an arterial line may be an important intervention but would be secondary to intubation.
NEW QUESTION # 524
What is the MOST SEVERE form of Heart Failure (HF)?
- A. Left-sided heart failure
- B. Acute heart failure
- C. Right-sided heart failure
- D. Cardiogenic shock
Answer: D
Explanation:
Cardiogenic shock is the most severe form of HF, is a life-threatening condition, and requires emergency management. In cardiogenic shock, the heart is unable to pump enough blood to meet the oxygen and metabolic needs of the body, resulting in decreases in stroke volume and cardiac output.
The other forms of HF are not as severe as cardiogenic shock.
NEW QUESTION # 525
A patient who has depression is being admitted to the critical care unit for diabetic ketoacidosis. Which of the following is BEST when considering the antidepressants the patient is using?
- A. The patient's antidepressant therapy should be discontinued while they are hospitalized
- B. The patient's antidepressant therapy should be continued unless it directly conflicts with their medical treatment
- C. The patient's antidepressant therapy should be changed to rely exclusively on anxiolytics
- D. The patient's antidepressant therapy should be continued, and medical treatment should be adjusted to accommodate it
Answer: B
Explanation:
A patient who is using antidepressants should be continued on their antidepressant therapy if possible, but it may need to be modified to allow for necessary medical treatments. Antidepressant therapy should be modified to accommodate medical treatment, not the inverse. Antidepressant therapy should not be discontinued or changed to rely on anxiolytics.
NEW QUESTION # 526
A 55-year-old male is admitted with a suspected acute pulmonary embolism (PE). The critical care nurse assessing the patient knows that which of the following is a common clinical manifestation of PE?
- A. Hypertension
- B. Hypothermia
- C. Bradycardia
- D. Pleuritic chest pain
Answer: D
Explanation:
Pulmonary embolism is a complication of DVT, long bone fracture, or air entering the circulatory system.
There are many risk factors for PE, with critically ill patients being especially prone due to the presence of central venous catheters, immobility and the high rates of comorbidities, such as heart failure and cancer. The common clinical manifestations of PE are dyspnea, cough, tachypnea, tachycardia, and pleuritic chest pain.
Other signs and symptoms include rales upon auscultation, apprehension, diaphoresis, evidence of deep vein thrombosis (DVT), hemoptysis, fever, syncope, hypoxia, and hypotension.
NEW QUESTION # 527
A patient in the ICU, who is conscious and competent, has refused to continue aggressive treatment for his advanced cancer, preferring comfort measures only. The family strongly disagrees with the patient's decision. What is your BEST response as their nurse?
- A. Tell the family to wait until the patient is no longer able to make decisions, then make the decision they want on the patient's behalf
- B. Encourage the patient to reconsider based on the family's wishes
- C. Facilitate a meeting where both the patient's and the family's concerns can be voiced and addressed
- D. Support the patient's decision and encourage the family to accept it
Answer: C
Explanation:
The nurse should advocate for the patient's autonomy while fostering open communication among all stakeholders. Facilitating a meeting where the patient's and family's perspectives can be shared and discussed is the most appropriate approach. While it is important to respect the patient's decision, it shouldn't be done without addressing the family's concerns. Encouraging the patient to reconsider based on family's wishes could undermine the patient's autonomy. Technically, the family could wait until the patient is no longer able to make decisions, then make the decision they want on the patient's behalf. This would not be an ethical approach and should not be suggested by the nurse.
NEW QUESTION # 528
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