Exam CCRN-Adult Dumps, CCRN-Adult Questions

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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 2	CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
Topic 3	Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
Topic 4	In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
Topic 6	The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
Topic 7	PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.

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AACN CCRN-Adult Questions, Exam CCRN-Adult Papers

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q842-Q847):

NEW QUESTION # 842
A patient is about to be tested for abdominal compartment syndrome. Which of the following actions take by the nurse in anticipation of testing the patient's intra-abdominal pressure is CORRECT?

A. Start an IV site
B. Prepare the patient for transfer to the operating room
C. Position the patient for insertion of an intra-abdominal needle
D. Insert an indwelling urinary catheter

Answer: D

Explanation:
The intra-abdominal pressures are normally measured by measuring the pressure applied on the bladder by the abdominal compartment. Inserting a urinary catheter is the first step in preparing to measure intra-abdominal pressure. The patient does not need to go to the operating room for this. A needle is used to assess compartment syndrome in muscle compartments, but not in the abdominal compartment. An IV is not necessary for this measurement.

NEW QUESTION # 843
A patient's family is providing the patient with alternative therapies that may interfere with the patient's current medical treatment. What should the nurse do?

A. Allow the family to continue with the alternative therapies if it is what the patient wants
B. Advise the family to stop all alternative therapies
C. Report the family to the hospital administration
D. Have a meeting with the family and the healthcare team to discuss the potential risks and benefits of alternative therapies

Answer: D

Explanation:
The nurse should facilitate an open discussion about the potential risks and benefits of alternative therapies with the family and the healthcare team. The patient should be permitted to receive alternative therapies that can be accommodated, but it's essential to ensure that any alternative therapies do not interfere with the patient's current treatment plan. Simply allowing the family to continue or advising them to stop all alternative therapies may not be in the patient's best interest or consistent with their wishes. Reporting the family to the hospital administration could create unnecessary conflict and the situation should be initially addressed through a collaborative conversation.

NEW QUESTION # 844
If a patient has a history of emphysema, which of the following values would MOST LIKELY be seen on Arterial Blood Gases (ABGs)?

A. PaCO2 40, HCO3 22
B. PaCO2 50, HCO3 28
C. PaCO2 35, HCO3 32
D. PaCO2 44, HCO3 25

Answer: B

Explanation:
In the patient with emphysema, a form of Chronic Obstructive Pulmonary Disease (COPD), there is a progressive destruction of the inner walls of the alveolar sacs, resulting in large blebs with a reduced surface area for gas exchange. Since there is a chronically restrictive state, the patient is generally in a state of hypercapnia (PaCO2 > 45 mmHg, HCO3 > 26 mEq/L). The kidneys attempt to compensate by increasing the amount of HCO3 in the body until normal or near-normal pH levels occur. This mechanism creates a compensated respiratory acidosis.

NEW QUESTION # 845
Nursing management for a mild to moderate pulmonary contusion in the trauma patient includes all of the following interventions EXCEPT:

A. fluid management
B. assist with chest tube insertion
C. prepare to assist with intubation and mechanical ventilation if necessary
D. pain control

Answer: B

Explanation:
Insertion of a chest tube is not necessary for the management of a mild to moderate pulmonary contusion but may be indicated in the case of a severe contusion to the lung.
Appropriate treatments for a mild to moderate pulmonary contusion would include:
* Pain control
* Fluid management
* Possible intubation and mechanical ventilation to keep the lungs inflated

NEW QUESTION # 846
Which of the following is the most common prerenal cause of acute tubular necrosis?

A. crush injury
B. blood transfusion reaction
C. shock
D. beta-hemolytic streptococcal infection

Answer: C

Explanation:
Shock is the most common prerenal cause of acute tubular necrosis (ATN). In the context of prerenal conditions, shock leads to decreased renal perfusion and subsequent ischemia, which can cause damage to the renal tubules. Other options such as blood transfusion reaction, crush injury, and beta-hemolytic streptococcal infection can lead to renal damage but are not the most common prerenal causes of ATN. References: CCRN Exam Handbook, AACN, page 28, section on Renal/GU.

NEW QUESTION # 847
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Exam CCRN-Adult Dumps, CCRN-Adult Questions

AACN CCRN-Adult Exam Syllabus Topics:

AACN CCRN-Adult Questions, Exam CCRN-Adult Papers

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q842-Q847):

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