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New CCRN-Adult Test Simulator, CCRN-Adult Reliable Study Guide

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 1

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.

Topic 5

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

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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q611-Q616):

NEW QUESTION # 611
Which of the following BEST describes the rationale for performing an echocardiogram in a patient with Pulmonary Arterial Hypertension (PAH)?

A. An echocardiogram is not indicated for a patient with PAH
B. An echocardiogram will identify restricted blood flow in the pulmonary arteries
C. An echocardiogram will identify hypertensive pulmonary arteries
D. An echocardiogram can identify cor pulmonale

Answer: D

Explanation:
Cor pulmonale refers to right ventricular failure and literally means "pulmonary heart". Cor pulmonale is caused by Pulmonary Arterial Hypertension (PAH) due to the increased afterload of the pulmonary arteries. An echocardiogram does not directly assess the pulmonary arteries and is used to evaluate the structure of the heart, not the pulmonary arteries.

NEW QUESTION # 612
Which of the following assessment findings would the critical care nurse expect to see in a patient with diabetes insipidus (DI)?

A. Polyuria, polydipsia, increased BUN and creatinine
B. Oliguria, polydipsia, increased serum sodium
C. Oliguria, polydipsia, decreased serum sodium
D. Polyuria, polydipsia, decreased BUN and creatinine

Answer: A

Explanation:
Diabetes insipidus results from a group of disorders in which there is an absolute or relative deficiency of ADH (called central DI), or an insensitivity to its effects on the kidney tubules (called nephrogenic DI).
The body's ability to increase antidiuretic hormone (ADH) secretion or respond to ADH is impaired.
An absolute deficiency of ADH results in an impaired ability to concentrate urine, resulting in large amounts (several liters) of dilute urine being excreted (polyuria), with increasing hemoconcentration (BUN and creatinine rise). Excessive thirst (polydipsia) is also due to deficient ADH. The result is severe dehydration, evidenced by tachycardia, orthostatic hypotension, poor skin turgor, and dry mucous membranes. Diagnostically, serum sodium is elevated (> 155 mEq/L), serum osmolality is elevated (>
295 mOsm/kg/L), and urine specific gravity is decreased.

NEW QUESTION # 613
Patients with gastrointestinal (GI) bleeding are at GREATEST risk of developing which of the following?

A. Disseminated intravascular coagulation (DIC)
B. Hypovolemic shock
C. Cardiogenic shock
D. Distributive shock

Answer: B

Explanation:
Life-threatening GI bleeding originates most commonly in the upper GI tract, and requires immediate medical attention to prevent complications. Patients presenting with sudden blood loss are at risk for decreased tissue perfusion and oxygen-carrying capacity associated with hypovolemic shock.
The fundamental goal of initial treatment of upper GI bleeding is to assess the hemodynamic consequences of the blood loss, identify the bleeding site, and control/stop the bleeding. If blood loss is greater than 25% of blood volume, hemodynamic instability will ensue. The patient will need at least two large-bore IV catheters for fluid resuscitation with crystalloid solutions and blood products, if indicated.

NEW QUESTION # 614
All of the following interventions would be appropriate for a patient with flail chest EXCEPT:

A. Maintain PaO2 ≥ 80 mmHg
B. Fluid volume resuscitation
C. Positive pressure invasive mechanical ventilation
D. Patient-controlled analgesia

Answer: B

Explanation:
Flail chest or flail thoracic segment occurs when three or more contiguous ribs are fractured in two or more places. This creates a floating segment that may puncture the lung, hindering successful ventilation attempts.
In a patient who does not require mechanical ventilation, patient-controlled analgesia may be an option.
The patient's PaO2 will be decreased; therefore, supplemental oxygen should be given to maintain a normal PaO2 of ≥ 80 mmHg.
Fluid volume must be carefully controlled to prevent overhydration. Therefore, this would not be an appropriate intervention for a patient with this condition.

NEW QUESTION # 615
he nurse is caring for a patient in End-Stage Kidney Disease (ESKD) preparing to undergo a renal transplant. The patient has been on hemodialysis for six years and has a history of diabetes and hypertension.
A preoperative evaluation of this patient is necessary to detect which of the following contraindications for renal transplant?

A. Nutritional deficiency
B. Hyperglycemia
C. Infection
D. Congestive heart failure

Answer: C

Explanation:
An active infection is a contraindication for renal transplant surgery.
Since this patient is in End-Stage Kidney Disease (ESKD) and is a diabetic with hypertension, it is anticipated before evaluation that he would be hyperglycemic and have signs and symptoms of congestive heart failure. In addition, nutritional deficiencies are common in these patients as providing a balance between sufficient calories and protein to prevent catabolism, yet not creating problems such as fluid and electrolyte imbalances, is a challenge. The clinical dietitian is an important resource for the healthcare team.

NEW QUESTION # 616
......

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Liam Stewart Liam Stewart

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