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CCRN-Adult Free Sample Questions & Real CCRN-Adult Dumps Free
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AACN CCRN-Adult Exam Syllabus Topics:
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q961-Q966):
NEW QUESTION # 961
A patient is intubated and receiving assist control mechanical ventilation and is on a norepinephrine drip following a head injury. Patient data are:
Which of the following interventions will improve cerebral perfusion?
- A. increasing the norepinephrine rate
- B. suctioning the airway
- C. requesting an ABG
- D. administering prescribed acetaminophen
Answer: D
NEW QUESTION # 962
Which of the following conditions is characterized by the passage of air in and out of the pleural space within the lung?
- A. Hemothorax
- B. Open pneumothorax
- C. Pulmonary contusion
- D. Tension pneumothorax
Answer: B
Explanation:
An open pneumothorax is present when there is the passage of air in and out of the pleural space. This typically occurs when there is a penetrating injury to the chest wall either by a stab wound or a gunshot.
A pulmonary contusion is an injury to the lung parenchyma, commonly occurring after blunt injury to the chest, and may lead to alveolar capillary membrane disruption. A hemothorax is defined as blood in the pleural space. A tension pneumothorax develops when a lung or chest wall injury is such that it allows air into the pleural space but not out of it, causing an accumulation of air that compresses the lung.
NEW QUESTION # 963
The Full Outline of UnResponsiveness (FOUR) score is an assessment of:
- A. Intracranial Pressure (ICP)
- B. motor function
- C. cranial nerve function
- D. neurological status
Answer: D
Explanation:
The FOUR score is a validated tool for the assessment of neurological patients; it assigns a value of zero through four in each of the four categories: eyes, motor, brain stem reflexes, and respiration. The scores are added together to give a total score of zero to 16.
Motor assessment includes muscle size, tone, strength, and involuntary movements such as tics or tremors, and is assessed in each extremity and evaluated for symmetry. Cranial nerve function and ICP are assessed by other methods.
NEW QUESTION # 964
An ICU patient is prescribed a new medication with several potential side effects. The patient expresses anxiety about the potential downsides of the medication. Which of the following responses by the nurse is BEST?
- A. Emphasizing the importance of the medication and the low likelihood that side effects will occur
- B. Encouraging the patient to ask the doctor about prescribing a different medication instead
- C. Providing a detailed scientific explanation of how the medication works
- D. Discussing the risks and benefits of the medication and how it relates to the patient's situation
Answer: D
Explanation:
Discussing the risks and benefits of the medication and how it relates to the patient's situation will help the patient to better understand why the medication was prescribed. The nurse should couple this approach with an acknowledgment of the patient's feelings. Emphasizing the importance of the medication and the low likelihood that side effects will occur dismisses the patient's feelings, which can hinder effective communication and learning. Providing a detailed scientific explanation about how the medication works may be overwhelming and not directly address the patient's concerns. Encouraging the patient to ask the doctor about prescribing a different medication instead is not appropriate unless the patient fully understands the rationale for the medication and still has concerns.
NEW QUESTION # 965
A patient in the critical care unit is exhibiting signs of agitation. Which of the following interventions is NOT recommended for this patient?
- A. Assessing the underlying cause of the agitation
- B. Administering pain medication
- C. Administering an anxiolytic
- D. Administering a sedative
Answer: D
Explanation:
Managing agitation involves determining the underlying cause of the agitation if possible, and treating this cause. Administering an anxiolytic and administering a pain medication, if necessary, are both correct interventions.
Sedatives may be necessary in some patient situations. However, the provision of sedatives for traditional reasons, especially at high doses and/or by continuous infusion, except when absolutely necessary, is not recommended. In this clinical situation, administering a sedative simply to induce a depressed sensorium solely to treat agitation is discouraged.
NEW QUESTION # 966
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