100% FREE CCRN-ADULT–100% FREE RELIABLE EXAM PDF | PROFESSIONAL CCRN (ADULT) - DIRECT CARE ELIGIBILITY PATHWAY LATEST EXAM SIMULATOR

100% Free CCRN-Adult–100% Free Reliable Exam Pdf | Professional CCRN (Adult) - Direct Care Eligibility Pathway Latest Exam Simulator

100% Free CCRN-Adult–100% Free Reliable Exam Pdf | Professional CCRN (Adult) - Direct Care Eligibility Pathway Latest Exam Simulator

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AACN - Efficient CCRN-Adult Reliable Exam Pdf

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AACN CCRN-Adult Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 4
  • 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 (Q432-Q437):

NEW QUESTION # 432
An experienced nurse new to a unit believes the literature does not support current unit practice of a fixed-dose nitroglycerin IV (Tridil) infusion in all postoperative cardiac surgery patients for 24 hours. The nurse develops a proposal referencing peer-reviewed articles. Based on the proposal, unit leaders agree to remove the nitroglycerin IV (Tridil) infusion from the standard order set. The actions taken by the nurse are best described as

  • A. evidence-based practice.
  • B. collaboration with a team.
  • C. a performance improvement project.
  • D. a clinical research study.

Answer: A

Explanation:
The actions taken by the nurse are best described as evidence-based practice. By reviewing the literature and developing a proposal referencing peer-reviewed articles, the nurse used current research findings to inform and change clinical practice. This approach ensures that patient care is based on the best available evidence, leading to improved patient outcomes.References: = CCRN Exam Handbook, page 59


NEW QUESTION # 433
Laboratory values diagnostic for disseminated intravascular coagulation (DIC) include

  • A. increases in PT, PTT, and FSP (FDP).
  • B. decreases in PT and thrombin time.
  • C. increases in platelet count and fibrinogen.
  • D. decreases in platelet count, thrombin time, and FSP (FDP).

Answer: A

Explanation:
Laboratory values diagnostic for disseminated intravascular coagulation (DIC) include increased prothrombin time (PT), partial thromboplastin time (PTT), and fibrin split products (FSP), also known as fibrin degradation products (FDP). These increases indicate widespread clotting and subsequent fibrinolysis, which are characteristic of DIC. The consumption of clotting factors and platelets in DIC leads to prolonged clotting times and elevated levels of fibrin degradation products.References: = CCRN Exam Handbook, page 42


NEW QUESTION # 434
A patient is admitted with a traumatic brain injury after being thrown from a horse. Despite numerous interventions, the patient is declared brain dead.
The parents have consented for organ donation, and the patient's mother requests to lay next to her daughter before being taken to the operating room.
Which of the following is the nurse's most appropriate response?

  • A. "Please sit at the side of the bed, hold her hand, and talk to her."
  • B. "It would be too risky to move all of the machines and wires."
  • C. "We must obtain permission from the organ donation team first."
  • D. "I will need a few minutes to prepare and organize this for you."

Answer: D

Explanation:
The nurse should respect the mother's request and facilitate the family's emotional needs during the end-of-life care. The nurse should also ensure the patient's safety and dignity by preparing and organizing the necessary equipment and monitoring before moving the mother next to the patient. The other options are not appropriate because they either deny the mother's request, imply that the patient is no longer alive, or delay the organ donation process.
References:
* Donor Family Care Service - NHS Blood and Transplant
* Family-Centered Care to Improve Family Consent for Organ Donation


NEW QUESTION # 435
A 19-year-old male is brought into the emergency department via ambulance after a severe Motor Vehicle Accident (MVA). The critical care nurse knows the primary survey is vital in revealing immediate life-threatening injuries, and its mnemonic is "ABCDE." What does the "D" in this mnemonic stand for?

  • A. Disability
  • B. Decreased Level of Consciousness (LOC)
  • C. Diagnostic criteria
  • D. Data

Answer: A

Explanation:
The primary and secondary surveys in critically ill trauma patients reveal immediate life-threatening injuries and direct the trauma team toward an individualized plan of care. The primary survey of
"ABCDE" stands for:
* Airway and c-spine (assess patency and airway obstruction; maintain c-spine alignment)
* Breathing (assess respiratory rate and depth)
* Circulation (identify source of hemorrhage; assess vital signs)
* Disability (assess neurological status to include mental status, pupillary size and response)
* Exposure (Completely disrobe patient but avoid hypothermia)


NEW QUESTION # 436
Pulmonary fibrosis is MOST LIKELY to cause which of the following conditions that leads to hypoxemia?

  • A. Low inspired oxygen
  • B. Shunt
  • C. Ventilation-perfusion mismatch
  • D. Diffusion defect

Answer: D

Explanation:
Diffusion defects occur when the alveolar-capillary membrane thickens, decreasing oxygen diffusion and leading to hypoxemia.
Diffusion defects typically occur with chronic respiratory diseases, such as pulmonary fibrosis and sarcoidosis. Hypoxemia usually responds to supplemental oxygen in conditions of diffusion impairment (eg., interstitial lung disease).
Ventilation-perfusion mismatch typically occurs when the alveoli are inadequately ventilated, and is less related to pulmonary fibrosis than diffusion defects. Shunting occurs when blood bypasses the alveoli.
Low inspired oxygen occurs when the amount of oxygen inspired is inadequate.


NEW QUESTION # 437
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