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Reliable CCRN-Adult Test Question & Sure CCRN-Adult Pass

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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 3	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 4	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

Details

Topic 3

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 4

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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q415-Q420):

NEW QUESTION # 415
Patients with gastrointestinal (GI) bleeding are at GREATEST risk of developing which of the following?

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

Answer: A

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 # 416
EMS arrives at the emergency department with a patient who swallowed around 175 mL of a caustic lye- based cleaning solution approximately 45 minutes prior.
Which treatment should be initiated IMMEDIATELY upon arrival?

A. Histamine blocker
B. Milk
C. Activated charcoal
D. Diuretics

Answer: B

Explanation:
A small amount of milk or water (5-6 ounces) will dilute a caustic substance such as a lye-based cleaning solution.
Activated charcoal is not recommended for patients who have ingested caustic acids and alkalis, alcohols, lithium, or heavy metals, because it does not absorb them. Therefore, it would not absorb a lye-based cleaning solution.
A histamine blocker might be administered, but it is not effective in immediately reducing the harmful effects of a corrosive chemical such as lye.
Diuretics will not help to treat this ingestion

NEW QUESTION # 417
Which of the following is INCORRECT when interacting with the family of a critically ill patient?

A. Waiting to share negative news until the family is together
B. Offering realistic hope
C. Giving honest answers and information
D. Providing reassurance

Answer: A

Explanation:
The patient's family should be provided with honest answers and information in a timely manner. The nurse should be prepared to share both negative and positive news with patients' families, and negative news should not be delayed in most situations (unless this is a specific patient request).
Hope should be offered, but only if it is realistic. The patient's family should always be reassured.
Reassurance may sometimes have to be given in negative circumstances, but should still be given. For example, a family can be reassured that a patient is being kept as comfortable as possible while they pass.

NEW QUESTION # 418
A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

A. nitroglycerin, fluid infusions, and morphine
B. nitroprusside (Nipride), fluid restrictions, and transvenous pacing
C. dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix)
D. dobutamine (Dobutrex), fluid infusions, and transvenous pacing

Answer: D

Explanation:
A nurse should expect a plan of care that includes dobutamine (Dobutrex), fluid infusions, and transvenous pacing for a patient with a complicated RV infarction, as these interventions aim to improve RV function, increase cardiac output, and correct bradyarrhythmias. Dobutamine is an inotropic agent that increases myocardial contractility and reduces RV afterload1. Fluid infusions are used to optimize RV preload and maintain adequate systemic perfusion12. Transvenous pacing is indicated for patients with symptomatic bradycardia or high-grade AV block that compromise hemodynamics13. Dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix) are not appropriate for a patient with a complicated RV infarction, as they may worsen RV preload and cardiac output. Nitroprusside (Nipride), fluid restrictions, and transvenous pacing are not suitable for a patient with a complicated RV infarction, as they may cause excessive vasodilation and hypotension. Nitroglycerin, fluid infusions, and morphine are not optimal for a patient with a complicated RV infarction, as they may reduce RV preload and increase RV ischemia.

NEW QUESTION # 419
Which of the following statements made about aortic dissection by a student nurse requires correction by the critical care nurse?

A. "Aortic dissection occurs when the inner wall of the aorta is disrupted."
B. "Aortic dissection can decrease hemoglobin and hematocrit."
C. "Aortic dissection is not life-threatening if it does not rupture."
D. "Aortic dissection can cause dyspnea or extremity weakness."

Answer: C

Explanation:
Aortic dissection can create a false lumen that compresses the aortic lumen, leading to obstruction of the aorta. For this reason, aortic dissection can be life-threatening even if rupture does not occur. Aortic dissection does occur when the inner wall of the aorta is disrupted. It can decrease hemoglobin and hematocrit. Aortic dissection can cause dyspnea or extremity weakness, amongst other symptoms.

NEW QUESTION # 420
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