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CCRN-Adult exam dumps & CCRN-Adult torrent vce & CCRN-Adult study pdf
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 2
- 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 3
- 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.
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 6
- 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 (Q858-Q863):
NEW QUESTION # 858
Which of the following statements, made by a patient regarding hypertrophic cardiomyopathy, indicates that they understand the critical care nurse's teaching on the topic?
- A. Hypertrophic cardiomyopathy results in a lower stroke volume.
- B. Hypertrophic cardiomyopathy only occurs in older adults.
- C. Hypertrophic cardiomyopathy is the least common form of cardiomyopathy.
- D. Hypertrophic cardiomyopathy is the most common form of cardiomyopathy.
Answer: A
Explanation:
Hypertrophic cardiomyopathy is caused by a thickening of the ventricular walls, decreasing the volume of the ventricles and, therefore, stroke volume. Dilate cardiomyopathy is the most common form of cardiomyopathy and restrictive cardiomyopathy is the least common form. Hypertrophic cardiomyopathy occurs in both younger and older adults.
NEW QUESTION # 859
Which of the following is TRUE regarding Intracranial Pressure (ICP)?
- A. It is normally between 50-75 mmHg
- B. An increase in ICP increases cerebral perfusion pressure
- C. It decreases when the patient is in the supine position
- D. It increases in hypoxic states
Answer: D
Explanation:
Intracranial Pressure (ICP) is the difference between Mean Arterial Pressure (MAP) and Cerebral Perfusion Pressure (CPP). ICP increases in hypoxic states. When the arterial PaO2 drops below 50 mmHg and when carbon dioxide is retained, the cerebral blood vessels dilate.
A normal CPP is between 70 and 95 mmHg (a CPP of at least 50 to 60 mmHg is necessary for adequate cerebral perfusion in adults). A normal ICP is between 0 and 15 mmHg in adults.
ICP decreases when the head of the bed is elevated 30 degrees, as this intervention allows CSF to drain more easily.
NEW QUESTION # 860
The MOST common Neuromuscular Blocking Agents (NMBA) used in the critical care setting are:
- A. depolarizing agents
- B. nondepolarizing agents
- C. anticonvulsants
- D. vasodilators
Answer: B
Explanation:
Neuromuscular Blocking Agents (NMBA) are potent muscle relaxants typically only used during surgery to prevent muscle movement and work by blocking neuromuscular transmission, causing paralysis of the muscle. Nondepolarizing agents are the most common type of NMBA used in the critical care setting; these agents block the transmission of nerve impulses by blocking cholinergic receptors, resulting in muscle paralysis. There are short, intermediate, and long-acting NMBAs available depending on the indication.
Succinylcholine is the only depolarizing agent available for clinical use and is the agent of choice for rapid intubation of the trachea. Anticonvulsants and vasodilators are not NMBAs.
NEW QUESTION # 861
A patient is admitted for hypertensive crisis. As a nurse is starting a peripheral IV, the patient appears increasingly anxious as the catheter is about to be inserted. The patient threatens to harm the nurse if the catheter insertion causes pain. Which of the following is the nurse's best action?
- A. Physically restrain the patient during the performance of the procedure.
- B. Engage the patient in a conversation and encourage him to verbalize his feelings.
- C. Tell the patient to remain still in a stern, authoritative voice.
- D. Ask another staff member to distract the patient during insertion.
Answer: B
NEW QUESTION # 862
Which of the following is LEAST LIKELY to be caused by blunt chest trauma?
- A. Beck's triad
- B. Aortic disruption
- C. Cushing's triad
- D. Flail chest
Answer: C
Explanation:
Cushing's triad is a set of symptoms that is associated with increased Intracranial Pressure (ICP). A blunt chest trauma is unlikely to cause increased ICP. Beck's triad is indicative of cardiac tamponade. Cardiac tamponade, aortic disruption, and flail chest are all possible results of blunt chest trauma.
NEW QUESTION # 863
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