CCRN-ADULT VALID BRAINDUMPS BOOK - CCRN-ADULT EXAM SIMULATIONS

CCRN-Adult Valid Braindumps Book - CCRN-Adult Exam Simulations

CCRN-Adult Valid Braindumps Book - CCRN-Adult Exam Simulations

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Tags: CCRN-Adult Valid Braindumps Book, CCRN-Adult Exam Simulations, CCRN-Adult New Exam Braindumps, CCRN-Adult Valid Dumps Ebook, Valid CCRN-Adult Test Sample

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AACN CCRN-Adult Exam Syllabus Topics:

TopicDetails
Topic 4
  • 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 6
  • 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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q205-Q210):

NEW QUESTION # 205
Which of the following clinical presentations is MOST suggestive of a subarachnoid hemorrhage?

  • A. Fluctuating level of consciousness with dilated pupils
  • B. Cyclical loss of consciousness followed by lucid intervals
  • C. Sudden severe headache with neck stiffness
  • D. Gradual onset of headache with confusion

Answer: C

Explanation:
Sudden severe headache with neck stiffness, often described as a "thunderclap" headache, is a characteristic presentation of subarachnoid hemorrhage. Gradual onset of headache with confusion is more typical of conditions like brain tumors or encephalitis. Loss of consciousness followed by a lucid interval is characteristic of an epidural hematoma, while a fluctuating level of consciousness with dilated pupils may suggest increased intracranial pressure or traumatic brain injury. Transient or prolonged loss of consciousness may occur; however, this is not as characteristic of a subarachnoid hemorrhage as a thunderclap headache.


NEW QUESTION # 206
Which of the following arterial blood gas (ABG) values indicate acute respiratory failure (ARF)?

  • A. PaO2 65, PaCO2 48, pH 7.4
  • B. PaO2 70, PaCO2 40, pH 7.34
  • C. PaO2 68, PaCO2 42, pH 7.38
  • D. PaO2 62, PaCO2 52, pH 7.30

Answer: D

Explanation:
ARF is a change in respiratory gas exchange (CO2 and O2) such that normal cellular function is jeopardized. ARF can be determined by abnormal PaO2, PaCO2, or both.
ARF may be primarily hypoxemia, with a PaO2 < 60 mm Hg, or primarily hypercapnia with a PaCO2 > 50 mm Hg and a pH ≤ 7.30. Mixed ARF refers to situations in which both hypoxemia and hypercapnia occur.
In this scenario, the PaO2 is just above 60, so we are not concerned (yet) about severe hypoxemia.
However, PaCO2 levels are above 50 and pH is sitting right at 7.30, which indicates an ARF that is primarily hypercapnia and needs immediate attention.


NEW QUESTION # 207
A 60-year-old patient has been diagnosed with a glioblastoma multiforme. The patient begins to experience severe headaches, nausea, and blurred vision. What is the MOST likely cause of these symptoms?

  • A. Hydrocephalus
  • B. Cerebral aneurysm
  • C. Subdural hematoma
  • D. Brain herniation

Answer: A

Explanation:
The symptoms are indicative of increased intracranial pressure. This could be caused by the malignancy itself, but could also be caused by hydrocephalus, a common complication of brain tumors. Brain herniation is a potential risk but typically presents with more severe neurological symptoms. Subdural hematoma and cerebral aneurysm could cause similar symptoms, but they are less likely in this clinical context than hydrocephalus.


NEW QUESTION # 208
Which of the following statements is FALSE regarding hemolytic-uremic syndrome (HUS)?

  • A. HUS is characterized by thrombocytopenia, hemolytic anemia, and renal failure
  • B. HUS is most often the result of infectious colitis and the toxin released from E. coli
  • C. Middle-aged adults are most often affected by this syndrome
  • D. Dialysis is often required for management of HUS

Answer: C

Explanation:
Hemolytic-uremic syndrome (HUS) is a rare but serious disease that affects the kidneys and blood clotting functions of infected patients. It is characterized by thrombocytopenia, hemolytic anemia, and renal failure.
HUS is most often the result of infectious colitis and the toxin released from E. coli 0157:H7. Children and older adults are most often affected by this syndrome, and will require hospitalization for supportive care including dialysis.


NEW QUESTION # 209
A non-English speaking patient in the ICU seems to be uncomfortable due to pain. How should the nurse ensure that the patient's needs are addressed promptly?

  • A. Arrange for a professional interpreter to facilitate communication
  • B. Use nonverbal cues to assess the patient's pain
  • C. Ask a hospital staff member who speaks the same language to translate
  • D. Use the FACES scale to assess the patient's pain

Answer: A

Explanation:
Arrange for a professional interpreter to facilitate communication ensures that accurate and clear communication occurs between the patient and the nurse, ensuring the best patient care. Use nonverbal cues to assess the patient's pain is not the most accurate method of accessing pain. The FACES scale can be used to assess the patient's pain if the patient has been educated on how the scale works; however, without this education being provided and verified, the FACES scale cannot be used. A professional translator is preferred over a hospital staff member to ensure accurate translation occurs.


NEW QUESTION # 210
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