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Reliable CCRN-Adult Test Labs & CCRN-Adult Exam Actual Questions
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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 4
- 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 5
- 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 (Q231-Q236):
NEW QUESTION # 231
A patient admitted with a diagnosis of pneumonia has a temperature of 103.2° F (39.5° C) and copious pulmonary secretions. ABG results drawn on room air are:
The nurse should expect that hemoglobin's affinity for oxygen in this patient to be
- A. increased.
- B. unpredictable.
- C. unchanged.
- D. decreased.
Answer: D
Explanation:
The patient's ABG results indicate respiratory acidosis (pH 7.33, PaCO2 48 mm Hg) with a slightly elevated temperature (103.2° F). In the context of fever and acidosis, hemoglobin's affinity for oxygen decreases, a phenomenon described by the Bohr effect. This means that hemoglobin will release oxygen more readily to the tissues. Factors like increased temperature and acidosis cause a rightward shift in the oxyhemoglobin dissociation curve, reducing the affinity of hemoglobin for oxygen.References: = CCRN Exam Handbook, page 44
NEW QUESTION # 232
In the management of a patient with Acute Respiratory Distress Syndrome (ARDS), the MOST appropriate ventilator settings include using tidal volumes of:
- A. 6-8 mL/kg
- B. 4-6 mL/kg
- C. 2-4 mL/kg
- D. 8-10 mL/kg
Answer: B
Explanation:
The goal in Acute Respiratory Distress Syndrome (ARDS) management is to achieve and maintain adequate oxygenation while avoiding barotrauma. Numerous studies have determined the most appropriate ventilator settings to ensure lung protection consists of using small tidal volumes of 4-6 mL/kg to prevent volutrauma, and higher PEEP (Positive End-Expiratory Pressure) levels to recruit alveoli. In addition, the FiO2 should be set to achieve a goal of PaO2 of 60 mm Hg or greater.
NEW QUESTION # 233
Intracranial aneurysms usually occur in the:
- A. pituitary gland
- B. aorta
- C. circle of Willis
- D. subarachnoid space
Answer: C
Explanation:
Subarachnoid Hemorrhage (SAH) can result from trauma, aneurysm, or other vascular malformations.
Intracranial aneurysms usually occur in the circle of Willis at arterial bifurcations or trifurcations.
Aneurysms vary in size and shape; saccular (berry) aneurysms are the most common and most amenable to treatment. When an intracranial aneurysm ruptures, blood is forcibly expelled into the subarachnoid space and coats the brain surfaces.
In addition to an aneurysm that can occur in important arteries such as those supplying blood to the brain (intracranial or cerebral aneurysm), they can also occur in the aorta, the main artery that carries oxygen-rich blood from the heart to the body.
NEW QUESTION # 234
The critical care nurse should expect renal trauma if a patient presents with which of the following findings?
- A. Hematoma in the flank region
- B. Dysuria
- C. Oliguria
- D. Anuria
Answer: A
Explanation:
A nurse would expect renal trauma if a patient presents with a hematoma in the flank region. Other signs and symptoms of renal trauma include:
* Abdominal rigidity
* Flank pain that increases with movement and that radiates to the groin
* Frank or microscopic hematuria
* Hypotension or hypovolemic shock (if significant blood loss occurs)
* Swelling or a mass in the flank
Oliguria may occur following a renal trauma, but is not normally an indicator of renal trauma.
NEW QUESTION # 235
Which of the following BEST defines the concept of clinical inquiry?
- A. A patient seeking clarification on teaching
- B. Any clinician asking any kind of clinical question needed to complete patient care
- C. The critical care nurse questioning and evaluating clinical practice
- D. A learning trait that is specific to nursing students or other clinical students
Answer: C
Explanation:
Clinical inquiry is one of the eight AACN Synergy Model competencies and is defined as questioning and evaluating clinical practice to provide informed practice. Clinical inquiry does not simply refer to asking clinical questions, and is not a central part of patient teaching or learning as a student.
NEW QUESTION # 236
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