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CCRN-Adult exam dumps & CCRN-Adult prep4sure training

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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 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 (Q989-Q994):

NEW QUESTION # 989
The nurse is caring for a patient in the PACU immediately following cardiac catheterization. The nurse notes a large hematoma forming at the catheter site secondary to arterial damage. All of the following are appropriate nursing interventions EXCEPT:

A. Compress the artery just above the incision site
B. Monitor for hypotension, tachycardia, or arrhythmia
C. Continue heparin infusion
D. Lower the head of bed (HOB) to < 30 degrees

Answer: C

Explanation:
Treatment for local bleeding due to catheter site artery damage (hemorrhage, hematoma, pseudoaneurysm) includes:
* Keeping the patient flat with the Head of the Bed (HOB) < 30 degrees
* Compression of artery just above the incision (pedal pulse should be faint)
* Monitoring for hypotension, tachycardia, or arrhythmia
* Discontinue unfractionated heparin infusion if present
Embolectomy or vascular repair may be deemed necessary following an ultrasound of the groin region.

NEW QUESTION # 990
Which type of generalized seizure is characterized by sudden loss of muscle tone, and is also called drop attacks?

A. Atonic
B. Myoclonic
C. Clonic
D. Tonic

Answer: A

Explanation:
Generalized seizures are characterized by abnormal electrical discharge that rapidly affects both hemispheres. There are several types of generalized seizures:
* Absence: Sudden lapse of consciousness and activity that lasts three to 30 seconds; commonly described as a staring spell
* Myoclonic: Sudden, brief muscle jerking of one or more muscle groups. Commonly associated with metabolic, degenerative, and hypoxic causes
* Atonic (also called drop attacks): Sudden loss of muscle tone
* Clonic: Rhythmic muscle jerking
* Tonic: Sustained muscle contraction
* Tonic-clonic: Muscle activity varies between sustained contraction and jerking

NEW QUESTION # 991
A critical care nurse finds that patients in the unit are often distressed due to the noise level. Which response by the nurse BEST demonstrates systems thinking?

A. Initiate a discussion with other nurses about noise reduction strategies
B. Providing earplugs to all patients in the unit
C. Recognizing that noise is part of the ICU environment and cannot be avoided
D. Putting together an interdisciplinary team to address the issue

Answer: D

Explanation:
Systems thinking involves leveraging a body of knowledge to manage the environment and system resources for patients and their families. Putting together an interdisciplinary team takes into consideration the entire system and how it impacts the patient, not just the unit itself. Providing earplugs to all patients in the unit or discussing strategies with other nurses does not demonstrate systems thinking or the leveraging of an interdisciplinary approach. Recognizing that noise cannot be avoided is not correct, as measures can be taken to mitigate this issue.

NEW QUESTION # 992
A nurse is caring for a non-English speaking patient. Which of the following is the BEST method for effective teaching?

A. Provide written material in their preferred language
B. Teach an English-speaking family member and have them both apply the information and pass it on to the patient
C. Use simple English words and terms, speaking slowly and accompanying verbal instructions with images and hand motions
D. Use a professional interpreter while educating the patient

Answer: D

Explanation:
Using an interpreter best ensures the information is accurately conveyed in a language the patient understands, thus facilitating learning. Providing written material in their own language is not as interactive as verbal instruction and does not allow for questions to be addressed. While teaching the family can be helpful, it should not replace direct patient education. Trying to communicate in English, even if other methods are used to augment the verbal component of education, is not correct if the patient does not speak English.

NEW QUESTION # 993
Examination of a patient exhibiting Kernig's and Brudzinski's signs indicates which of the following?

A. adrenal insufficiency
B. autonomic hyperreflexia
C. meningeal irritation
D. increased intracranial pressure

Answer: C

Explanation:
Kernig's and Brudzinski's signs are classic clinical indicators of meningeal irritation, commonly associated with conditions such as meningitis. Kernig's sign is positive when there is resistance and pain upon extending the knee from a flexed position, and Brudzinski's sign is positive when flexion of the neck causes involuntary flexion of the hips and knees. These signs are not indicative of autonomic hyperreflexia, adrenal insufficiency, or increased intracranial pressure. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 994
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