AACN CCRN-Adult Exam Cram Pdf, CCRN-Adult Practice Test

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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 2	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 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	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.
Topic 8	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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q515-Q520):

NEW QUESTION # 515
Which of the following electrolyte abnormalities should the nurse anticipate in a patient with Diabetic Ketoacidosis (DKA)?

A. Hyperchloremia
B. Hypophosphatemia
C. Hypoglycemia
D. Hypercalcemia

Answer: B

Explanation:
Urinary losses of water, sodium, magnesium, calcium, and phosphorus cause an increase in serum osmolality and decreased electrolyte levels. Thus, hypophosphatemia may occur in DKA if diuresis and acidosis completely deplete phosphate levels.
Hyperglycemia is present in DKA (not hypoglycemia), which causes the osmotic diuresis discussed above and hypotonic losses, leading to fluid volume deficits and electrolyte losses.

NEW QUESTION # 516
Nursing interventions that decrease the incidence of hospital-acquired pneumonia include:

A. placing gastric tubes through the nose
B. keeping the patient NPO
C. administering systemic antibiotics
D. brushing the patient's teeth with a toothbrush

Answer: D

Explanation:
In addition to the high morbidity and mortality associated with pneumonia in critically ill patients, high priority must be given to strategies to prevent the development of hospital-acquired pneumonia, otherwise known as Ventilator-Associated Pneumonia (VAP). Evidence-based practice guidelines for the prevention of VAP include oral care involving the implementation of a comprehensive oral hygiene program that includes oral suctioning, teeth-brushing, and use of an oral chlorhexidine gluconate rinse daily.

NEW QUESTION # 517
Which of the following is MOST LIKELY to occur with dilated cardiomyopathy?

A. Suppressed A wave on the PAOP waveform
B. Increased cardiac output (CO)
C. S3/S4 heart sounds
D. Decreased RA pressures

Answer: C

Explanation:
Dilated cardiomyopathy begins with gradual destruction of the myocardial fibers, impairing myocardial contraction. As the disease progresses, cardiac output (CO) decreases as a result of left ventricle dilation, with increased blood volume in the left ventricle at the end of diastole. Ventricular compliance is reduced, increasing left ventricular filling pressures (LVEDP). This can result in S3/S4 heart sounds and dysrhythmias. Increased right ventricular filling pressures and increased atrial pressures ensue.
An S4 heart sound may develop as the atria attempts to eject blood into stiff ventricles. An elevated A wave is likely on the pulmonary artery occlusion pressure (PAOP) waveform, and elevated right atrium (RA) pressures are likely due to the dilated nature of the ventricles.

NEW QUESTION # 518
The critical care nurse's assessment of a patient reveals a positive Brudzinski sign. Which of the following is TRUE with this finding?

A. The nurse elicited the sign by flexing the patient's hip
B. A negative Brudzinski sign would have been an abnormal finding
C. This finding is only normal in newborns and young infants
D. The patient flexed their knees in response to the stimuli provided by the nurse

Answer: D

Explanation:
A positive Brudzinski sign is an indicator of meningitis and is elicited by flexing the patient's neck. A positive Brudzinski sign is noted when the patient involuntarily flexes their knees and hips is response to the stimuli. Kernig's sign, not Brudzinski sign, is elicited by flexing the patient's hip and is another indicator of meningitis. Babinski sign, not Brudzinski sign, is a normal newborn reflex. This sign is not related to meningitis.

NEW QUESTION # 519
Nursing management for a mild to moderate pulmonary contusion in the trauma patient includes all of the following interventions EXCEPT:

A. assist with chest tube insertion
B. fluid management
C. pain control
D. prepare to assist with intubation and mechanical ventilation if necessary

Answer: A

Explanation:
Insertion of a chest tube is not necessary for the management of a mild to moderate pulmonary contusion but may be indicated in the case of a severe contusion to the lung.
Appropriate treatments for a mild to moderate pulmonary contusion would include:
* Pain control
* Fluid management
* Possible intubation and mechanical ventilation to keep the lungs inflated

NEW QUESTION # 520
......

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AACN CCRN-Adult Exam Cram Pdf, CCRN-Adult Practice Test

AACN CCRN-Adult Practice Test - Practice CCRN-Adult Engine

AACN CCRN-Adult Exam Syllabus Topics:

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q515-Q520):

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