CCRN-Adult Certification Test Questions | CCRN-Adult Lead2pass Review
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 1
- 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 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 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 (Q335-Q340):
NEW QUESTION # 335
If a patient is suspected of having an acute hypoglycemic episode, all of the following would be appropriate as a first intervention EXCEPT:
- A. administer 6 oz. regular cola
- B. check the patient's blood glucose with a glucometer
- C. draw a STAT blood glucose level
- D. administer IV glucose or IM glucagon
Answer: C
Explanation:
Although drawing a STAT blood glucose level may be part of a number of initial interventions, it should not be the first, since results will take too long to obtain. Patients who are suffering from acute hypoglycemia are at high risk of incurring permanent neurological damage since the primary energy source for the brain is sugar. Patients who are conscious should consume a simple sugar which will absorb rapidly (10 to 15 g carbohydrate), such as cola or glucose tablets. Patients who are unconscious outside the hospital setting or without IV access in the hospital setting should receive IM glucagon.
Patients who are conscious in the hospital setting with IV access may be given IV dextrose.
NEW QUESTION # 336
A hematoma of brain tissue in which capillaries (and sometimes venules) are damaged by trauma that occurs at the site of impact is known as a(n):
- A. Epidural hematoma (EDH)
- B. Subarachnoid hemorrhage (SAH)
- C. Contrecoup contusion
- D. Coup contusion
Answer: D
Explanation:
A brain contusion (bruise) is a type of hematoma of tissue in which capillaries (and sometimes venules) are damaged by trauma, allowing blood to seep, hemorrhage, or extravasate into the surrounding interstitial tissues.
Contusions are caused by the brain impacting the inside of the skull, and may be described as:
1. Coup: occurring at the site of impact, or
2. Contrecoup: occurring opposite the site of impact
Common sites of contusions include the frontal and temporal lobes. Clinical presentation depends on the site and extent of brain injury, An EDH is bleeding located above the dura. It occurs when blood accumulates between the skull and the dura mater, the thick membrane covering the brain.
A SAH refers to bleeding within the subarachnoid space (the space between the brain and the tissue covering the brain) and can result from trauma, aneurysm, or other vascular malformation.
NEW QUESTION # 337
A patient's family disagrees with the treatment plan proposed by the healthcare team. As the patient's nurse, which of the following responses is BEST?
- A. Encouraging the healthcare team to adjust the treatment plan to meet the patient's family's expectations
- B. Suggesting the family to find another healthcare provider that they can trust
- C. Exploring the reason that the patient's family disagrees with the treatment plan
- D. Educating the patient's family on how the treatment plan works and why it is necessary
Answer: C
Explanation:
The nurse should explore the reason that the patient's family disagrees with the treatment plan. This can help the nurse determine if they have a legitimate problem that requires readjustment of the plan of care, a need for more education, or emotional stressors that need to be addressed. Educating the patient's family on how the treatment plan works and why it is necessary is only helpful if their reason for disagreeing is due to a lack of understanding. Suggesting the family find another healthcare provider that they can trust is not correct, unless their sole reason for disagreeing is due to mistrust of the care team. Encouraging the healthcare team to adjust the treatment plan to meet the patient's family's expectations is only appropriate if there is a legitimate reason for changing the care plan.
NEW QUESTION # 338
Your colleague, an experienced ICU nurse, is unfamiliar with a new piece of equipment that has been introduced to the unit. As someone who is familiar with the technology, what would be the BEST approach for you to take?
- A. Show her how to use the equipment and provide resources for further learning
- B. Give her feedback on the importance of keeping up with new technology and point out that this is her professional responsibility as an ICU nurse
- C. Write an incident report that does not name the nurse, but does highlight the inadequacies of the hosptial's education programs
- D. Respect her years of experience and let her figure out how to use it on her own
Answer: A
Explanation:
Nurses who are familiar with new technologies should support their colleagues who are not familiar with the technology by providing them with education and learning resources about the technology.
While nurses should respect the experience of other nurses, this doesn't mean they need to leave them to figure out new technologies on their own. Exposure to unfamiliar, new technologies is common in the ICU environment. The nurse should not imply that being unfamiliar with a new technology is a lack of professionalism on the part of their colleagues or imply that the hospital's education programs are inadequate, unless this is truly the case.
NEW QUESTION # 339
Which of the following is NOT a general principle for creating a teaching plan?
- A. Establish the expected outcome for the teaching.
- B. Determine the most effective teaching strategy
- C. Familiarize yourself with the content and format
- D. Make referrals that have been identified during an education session
Answer: D
Explanation:
Making referrals that have been identified during an education session is part of monitoring or following up on education that has already been provided. Formulating a teaching plan is something that occurs prior to providing the teaching. Creating a teaching plan includes establishing the expected outcome for the teaching, familiarizing yourself with the content and format, and determining the most effective teaching strategies.
NEW QUESTION # 340
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