QUIZ AACN - ACCURATE CCRN-ADULT - CCRN (ADULT) - DIRECT CARE ELIGIBILITY PATHWAY LATEST EXAM

Quiz AACN - Accurate CCRN-Adult - CCRN (Adult) - Direct Care Eligibility Pathway Latest Exam

Quiz AACN - Accurate CCRN-Adult - CCRN (Adult) - Direct Care Eligibility Pathway Latest Exam

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Tags: CCRN-Adult Latest Exam, CCRN-Adult Practice Exam, CCRN-Adult Valid Exam Sample, CCRN-Adult Printable PDF, Practice CCRN-Adult Mock

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AACN CCRN-Adult Exam Syllabus Topics:

TopicDetails
Topic 2
  • 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
  • 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 (Q468-Q473):

NEW QUESTION # 468
The critical care nurse suspects that a patient may be developing a thyrotoxic crisis. Which of the following considerations for this condition is CORRECT?

  • A. Thyrotoxic crisis is unlikely to be fatal, but can lead to unpleasant symptoms
  • B. Synthroid is the main component of initial treatment
  • C. Thyrotoxic crisis is most likely to be seen in someone who was diagnosed with a thyroid disease at least 10 years previously
  • D. Emergency management includes immediate administration of beta-blockers

Answer: D

Explanation:
Thyroid storm or thyrotoxic crisis is a life-threatening emergency with mortality up to 30% (highly likely to be fatal). It is a rare condition in developed countries, typically seen with undiagnosed or under- treated hyperthyroidism.
If a patient is experiencing this condition, emergency management involves immediate administration of beta-blockers (propranolol, esmolol) to blunt the sympathetic nervous system receptors, plus medications that block thyroid synthesis and release of more thyroid hormone (methimazole, propylthiouracil).
Synthroid is the main component of treating hypothyroidism; therefore, it would only exacerbate a thyrotoxic crisis.


NEW QUESTION # 469
Hallmarks of an acute asthma exacerbation include:

  • A. decreased mucus production and bronchospasm
  • B. wheezing and decrease in mucosal edema
  • C. decrease in mucosal edema and bronchospasm
  • D. bronchospasm and increased mucus production

Answer: D

Explanation:
Asthma exacerbations are primarily due to uncontrolled airway inflammation due to a mediator release from mast cells of histamine, leukotrienes, and prostaglandins that contract the smooth muscle. This pathology results in severe bronchospasm and increased mucus production present during severe asthma exacerbations. Increased mucosal edema causes inflammation. Symptoms include a progressive increase in shortness of breath, coughing, wheezing, and decrease in expiratory airflow.


NEW QUESTION # 470
A patient presents to the emergency department after overdosing on propranolol. What antidote(s) would be indicated for this?

  • A. Kelocyanor
  • B. Sodium bicarbonate
  • C. Digibind
  • D. Glucagon and calcium

Answer: D

Explanation:
Antidotes help counteract the effects of poisons by neutralizing them or by antagonizing their effects within the body. Propranolol is a beta-blocker. A beta-blocker overdose can cause severe bradycardia and make it difficult for the patient to breathe. It can also cause dizziness and trembling. Glucagon and calcium should be administered in the case of a beta-blocker (or calcium channel blocker) overdose.
Digibind is indicated in the instance of digoxin overdose. Sodium bicarbonate is used when a patient presents with a tricyclic antidepressant (TCA) overdose. In the case of a cyanide overdose, kelocyanor is the antidote used.


NEW QUESTION # 471
There are three primary causes of distributive shock. Which of the following is NOT one of these causes?

  • A. Neurologic damage
  • B. Anaphylaxis
  • C. Hypovolemia
  • D. Sepsis

Answer: C

Explanation:
Distributive shock is characterized by an abnormal placement or distribution of vascular volume. Primary causes include sepsis, neurologic damage, and anaphylaxis. In each of these situations, the pumping function of the heart and the total blood volume are normal, but the blood is not appropriately distributed throughout the vascular bed.
Massive vasodilation occurs in each of these situations for various reasons, causing the vascular bed to be much larger than normal. Due to this enlarged vascular bed, the normal circulating blood volume (approximately 5 L) is no longer sufficient to fill the vascular space, causing a decrease in BP and inadequate tissue perfusion. For this reason, distributive shock is also referred to as relative hypovolemic shock. But hypovolemia is NOT a primary cause of distributive shock.


NEW QUESTION # 472
A patient with a history of multiple hospitalizations has been diagnosed with an infection caused by Vancomycin-Resistant Enterococcus (VRE). The MOST appropriate nursing action to prevent the spread of this infection would be which of the following?

  • A. Strict adherence to contact precautions
  • B. Implementing droplet precautions
  • C. Administering appropriate antibiotics
  • D. Placing the patient in a negative pressure room

Answer: A

Explanation:
VRE is spread through direct contact, so strict adherence to contact precautions, including the use of gloves and gowns, is necessary to prevent its spread. Droplet precautions are not specifically indicated for VRE. Administering appropriate antibiotics will help treat the patient's infection, but it will not prevent transmission to others. A negative pressure room is not needed, as VRE is not airborne.


NEW QUESTION # 473
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