AACN CCRN-ADULT FREE STUDY MATERIAL, CCRN-ADULT CERTIFICATION TEST ANSWERS

AACN CCRN-Adult Free Study Material, CCRN-Adult Certification Test Answers

AACN CCRN-Adult Free Study Material, CCRN-Adult Certification Test Answers

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Tags: CCRN-Adult Free Study Material, CCRN-Adult Certification Test Answers, CCRN-Adult Reliable Exam Pass4sure, Valid CCRN-Adult Test Pattern, Reliable CCRN-Adult Test Guide

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Actual4test online digital CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) exam questions are the best way to prepare. Using our CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) exam dumps, you will not have to worry about whatever topics you need to master. To practice for a AACN CCRN-Adult certification exam in the software (free test), you should perform a self-assessment. The AACN CCRN-Adult Practice Test software keeps track of each previous attempt and highlights the improvements with each attempt. The CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) mock exam setup can be configured to a particular style or arrive at unique questions.

AACN CCRN-Adult Exam Syllabus Topics:

TopicDetails
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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q504-Q509):

NEW QUESTION # 504
Gastric lavage may be considered for patients with life-threatening ingestions within what time frame from toxic ingestion?

  • A. Within one hour
  • B. Within 90 minutes
  • C. Within two hours
  • D. Within four hours

Answer: A

Explanation:
Gastric lavage may be considered for patients with life-threatening ingestions as long as it is administered within one hour of ingestion.
Gastric lavage decreases ingestant absorption of the toxin(s), and significant amounts of the drug can be recovered the closer that lavage is performed to ingestion. This method is contraindicated in corrosive ingestions due to the risk of gastroesophageal perforation. It is also contraindicated with hydrocarbons due to the risk of aspiration-induced hydrocarbon pneumonitis.


NEW QUESTION # 505
A patient presents to the emergency department after overdosing on propranolol. What antidote(s) would be indicated for this?

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

Answer: B

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 # 506
An ICU nurse learns that a patient who is not able to make decisions for themselves has a Do Not Resuscitate (DNR) order, but the patient's family asks the nurse to resuscitate if the patient's condition deteriorates. What is the appropriate action for the nurse?

  • A. Follow the family's wishes and rescind the DNR
  • B. Follow the patient's wishes and maintain the DNR order
  • C. Review the patient's other existing legal paperwork
  • D. Have the family sign a form revoking the DNR order

Answer: C

Explanation:
The nurse should review the patient's other existing legal paperwork for a healthcare power of attorney to review who is legally entitled to make decisions for the patient while they are unable to make decisions for themselves. This person may not necessarily be a family member or may not be in agreement with the rest of the patient's family. Following the family's wishes is not appropriate unless they are legally entitled to make decisions for the patient. While the patient's wishes should be followed, a healthcare POA (Power of Attorney) may override a DNR signed by the patient.


NEW QUESTION # 507
Your patient is admitted following a severe traumatic brain injury. They have bilateral periorbital ecchymosis. Which of the following is the MOST LIKELY cause of this condition?

  • A. Depressed skull fracture
  • B. Basilar skull fracture
  • C. Epidural hematoma
  • D. Subdural hematoma

Answer: B

Explanation:
Basilar skull fractures involve the base of the skull, including the anterior, middle, or posterior fossa.
Clinical manifestations include periorbital ecchymosis (raccoon's eyes), mastoid ecchymosis (Battle's sign), rhinorrhea (blood leaking from the nose), otorrhea (CSF or blood leaking from the ears), hemotympanum (blood behind the tympanic membrane), conjunctival hemorrhage, and cranial nerve dysfunction. A basilar skull fracture is frequently associated with CSF leak from either the nose or from the ears.
An Epidural Hematoma (EDH) or Subdural Hematoma (SDH) will result in acute neurological deficits and can result in a herniation syndrome. A depressed skull fracture can increase the risk of CNS infection but does not cause the bilateral periorbital ecchymosis.


NEW QUESTION # 508
An 82-year-old female arrives at the emergency department with complaints of abdominal cramping, nausea and diarrhe a. She has a history of renal failure and diabetes mellitus. The nurse establishes an IV line and draws the patient's blood for lab studies. The patient's serum potassium level is 6.5 mEq/L.
Which of the following ECG changes should the nurse expect in this patient?

  • A. Widened QRS complex
  • B. Prolonged QT interval
  • C. Tachycardia
  • D. Shortened PR interval

Answer: A

Explanation:
Because K+ impacts normal neuromuscular and cardiac function, these systems are carefully evaluated when hyperkalemia is suspected or confirmed (serum K+ more than 5.5 mEq/L). The predominant cardiac abnormalities are repolarization changes, which are reflected as tall, tented (peaked) T waves.
These are seen in the early phase of hyperkalemia.
As potassium levels increase, other ECG changes occur. These include:
* 5.5-6.5 mEq/L
* QT interval may shorten
* ST-segment depression
* 6.5-8.0 mEq/L
* Peaked T waves
* Widened QRS complex
* Amplified R wave
* Prolonged PR interval
* > 8.0 mEq/L
* Absence of P wave
* Progressive QRS widening
* Advanced AV block with ventricular escape rhythms, ventricular fibrillation, or asystole Bradycardia is also seen with hyperkalemia.


NEW QUESTION # 509
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