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CCRN-Adult Guide Torrent - CCRN-Adult Prep Guide & CCRN-Adult Exam Torrent
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AACN CCRN-Adult Exam Syllabus Topics:
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Latest CCRN-Adult Dumps Questions - CCRN-Adult Knowledge Points
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q920-Q925):
NEW QUESTION # 920
Anginal pain related to Acute Coronary Syndrome (ACS) is BEST alleviated by which of the following interventions?
- A. Nitrates and morphine
- B. Nitrates only
- C. Nitrates, morphine, and vasopressin
- D. Morphine only
Answer: A
Explanation:
Adequate pain relief enhances coronary blood flow by decreasing the level of circulating catecholamines, therefore decreasing BP and heart rate. Nitrates dilate coronary arteries and increase blood flow, thus directly improving myocardial oxygenation. Morphine effectively vasodilates coronary as well as peripheral arteries, resulting in mild afterload reduction. These two pharmacologic agents are generally used together to relieve anginal pain. Vasopressin is not used to treat anginal pain.
NEW QUESTION # 921
A terminally ill patient who is close to death is refusing to eat or drink and has communicated they are declining oral intake because of their desire to die. The family is distressed and urges the healthcare team to intervene. What should the nurse do in this situation?
- A. Respect the patient's wishes and provide emotional support to the family
- B. Persuade the patient to eat for the sake of their family
- C. Respect the family's wishes and initiate forced feeding
- D. Contact a dietitian to create a feeding plan that the patient will agree to
Answer: A
Explanation:
Respecting the patient's autonomy and wishes is a fundamental ethical principle in nursing. Patients have a right to deny life-sustaining nutrition or hydration as they approach the end of life. The nurse should provide emotional support to the family, instead of disregarding the patient's wishes by initiating forced feeding, trying to change their mind, or involving a dietitian to provide a feeding plan which the patient is refusing. The involvement of a dietitian is unlikely to be helpful, as the patient's refusal is not based on the makeup of their diet.
NEW QUESTION # 922
Which of the following MOST significantly increases a patient's risk of hyperthyroidism?
- A. Female gender
- B. Chronic iodine deficiency
- C. Kidney disease or injury
- D. Increased metabolic rate
Answer: A
Explanation:
Females are at an increased risk of hyperthyroidism when compared to males by a factor of about ten.
Kidney disease or injury does not significantly affect the risk of hyperthyroidism, as this condition is unrelated to the kidneys. Chronic iodine deficiency causes hypothyroidism, not hyperthyroidism.
Hyperthroisim causes an increased metabolic rate, not visa versa.
NEW QUESTION # 923
Which of the following organisms is MOST LIKELY to cause community-acquired pneumonias (CAPs)?
- A. Streptococcus pneumoniae
- B. Candida albicans
- C. Escherichia coli
- D. Acinetobacter baumannii
Answer: A
Explanation:
CAPs are respiratory infections developed before hospitalization, while ventilator-associated pneumonias (VAPs) are acquired during hospitalization (hospital-acquired and ventilator-associated).
Streptococcus pneumoniae is most commonly associated with CAP, and does not commonly cause VAP.
Organisms that cause VAPs include Escherichia coli, Candida albicans, and Acinetobacter baumannii.
NEW QUESTION # 924
The nurse is caring for a patient in the ICU who becomes increasingly confused, disoriented and agitated, despite frequent reorientation. To keep the patient safe, the BEST initial intervention by the nurse is:
- A. apply soft-padded wrist and ankle restraints
- B. encourage a family member to stay with the patient
- C. minimize external stimuli and make frequent observations of the patient
- D. administer a short-acting benzodiazepine
Answer: C
Explanation:
Delirium is evidenced by disorientation, confusion, perceptual disturbances, restlessness, distractibility, and sleep-wake cycle disturbances. Due to the nature of most ICUs, the critically ill patient is at risk for the development of confusion and subsequently delirium due to sensory overload. External stimulation should be minimized and a quiet, well-lit room maintained during the day. Consistency in care providers is important, and repeating orientation cues minimizes fear and confusion. The nurse should check-in with the patient often to ensure safety.
Restraints should be discouraged because they tend to increase agitation. Medications for managing delirious behaviors are best reserved for those cases in which behavioral interventions are unsuccessful.
Family members may stay with the patient, but it is not the job of the family member to keep the patient safe; that is the primary responsibility of the healthcare team while the patient is hospitalized.
NEW QUESTION # 925
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