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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 1	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 (Q471-Q476):

NEW QUESTION # 471
Which acid-base imbalance is often manifested in patients with hyperkalemia?

A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Respiratory acidosis

Answer: A

Explanation:
There are three primary causes of hyperkalemia: increased intake, decreased excretion, and redistribution of K+ from intracellular to extracellular fluid. The latter causes the acid-base imbalance of metabolic acidosis that is seen in patients with hyperkalemia (potassium excess). The most common causes of hyperkalemia in the critically ill are Acute Renal Failure (ARF), cellular destruction, and excess supplementation.

NEW QUESTION # 472
A patient with a C5 spinal cord injury calls the nurse every 15 minutes with requests for juice, water, and repositioning. Which of the following is the nurse's best response?

A. "I will check on you every 30 minutes."
B. "You are safe. Nothing will happen to you."
C. "You need to be repositioned only every 2 hours."
D. "I will get someone to sit with you."

Answer: D

Explanation:

Spinal cord injury

The patient with a C5 spinal cord injury may have anxiety, fear, or depression due to the loss of function and independence. The patient may also have difficulty breathing, swallowing, or regulating body temperature.
The patient may call the nurse frequently to seek reassurance, attention, or comfort. The nurse should respond with empathy and compassion, and provide the patient with emotional support and psychological counseling.
The nurse should also assess the patient's physical needs and provide adequate hydration, nutrition, and skin care. The nurse should not dismiss the patient's requests, ignore the patient's feelings, or limit the patient's contact with the nurse. The nurse should also not give false reassurance or minimize the patient's concerns.
Therefore, the best response is to get someone to sit with the patient, such as a family member, a friend, or a volunteer. This will help the patient feel less isolated, anxious, or depressed, and provide the patient with a sense of security and companionship.

NEW QUESTION # 473
A patient presents with sudden severe headache, vomiting, and neck stiffness. A CT scan confirms a hemorrhagic stroke. Which of the following is the MOST common risk factor for this type of stroke?

A. Hypercholesterolemia
B. Hypotension
C. Uncontrolled hypertension
D. Diabetes mellitus

Answer: C

Explanation:
Uncontrolled hypertension is the most common risk factor for hemorrhagic strokes. Hypotension and hypercholesterolemia are not commonly associated with hemorrhagic strokes, although hypercholesterolemia does increase the risk of ischemic stroke. Diabetes (D) is a risk factor for both hemorrhagic and ischemic strokes and may contribute to uncontrolled hypertension, but hypertension is the most common risk factor for hemorrhagic strokes.

NEW QUESTION # 474
The need for informed consent is guided by which of the following ethical principles?

A. Fidelity
B. Autonomy
C. Nonmaleficence
D. Justice

Answer: B

Explanation:
The intent of the informed consent process is based on the principle of autonomy. The consent process provides an individual with the necessary information to compare options and make a reasoned choice.
Patients should be thoroughly educated and informed prior to providing consent.

NEW QUESTION # 475
The nurse is caring for a newly-admitted patient in the ICU who was found unconscious on the street and was discovered to be in Diabetic Ketoacidosis (DKA) with a blood sugar of 695. The patient is homeless, has had multiple admissions for DKA, and could benefit from the use of an insulin pump, but states that they have repeatedly been told, "Those are for insured patients who can afford them." What ethical principle supports this patient's right to have an insulin pump?

A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence

Answer: A

Explanation:
The ethical principle of justice is defined as fairness, and in health care it is often applied to the manner in which goods, burdens, and services are distributed among a population. The principle of justice supports this patient's right to access an insulin pump since her socioeconomic status should not impact their ability to receive care. Nurses must advocate for equal treatment for all patients, regardless of circumstances.

NEW QUESTION # 476
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Pass Guaranteed Authoritative AACN - CCRN-Adult - Sample CCRN (Adult) - Direct Care Eligibility Pathway Questions

AACN CCRN-Adult Exam Syllabus Topics:

Exam AACN CCRN-Adult Price & CCRN-Adult Reliable Exam Pass4sure

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q471-Q476):

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