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AACN CCRN-Adult 100% Correct Answers - CCRN-Adult Reliable Test Pdf
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The CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) exam questions are the real, valid, and updated CCRN-Adult Exam Questions that are specifically designed for quick and complete CCRN-Adult exam preparation. With ValidDumps CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) practice test questions you can start AACN CCRN-Adult exam preparation immediately.
AACN CCRN-Adult Exam Syllabus Topics:
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CCRN-Adult Reliable Test Pdf, CCRN-Adult Exam Assessment
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q47-Q52):
NEW QUESTION # 47
A 43-year-old male patient is admitted to the ICU following a high-speed motor vehicle collision. He has sustained multiple fractures, a lacerated liver, and blunt chest traum a. His blood pressure is 84/49 mmHg, heart rate 112/min, and his respiratory rate is 25/min. He is becoming increasingly agitated and hypoxemic despite receiving 100% oxygen via non-rebreather mask.
Which of the following actions should the nurse prioritize?
- A. Start aggressive fluid resuscitation
- B. Expedite the insertion of an arterial line
- C. Prepare for immediate intubation
- D. Administer pain medication
Answer: C
Explanation:
The patient's increasing agitation and hypoxemia despite 100% FiO2 and the mechanisms of his injuries all indicate impending respiratory failure, which necessitates immediate intubation. While fluid resuscitation may be beneficial, it does not directly address the patient's compromised breathing and is a secondary concern to facilitating improved oxygenation. Administering pain medication is secondary to addressing the respiratory status. Insertion of an arterial line may be an important intervention but would be secondary to intubation.
NEW QUESTION # 48
A patient is preparing for a surgery where about 4% of one lung will be removed. Which of the following terms BEST describes this surgery?
- A. Bronchoscopy
- B. Lobectomy
- C. Pneumonectomy
- D. Wedge resection
Answer: D
Explanation:
A wedge resection is the removal of a small, wedge-shaped section of the lung. While there are multiple types of procedures that involve removing a small piece of the lung, this procedure is the only answer that correctly fits a surgery where a small portion of the lung is removed. A lobectomy involves removal of an entire lobe of a lung. A pneumonectomy is removal of an entire lung. A bronchoscopy is an endoscopic exam performed through the trachea, not a surgical procedure.
NEW QUESTION # 49
How is Cardiac Index (CI) calculated?
- A. By dividing the cardiac output by the patient's MAP
- B. By dividing the cardiac output by the patient's PCWP
- C. By dividing the cardiac output by the patient's weight
- D. By dividing the cardiac output by the patient's BSA
Answer: D
Explanation:
Cardiac Index (CI) is a hemodynamic parameter that relates the Cardiac Output (CO) from the left ventricle in one minute to Body Surface Area (BSA), thus relating heart performance to the size of the individual. The unit of measurement is liters per minute per square meter (L/min/m2).
Normal Cardiac Index (CI) is 2.5 to 4.3 liters/minute/m2.
(CO/BSA) / 1000 = CI
NEW QUESTION # 50
The underlying pathophysiology of disseminated intravascular coagulation (DIC) is best explained as
- A. fragmentation of erythrocytes.
- B. depletion of clotting factors.
- C. inactivation of tissue thromboplastin.
- D. depression of platelet aggregation.
Answer: B
Explanation:
Disseminated intravascular coagulation (DIC) is a condition where blood clots form excessively and block blood vessels, leading to organ damage and bleeding. The pathophysiology of DIC involves excess and unregulated thrombin generation, which consumes coagulation factors and platelets, and activates fibrinolysis1. Thus, in severe DIC there is paradoxically simultaneous thrombosis and spontaneous bleeding2.
This is due to the depletion of clotting factors, which is a key aspect of the underlying pathophysiology of DIC12.
NEW QUESTION # 51
Which of the following tests would BEST help the critical care nurse distinguish between Hyperosmolar Hyperglycemic Syndrome (HHS) and Diabetic Ketoacidosis (DKA)?
- A. CMP
- B. ABG
- C. Glucometery
- D. Urinalysis
Answer: D
Explanation:
One of the key distinguishing features between DKA and HHS is the presence of ketones in the urine, which only occurs with DKA. An arterial Blood Hases (ABG), Comprehensive Metabolic Panel (CMP), and glucometer may provide indicators of which condition is present, but checking for ketones in the urine is the most definitive test for these conditions.
NEW QUESTION # 52
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