Valid Test CCRN-Adult Tips & CCRN-Adult Practice Exam Fee

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CCRN-Adult Practice Questions & CCRN-Adult Actual Lab Questions: CCRN (Adult) - Direct Care Eligibility Pathway

An CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) practice questions is a helpful, proven strategy to crack the AACN CCRN-Adult exam successfully. It helps candidates to know their weaknesses and overall performance. Test4Cram has hundreds of CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) exam dumps that are useful to practice in real time. The AACN CCRN-Adult practice questions have a close resemblance with the actual CCRN-Adult exam.

AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 1	Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
Topic 3	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.
Topic 5	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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q508-Q513):

NEW QUESTION # 508
Of the following, which MOST accurately describes the goal of intracranial pressure (ICP) monitoring and therapy?

A. Maintaining ICP < 15 mm Hg
B. Maintaining MAP < 70 mmHg
C. Maintaining CPP < 50 mmHg
D. Maintaining PaO2 and PaCO2 at normal levels

Answer: A

Explanation:
Early signs of increased ICP include confusion, restlessness, lethargy, disorientation, headache, nausea and/or vomiting, and visual abnormalities such as diplopia. The most important indicator of elevated ICP is change in level of consciousness (LOC).
Management focuses on early recognition, avoiding activities known to increase ICP, and aggressive treatment. The goal is to prevent further neurologic damage. In patients with invasive ICP monitoring (ICP is measured via a catheter inserted into the ventricles), treatment is usually initiated when ICP is sustained at more than 20 mm Hg. Ideally, since normal ICP is 5 to 15 mm Hg in adults, monitoring and therapy goals include keeping ICP at or below 15 mm Hg.
Cerebral perfusion pressure (CPP) should be at least 50 to 70 mm Hg. Values less than this range indicate severe hypoperfusion, ischemia, and possible irreversible tissue injury. A mean arterial pressure (MAP) less than 70 mmHg indicates decreased systemic perfusion, which leads to a decreased CPP (normal MAP ranges between 70 and 100 mm Hg).
PaO2 and PaCO2 should be maintained at normal levels unless signs of herniation are present. So, while this is an important aspect of care, it is more crucial to keep ICP at or below 15 mm Hg.
Nurses should elevate the head of the patient's bed 30 degrees to optimize ICP and CPP. Drainage of small amounts of CSF may be used to decrease ICP in patients with an intraventricular catheter.

NEW QUESTION # 509
The critical care nurse notes that a patient's central venous pressure (CVP) is currently 2 and systolic blood pressure (SBP) is 70. Based on these findings, what clinical intervention is a priority?

A. Begin a dobutamine (Dobutrex) infusion and reassess CVP
B. Begin a blood transfusion and reassess CVP
C. Begin an albumin infusion and reassess CVP
D. Administer a fluid bolus of normal saline (NS) and reassess CVP

Answer: D

Explanation:
CVP is important because it is used to approximate the right ventricular end-diastolic pressure (RVEDP).
Ventricular end-diastolic pressures, both right and left, are used to estimate cardiac function and fluid status.
A normal CVP is between 2 and 8 mm Hg. Low CVP values typically reflect hypovolemia or decreased venous return. If CVP, stroke volume (SV), and SBP are low, hypovolemia is assumed, and the priority intervention is to administer a fluid bolus of a crystalloid solution, such as NS or lactated Ringer's, in an attempt to correct the hypovolemia, followed by reassessment of CVP.
If the patient's reason for hypovolemia is due to excessive bleeding, a blood and/or albumin transfusion would be indicated, but an initial NS bolus is most appropriate in this scenario. Dobutamine may be indicated if CVP and SBP do not improve with fluid resuscitation.

NEW QUESTION # 510
Which of the following is TRUE about the cause of cardiac tamponade?

A. Cardiac tamponade may be caused by both penetrating and blunt chest trauma.
B. Cardiac tamponade is only caused by penetrating chest trauma.
C. Cardiac tamponade is only caused by blunt chest trauma.
D. Cardiac tamponade is normally caused by a pathological condition, not by chest trauma.

Answer: A

Explanation:
Chest trauma is one of the most common causes of cardiac tamponade. The chest trauma may be either penetrating or blunt trauma. Cardiac tamponade may be caused by other etiologies besides chest trauma, including pathological conditions; however, chest trauma is one of the most common causes of cardiac tamponade.

NEW QUESTION # 511
Treatment goals of the patient with severe sepsis include which of the following?

A. Maintain SaO2 between 70% to 80%
B. Maintain PaO2 between 40 and 50 mmHg
C. Minimize cardiac output
D. Decrease oxygen demand

Answer: D

Explanation:
In the management of a patient with severe sepsis, the critical care nurse should aim to decrease oxygen demand, maximize oxygen delivery, maximize cardiac output, and maintain sufficient hemoglobin (seven to nine grams of hemoglobin and 21% to 27% hematocrit).
1) Decrease oxygen demand
* Reduce tachycardia and tachypnea
* Reduce hyperthermia
* Alleviate pain
* Prevent shivering
2) Maximize oxygen delivery: the components of oxygen delivery include Cardiac Output (CO), oxygen saturation, hemoglobin, and partial pressure of oxygen. Oxygen demands are generally significantly increased in sepsis, so the goal is to decrease oxygen demand (supplemental oxygen if needed to help maintain the balance between oxygen supply and demand) by meeting the following parameters:
* Oxygen saturation (SaO2 > 90%)
* Partial pressure of oxygen (PaO2 > 60 mmHg)
3) Maximize Cardiac Output (CO): The patient with sepsis increases their CO as a compensatory response to meet increased cellular oxygen demands. Goals of maximizing CO include maintaining the following parameters:
* CVP 8-12 mmHg
* MAP > 65 mmHg
* Urine output > 0.5 ml/kg/hr
* ScvO2 70%
* SvO2 65%

NEW QUESTION # 512
Which of the following does the critical nurse recognize as an early sign of an aortic aneurysm?

A. A subtle elevation in d-dimer
B. There are not typically any early signs of aortic aneurysm
C. A subtle decrease in hemoglobin
D. A mild throbbing sensation at the aneurysm site

Answer: C

Explanation:
There are not typically any early signs of aortic aneurysm. If symptoms do occur, they are caused by compression of adjacent structures. A subtle decrease in hemoglobin, a subtle elevation in d-dimer, and a mild throbbing sensation at the aneurysm site are not recognized as early signs of an aneurysm.

NEW QUESTION # 513
......

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VALID TEST CCRN-ADULT TIPS & CCRN-ADULT PRACTICE EXAM FEE

Valid Test CCRN-Adult Tips & CCRN-Adult Practice Exam Fee