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High Quality CCRN-Adult Test Materials - CCRN (Adult) - Direct Care Eligibility Pathway Qualification Dump

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 1

PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.

Topic 2

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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q969-Q974):

NEW QUESTION # 969
Which of the following is TRUE when using a CT scan to evaluate for cerebral ischemia?

A. Evidence of ischemia may not appear on a CT scan until 12 hours after the onset of symptoms.
B. A CT scan can only be used to rule out intracranial bleeding, not to find ischemia.
C. Only a CT scan with contrast can detect ischemia.
D. A CT scan and MRI are similarly effective in detecting ischemia.

Answer: A

Explanation:
Signs of ischemia may be very subtle and are often not detectable by CT scan until 12-24 hours after the onset of symptoms. A CT scan is much better at detecting intracranial bleeding than it is at detecting ischemia; however, it is capable of both. An MRI is more effective at detecting an ischemic than a CT scan. Contrast is not absolutely necessary to detect ischemia using a CT scan.

NEW QUESTION # 970
When assessing a patient's pupillary reaction to light, the critical care nurse knows acceptable descriptions include all of the following EXCEPT:

A. fixed
B. pinpoint
C. brisk
D. sluggish

Answer: B

Explanation:
Assessment of pupil size and reaction to light is performed in all patients and provides information about the function of cranial nerves II (optic) and III (oculomotor). Pupils are assessed for size, shape, and reaction to light. These are measured in millimeters, not described by words such as large, small, pinpoint, or blown. Reaction to light is described as brisk, sluggish, or fixed/nonreactive. Both eyes are tested for direct and consensual response.

NEW QUESTION # 971
All of the following independent nursing actions can be performed to help decrease Intracranial Pressure (ICP) except:

A. Elevate head of bed 30 degrees
B. Suction to ensure adequate oxygenation
C. Keep patient's head in the midline position
D. Apply cervical collar

Answer: B

Explanation:
Because the venous system of the brain is valveless, increased intrathoracic or intra-abdominal pressure reduces venous return and increases ICP. The nurse optimizes jugular venous return by keeping the patient's head in the midline position, elevating the head of bed 30 to 45 degrees, and ensuring that the cervical collar is applied correctly. In addition, hip flexion is minimized, and a bowel regimen is used to avoid constipation.
Stimulation (such as suctioning) is minimized, as this may increase ICP, and is performed only as clinically indicated (due to the importance of oxygenation for cerebral perfusion).

NEW QUESTION # 972
What ethical principle is defined as fairness?

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

Answer: C

Explanation:
The ethical principle of justice is defined as fairness. It is often applied to the manner in which goods, burdens, and services are distributed among a population. Justice demands that resources be fairly allocated when they are limited. Organ transplantation offers a good example of the justice principle in health care.
The principle of respect for persons or autonomy affirms the freedom and right of an individual to make decisions, and to choose actions based on that individual's values and beliefs. As an advocate, the nurse appreciates this diversity, and continues to provide care as long as the patient's choice is an informed decision and does not infringe on the autonomous action of others.
Advocacy is the duty to defend the patient and his or her family to protect the patient's wishes.
Fidelity is the obligation to be faithful to commitments and promises, and to uphold the implicit and explicit commitments to patients, colleagues, and employers.

NEW QUESTION # 973
The term "hypotension" does not have a specific definition, however, it is generally understood that that hypotension is assumed to refer to which of the following?

A. PAWP < 25 mm Hg
B. DBP < 40 mm Hg
C. MAP <65 mm Hg
D. SBP <90 mm Hg

Answer: C

Explanation:
While the danger with hypertension occurs due to the high amount of pressure exerted on the vasculature, making Systolic Blood Pressure (SBP) the most important parameter, the danger of hypotension occurs due to inadequate perfusion. Perfusion is best measured by assessing Mean Arterial Pressure (MAP), and a MAP of less than 65 mm Hg is typically used to define hypotension.

NEW QUESTION # 974
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