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Latest CCRN-Adult Exam Experience - Reliable CCRN-Adult Study Notes

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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.

Topic 3

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 6

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 7

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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CCRN-Adult Actual Real Questions & CCRN-Adult Test Guide & CCRN-Adult Exam Quiz

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q119-Q124):

NEW QUESTION # 119
A patient has just been admitted to the critical care unit with a diagnosis of gastrointestinal bleeding.
She is alert and oriented; however, she is very nauseated and adamant about needing to call her sister.
The nurse says that she will call the sister to notify her of the admission. During the admission history, the nurse would like to assess the patient's belief related to her admitting diagnosis.
What question would provide the nurse with information for understanding the patient's cultural beliefs related to her diagnosis?

A. Does anyone else in your family have this bleeding problem?
B. Why do you think you are sick?
C. When did you experience your first symptoms?
D. Do you consume alcohol on a regular basis?

Answer: B

Explanation:
All cultures have systems of health beliefs to explain what causes illness, how it can be cured or treated, and who should be involved in the process. Cultural issues play a major role in patient understanding and compliance with their specific diagnosis. Thus, the best way to assess the patient's cultural beliefs related to the diagnosis is to simply ask why she believes she is sick.
The other questions are an appropriate and relevant part of their medical history, but they will not address her cultural beliefs.

NEW QUESTION # 120
All postoperative cardiac surgical patients typically develop:

A. hypertension
B. chronic chest pain
C. pericarditis
D. hypokalemia

Answer: C

Explanation:
Pericarditis is a chronic or acute inflammation of the pericardium. Acute pericarditis typically follows another disease process or cardiac surgery and usually resolves within six weeks. Pericarditis can occur due to:
* Infections (viral and bacterial)
* Cardiac surgery
* Rheumatic disease
* Radiation therapy
* Neoplasm
* Myocardial infarction
* Uremia
* Scleroderma
Hypertension, hypokalemia, and chronic chest pain are not common manifestations in postoperative cardiac surgical patients.

NEW QUESTION # 121
Which of the following are considered advanced directives in MOST states?

A. A living will and a proxy directive
B. A living will
C. Any written or spoken statement by the patient expressing their wishes
D. A living will, a proxy directive, and a last will and testament

Answer: A

Explanation:
Advanced directives are written legal documents created by the patient and expressing their preferences for end-of-life care. Most states recognize two forms of advanced directives, a living will and a proxy directive. A last will and testament is not a legal document affecting the patient's healthcare. Written or spoken statements by the patient expressing their wishes are not considered advanced directives unless they are written statements in the form of a legally-recognized advanced directives.

NEW QUESTION # 122
The Glasgow Coma Scale (GCS) is a tool to measure neurologic status and level of consciousness (LOC) in a critically ill patient. Response is determined in three overall categories. Which of the following is NOT one of these categories when assessing a patient utilizing this scale?

A. Verbal response
B. Eye opening
C. Motor response
D. Pain stimuli response

Answer: D

Explanation:
The GCS is often used to monitor neurologic status in critically ill patients, because it provides a standardized approach to assessing and documenting LOC. Response is determined in three categories:
eye opening, motor response, and verbal response.
GCS scores range from 3 to 15, with 15 indicating a patient that is alert, fully oriented, and following commands. As the GCS score decreases, the probability of a poor outcome increases.
Behavior Score
Eye Opening (E)
Spontaneous 4
To verbal stimuli 3
To pain 2
None 1
Motor Response (M)
Obeys commands 6
Localizes pain 5
Withdraws to pain 4
Abnormal flexion 3
Extensor response 2
None 1
Verbal Response (V)
Oriented 5
Confused 4
Inappropriate words 3
Incomprehensible sounds 2
None 1
*Coma score = Eye + Motor + Verbal
If a patient does not follow any of the above commands, the next step is to assess the response to pain stimuli in all four extremities.

NEW QUESTION # 123
The critical care nurse is about to administer a medication when one of their colleagues asks "Are you sure that is the correct dose?" Which of the following competencies from the AACN's Synergy Model is the nurse's colleague exhibiting?

A. Clinical inquiry
B. The nurse's colleague is not exhibiting an AACN Synergy Model competency
C. Systems thinking
D. Clinical judgement

Answer: A

Explanation:
Clinical inquiry refers to the process of questioning and evaluating clinical practice. By double-checking a dose that could be incorrect, the nurse's colleague is exhibiting clinical inquiry. Systems thinking refers to reasoning that improves the overall care delivery system. Clinical judgement refers to clinical reasoning. While the nurse's colleague has probably employed clinical judgment, it is not possible to say that they are exhibiting this competency without understanding why they have asked to double check the dose.

NEW QUESTION # 124
......

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