Latest CCRN-Adult Dumps Book - Valid CCRN-Adult Exam Experience
Latest CCRN-Adult Dumps Book - Valid CCRN-Adult Exam Experience
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Tags: Latest CCRN-Adult Dumps Book, Valid CCRN-Adult Exam Experience, New CCRN-Adult Exam Question, CCRN-Adult Passing Score, Reliable CCRN-Adult Exam Price
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AACN CCRN-Adult Exam Questions in Convenient PDF Format
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q789-Q794):
NEW QUESTION # 789
Which of the following statements made by a patient indicates understanding of how a TAVR works?
- A. This will significantly improve circulation to my heart muscle.
- B. This procedure is not recommended for people who are not candidates for heart surgery.
- C. I will have an incision in the center of my chest that will eventually heal.
- D. I may have an increased risk of bleeding internally from my femoral artery afterwards.
Answer: D
Explanation:
A Transcatheter Aortic Valve Replacement (TAVR) is used to replace the aortic valve without requiring open-heart surgery. This means the patient will not have a sternotomy incision that will have to heal. A TAVR improves circulation produced by the heart, but is not designed to restore circulation to the myocardium. TAVRs are preferred in patients who are not candidates for more invasive surgeries.
NEW QUESTION # 790
Following an acute Myocardial Infarction (MI), which of the following classes of drugs may reduce mortality rates?
- A. Diuretics
- B. Beta-adrenergic blockers
- C. Nitrates
- D. ACE inhibitors
Answer: B
Explanation:
Beta-adrenergic blockers work by increasing ventricular filling time, thus decreasing heart rate; they are the only class of drugs that have been shown to reduce mortality in patients following an acute Myocardial Infarction (MI).
Diuretics (e.g., furosemide) and nitrates along with cardiac glycosides (e.g., digoxin) have been shown to improve symptoms but have not yet been shown to reduce mortality. ACE (Angiotensin-Converting Enzyme) inhibitors may be used in the medical management of a patient following an acute MI as they decrease afterload, but have also not been shown to reduce mortality.
NEW QUESTION # 791
Which of the following is a clinician-level skill, and not a systems-level intervention, for improving communication and support to caregivers in the intensive care unit (ICU)?
- A. Integrating palliative care and/or ethics teams into care for difficult cases
- B. Conducting regular, structured interprofessional family meetings
- C. Introducing all participants at family meetings
- D. Maintaining dedicated meeting spaces for family meetings
Answer: C
Explanation:
Systems-level interventions for improving communication and support in the ICU setting are interventions that go beyond interventions provided by individual clinicians and are part of the way the entire healthcare system itself responds.
System-level interventions can include:
* conducting regular, structured interprofessional family meetings
* providing printed educational materials to families
* maintaining dedicated meeting spaces for family meetings
* integrating palliative care and/or ethics teams into care for difficult cases Introducing all participants is an individual-level clinical skill. While it may be promoted as part of a system's culture, it is ultimately the responsibility of individual clinicians to do this.
NEW QUESTION # 792
Which of the following is the BEST method to assess pain in a critically ill patient who is intubated and nonresponsive?
- A. FLACC pain scale
- B. Visual analog scale (VAS)
- C. Behavioral pain scale
- D. Vital signs
Answer: C
Explanation:
When a critically ill patient is unable to indicate their pain intensity either verbally or nonverbally, nurses must often use other criteria to assess the patient's pain. Using a behavioral pain scale provides a guide for identifying and assessing pain in nonverbal patients. Two examples include the Detroit Medical Center Behavioral Pain Scale and the Behavioral Pain Assessment Tool (BPAT). These scales measure facial signs and expressions, restlessness, muscle tone, vocalization, and consolability.
Vital signs alone should not be used for pain assessment in a critically ill patient. The FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is used in children, not adults. The VAS is used with patients who are not verbal but can still communicate nonverbally.
NEW QUESTION # 793
An 82-year-old female arrives at the emergency department with complaints of abdominal cramping, nausea and diarrhe a. She has a history of renal failure and type 2 diabetes mellitus (T2DM). The nurse establishes an IV line and draws the patient's blood for lab studies. The patient's serum potassium level is 6.3 mEq/L.
During a physical assessment of this patient, which of the following signs and symptoms would be expected?
- A. Tachycardia
- B. Increased deep tendon reflex (DTR) response
- C. Narrowed QRS complex
- D. Palpitations
Answer: D
Explanation:
Serum potassium (K+) impacts normal neuromuscular and cardiac function. Hyperkalemia is diagnosed with serum K+ levels > 5.5 mEq/L (normal values range from 3.5-5.5 mEq/L).
A nurse would expect this patient with hyperkalemia to have chest pain, palpitations, dyspnea, vague muscle weakness, mental confusion, nausea, diarrhea, cramping, flaccid paralysis and decreased DTRs.
The muscle weakness would most likely originate in the legs and travel to the trunk.
Other cardiac abnormalities include bradycardia, tall/peaked T waves, a shortened QT interval, slowed intraventricular conduction, and a widened QRS complex.
NEW QUESTION # 794
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