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Latest CCRN-Adult Real Exam Questions, AACN CCRN-Adult Practice Test, CCRN (Adult) - Direct Care Eligibility Pathway
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 2
- 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 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.
Topic 6
- 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 8
- 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.
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q90-Q95):
NEW QUESTION # 90
In which of the following patients would use of jejunal placement for a feeding tube over the gastric route be LEAST important when preparing to administer enteral feedings?
- A. A patient with severe gastroparesis
- B. A patient who had esophageal cancer that has undergone an esophagectomy
- C. A patient who has severely limited movement due to rheumatoid arthritis
- D. A patient who has scleroderma
Answer: C
Explanation:
Use of the gastric route to administer enteral feedings is generally safe when with low rates of aspiration, and when appropriate protocols are developed and followed. A patient with limited mobility due to rheumatoid arthritis would not require jejunal placement of a feeding tube. Jejunal placement is indicated in conditions where anatomical considerations, such as an esophagectomy, contraindicate the use of the gastric route. Diseases affecting gastric motility, such as scleroderma or severe gastroparesis, may also require jejunal feeding tube placement.
NEW QUESTION # 91
A critical care nurse is researching and implementing an evidence-based practice change in the intensive care unit. Which of the following actions BEST illustrates clinical inquiry?
- A. Asking other staff members if they support the change
- B. Instituting the change and evaluating patient feedback
- C. Performing a literature review on the proposed change
- D. Asking patients if they believe the change would be beneficial
Answer: C
Explanation:
Clinical inquiry is the ongoing process of questioning and evaluating practice throughout a nurse's career, ensuring that they provide informed practice. Performing a literature review on the proposed change is the only action that specifically illustrates clinical inquiry. Asking staff members if they support the change or patients if they believe the change would be beneficial does not demonstrate clinical inquiry. Instituting the change and evaluating patient feedback also does not demonstrate clinical inquiry.
NEW QUESTION # 92
Of the following traumatic injuries, which should be treated as the FIRST priority?
- A. Tension pneumothorax
- B. Fractured femur
- C. Scalp laceration to forehead
- D. Hypovolemic shock
Answer: A
Explanation:
Any condition involving airway or breathing is assigned the highest priority in treating trauma. In this case, a tension pneumothorax (from injury to the lung parenchyma) may result in hemodynamic collapse and should be treated first, usually by insertion of a chest tube. In emergency situations, if a chest tube insertion is not an option, a needle decompression procedure would be appropriate.
Although hypovolemic shock, a fractured femur, and a scalp injury all have the potential to be serious complications, the tension pneumothorax has the highest priority.
NEW QUESTION # 93
The drug of choice for managing a patient with status asthmaticus is:
- A. Inhaled corticosteroids
- B. Antiviral drugs
- C. Antibiotics
- D. Bronchodilators
Answer: D
Explanation:
Bronchodilators (like albuterol) are the first-line treatment for acute asthma exacerbations to reverse airway obstruction. Inhaled corticosteroids are used for long-term management of asthma, not for immediate relief. Antibiotics and antiviral drugs are used to treat infections, not asthma.
NEW QUESTION # 94
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first
- A. draft a new policy regarding visitation practices for the unit.
- B. schedule an interdisciplinary team meeting to discuss visiting hours.
- C. begin a literature search on family visitation practices.
- D. consult with medical staff to change visiting hours.
Answer: C
Explanation:
The initial step in facilitating a change in practice regarding visiting hours should involve a literature search on family visitation practices. This allows the nurse to gather evidence-based information that can support any proposed changes. After gathering sufficient evidence, the nurse can then schedule an interdisciplinary team meeting to discuss the findings, consult with medical staff, and draft a new policy if necessary. References:
CCRN Exam Handbook, AACN, page 35, section on Professional Caring and Ethical Practice.
NEW QUESTION # 95
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