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Hot CCRN-Adult Exam Duration | Latest Interactive CCRN-Adult Questions: CCRN (Adult) - Direct Care Eligibility Pathway

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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 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.
Topic 4	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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q270-Q275):

NEW QUESTION # 270
A nurse is providing care to a patient diagnosed with abdominal compartment syndrome. The nurse should recognize the patient is most at risk for developing

A. increased urine output.
B. decreased intracranial pressure.
C. increased peak inspiratory pressure.
D. increased preload.

Answer: C

Explanation:
Abdominal compartment syndrome (ACS) involves increased intra-abdominal pressure, which can significantly impact various body systems. One of the major concerns is its effect on respiratory function, leading to increased peak inspiratory pressure. This happens because the elevated pressure in the abdomen can push up against the diaphragm, making it harder for the lungs to expand during inhalation. Increased urine output is unlikely as ACS usually leads to decreased renal perfusion and output. Increased preload and decreased intracranial pressure are not typically associated with ACS. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 271
A patient with a blood glucose of less than 60 mg/dl who is diaphoretic, conscious and oriented should receive:

A. 1 ampule D50 intravenously (IV)
B. 1 mg glucagon subcutaneously (SC)
C. 30 g carbohydrate by mouth
D. 15 g carbohydrate by mouth

Answer: D

Explanation:
Hypoglycemia occurs when serum blood glucose levels for fingerstick glucose < 60 mg/dL. The management of the patient with acute hypoglycemia depends on the severity of the reaction. For mild reactions, in which the patient is completely alert, and exhibiting symptoms such as diaphoresis, shakiness, tachycardia, excessive hunger, and/or anxiety, treatment includes administering 10g to 15g carbohydrate snack, obtaining a blood glucose measure ten to 15 minutes later, and administering another 10 to 15 g carbohydrate snack only if the condition does not improve. If the patient is not alert enough to swallow or unable to do so (in the case of moderate to severe reactions), injecting 1 to 2 mg glucagon IV/IM/SC, or administering IV glucose (initial bolus is 50% dextrose), followed by a continuous infusion until oral replacement is possible, is indicated.

NEW QUESTION # 272
Which of the following should the nurse expect in a patient with papillary muscle dysfunction?

A. aortic insufficiency
B. aortic stenosis
C. mitral insufficiency
D. mitral stenosis

Answer: C

Explanation:
Papillary muscle dysfunction, often resulting from myocardial infarction, can lead to mitral insufficiency (mitral regurgitation). The papillary muscles support the mitral valve, and if they are damaged, the valve may not close properly, causing blood to flow backward into the left atrium during systole. This condition is not associated with aortic stenosis, mitral stenosis, or aortic insufficiency. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 273
In hyperglycemic crisis, what is the blood glucose reduction target in the first hour of using an insulin infusion?

A. Normalize blood glucose as quickly as possible
B. Maintain blood glucose until 2 liters of crystalloid has infused
C. Decrease blood glucose by 150 to 200 mg/dL
D. Decrease blood glucose by 50 to 70 mg/dL

Answer: D

Explanation:
An insulin infusion is preferable in all hyperglycemic, critically and acutely ill patients, not just those experiencing diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic states (HHSs).
Management strategies include regular insulin at 0.15 U/kg as an IV bolus. Then, low-dose IV insulin should be initiated at a rate of 0.1 U/kg/h. If serum glucose does not fall by 50 to 70 mg/dL in the first hour, the insulin infusion should be doubled on an hourly basis until the glucose falls by 50 to 70 mg/dL.

NEW QUESTION # 274
The nurse is caring for a 32-year-old patient who was struck by a motorcycle. The patient sustained multiple injuries, including a fractured pelvis, and is in hypovolemic shock.
Which of the following treatments would be contraindicated in the management of this patient's hypovolemic shock?

A. Administration of normal saline (NS)
B. Administration of colloid solutions
C. Administration of lactated Ringer's (LR) solution
D. Administration of vasopressors

Answer: D

Explanation:
The administration of vasopressors to maintain blood pressure would be contraindicated in the management of this patient's hypovolemic shock. Treatment with vasopressors should only be considered when hypotension is resistant to volume resuscitation.
The goal of therapy in the management of hypovolemic shock is to identify the source and stop bleeding if possible, and replace circulating volume, which can be accomplished with one of the following (in large rapid boluses):
* Administration of lactated Ringer's solution
* Administration of normal saline
* Administration of colloid solutions (plasma or blood)
Control of further bleeding is essential and may require surgical intervention. Direct pressure should be applied for obvious wound sites. Type and cross-match for blood type and administer blood as needed for hypovolemic shock.

NEW QUESTION # 275
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