CCRN-Adult Latest Braindumps, Test CCRN-Adult Cram Review
CCRN-Adult Latest Braindumps, Test CCRN-Adult Cram Review
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Tags: CCRN-Adult Latest Braindumps, Test CCRN-Adult Cram Review, CCRN-Adult Latest Test Question, Test CCRN-Adult Sample Online, Discount CCRN-Adult Code
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q264-Q269):
NEW QUESTION # 264
A patient who survives near-drowning develops hypoxia-induced cerebral edema. Interventions should include
- A. administration of osmotic diuretics.
- B. hyperventilation to maintain PaCO2 of 40-45 mm Hg.
- C. keeping the patient flat, in a supine position.
- D. maintaining a MAP of 60-70 mm Hg.
Answer: A
Explanation:
Hypoxia-induced cerebral edema after a near-drowning incident can be managed by administering osmotic diuretics like mannitol. These medications help reduce intracranial pressure by drawing fluid out of the brain tissue and into the bloodstream, thereby alleviating cerebral edema. Maintaining a MAP of 60-70 mm Hg may not be sufficient to address the elevated intracranial pressure, keeping the patient flat could worsen cerebral edema, and hyperventilation with a PaCO2 of 40-45 mm Hg is not typically recommended for managing increased intracranial pressure as it can lead to vasoconstriction and decreased cerebral perfusion. References:
= CCRN Exam Handbook, AACN Adult CCRN Certification Review Course
NEW QUESTION # 265
What is the MOST common cause of portal hypertension?
- A. Cirrhosis
- B. Hepatitis
- C. Acetaminophen use
- D. Autoimmune disease
Answer: A
Explanation:
Portal hypertension occurs when the hydrostatic pressure is greater than ten mmHg within the portal venous system. This is a result of the disruption of the normal liver lobular system, which impedes blood flow into, through, or out of the liver.
Ascites is the accumulation of protein-containing (ascitic) fluid within the peritoneal cavity. Many disorders can cause ascites, but the most common is high blood pressure in the veins that bring blood to the liver (portal hypertension), which is usually due to cirrhosis.
NEW QUESTION # 266
A patient is preparing for a surgery where about 4% of one lung will be removed. Which of the following terms BEST describes this surgery?
- A. Wedge resection
- B. Pneumonectomy
- C. Bronchoscopy
- D. Lobectomy
Answer: A
Explanation:
A wedge resection is the removal of a small, wedge-shaped section of the lung. While there are multiple types of procedures that involve removing a small piece of the lung, this procedure is the only answer that correctly fits a surgery where a small portion of the lung is removed. A lobectomy involves removal of an entire lobe of a lung. A pneumonectomy is removal of an entire lung. A bronchoscopy is an endoscopic exam performed through the trachea, not a surgical procedure.
NEW QUESTION # 267
A critical care nurse notices an order that seems appropriate for the patient's situation, but does not completely make sense to the nurse. Which of the following AACN Synergy Model Competencies should primarily guide the nurse's next actions?
- A. Collaboration
- B. Caring practices
- C. Clinical inquiry
- D. Facilitation of learning
Answer: C
Explanation:
The eight components of the AACN Synergy Model are:
* Clinical judgement
* Advocacy and moral agency
* Caring practices
* Collaboration
* Systems thinking
* Response to diversity
* Facilitation of learning
* Clinical inquiry
Clinical inquiry is most appropriate to this situation, as the nurse should question and evaluate their practice to ensure that they are delivering optimal care and to fill any knowledge deficit that they might have on the topic they are unclear on.
NEW QUESTION # 268
A patient is brought into the emergency department after being evacuated from a house fire. Due to a large amount of smoke the patient inhaled during exposure, the physician is concerned about cyanide toxicity. The nurse anticipates administering which of the following medications as a reversal agent for cyanide overdose/toxicity?
- A. Naloxone
- B. Flumazenil
- C. Sodium bicarbonate
- D. Kelocyanor
Answer: D
Explanation:
Kelocyanor is the antidote for cyanide and helps to counteract the effects of cyanide by neutralizing or antagonizing its effects. Flumazenil is a benzodiazepine antagonist. Naloxone works to reverse opiate overdose, and sodium bicarbonate is the antidote for tricyclic antidepressant poisoning.
NEW QUESTION # 269
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