100% PASS QUIZ 2025 FANTASTIC CCRN-ADULT: VALID EXAM CCRN (ADULT) - DIRECT CARE ELIGIBILITY PATHWAY PREPARATION

100% Pass Quiz 2025 Fantastic CCRN-Adult: Valid Exam CCRN (Adult) - Direct Care Eligibility Pathway Preparation

100% Pass Quiz 2025 Fantastic CCRN-Adult: Valid Exam CCRN (Adult) - Direct Care Eligibility Pathway Preparation

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q37-Q42):

NEW QUESTION # 37
A patient with end-stage COPD who has failed multiple mechanical ventilation weaning trials communicates a desire to discontinue mechanical ventilation and be extubated. Which of the following is a nurse's best response?

  • A. Explore the patient's reasons for the request and understanding of potential consequences.
  • B. Advocate with the care team for a withdrawal of treatment plan.
  • C. Refer the patient's request to the healthcare facility's ethics committee for review.
  • D. Encourage the patient to continue with current medications and attempts to wean.

Answer: A

Explanation:
The nurse's best response is to explore the patient's reasons for the request and understanding of potential consequences, as this demonstrates respect for the patient's autonomy and dignity, as well as provides an opportunity to assess the patient's decision-making capacity, goals of care, and preferences for end-of-life care. The nurse should also provide emotional support, education, and symptom management to the patient and family. Advocating with the care team for a withdrawal of treatment plan, encouraging the patient to continue with current medications and attempts to wean, or referring the patient's request to the healthcare facility's ethics committee for review are not appropriate responses, as they may undermine the patient's right to self-determination, impose the nurse's own values or beliefs, or delay the implementation of the patient's wishes.
References:
* AACN. (2023). CCRN (Adult) Exam Handbook. Retrieved from [CCRN Exam Handbook], p. 19.
* AACN. (2023). CCRN (Adult) Exam Blueprint. Retrieved from [CCRN Exam Blueprint], p. 2.
* AACN. (2020). Practice Recommendations for End-of-Life Care in the Intensive Care Unit. Retrieved from [Practice Recommendations], p. 14-15.
* NICE. (2019). End of life care for adults: service delivery. Retrieved from [NICE Guidance], p. 4.


NEW QUESTION # 38
A patient who is confused and dyspneic is admitted with ABG values that reveal hypoxemia. Results from insertion of a pulmonary artery catheter are:
PAP 38/18 mm Hg
PAOP10 mm Hg
CI 3.5 L/min/m2
These values are most indicative of

  • A. pulmonary dysfunction.
  • B. hypervolemia.
  • C. hypovolemia.
  • D. left ventricular failure.

Answer: A

Explanation:
The patient's ABG values show hypoxemia, which is a low level of oxygen in the blood. This can be caused by various pulmonary disorders that impair gas exchange, such as pneumonia, pulmonary edema, pulmonary embolism, or acute respiratory distress syndrome (ARDS). The patient's PAP (pulmonary artery pressure) is elevated, indicating increased resistance in the pulmonary circulation. This can also result from pulmonary dysfunction, as the lungs become stiff and inflamed, or from pulmonary hypertension, which is a chronic condition that affects the small arteries in the lungs. The patient's PAOP (pulmonary artery occlusion pressure) is normal, suggesting that the left ventricle is not failing and that the patient is not hypovolemic or hypervolemic. The patient's CI (cardiac index) is also normal, indicating adequate cardiac output. Therefore, the most likely cause of the patient's hypoxemia and dyspnea is pulmonary dysfunction.
References:
* AACN. (2023). CCRN (Adult) Exam Handbook. Retrieved from [CCRN Exam Handbook], p. 18.
* AACN. (2023). CCRN (Adult) Exam Blueprint. Retrieved from [CCRN Exam Blueprint], p. 2.


NEW QUESTION # 39
A patient presents with the following hemodynamics:
MAP 40 mm Hg
PAD6 mm Hg
PAOP5 mm Hg
CI1.8 L/min/m2
SVR875 dynes/sec/cm-5
Which of the following is essential in the plan of care?

  • A. loop diuretic
  • B. fluid resuscitation
  • C. whole blood
  • D. vasopressors

Answer: B

Explanation:
The patient has signs of hypovolemic shock, which is characterized by low MAP, low PAOP, low CI, and high SVR. The patient needs fluid resuscitation to restore intravascular volume and improve tissue perfusion. Loop diuretic, vasopressors, and whole blood are not indicated in this case.
References:
* Reference Guide for CCRN (Adult), page 14.
* Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online - Individual Purchase, Module 1:
Cardiovascular, Part 1: Shock.


NEW QUESTION # 40
A patient is admitted for acute benzodiazepine overdose. Nursing interventions should include administration of

  • A. flumazenil (Romazicon).
  • B. naloxone (Narcan).
  • C. sodium bicarbonate.
  • D. osmotic diuretics.

Answer: A

Explanation:
Flumazenil is a benzodiazepine antagonist that can reverse the effects of benzodiazepine overdose. It acts by competitively inhibiting the activity at the benzodiazepine receptor, thus reversing sedation and other effects caused by benzodiazepines. Sodium bicarbonate, naloxone, and osmotic diuretics are not appropriate treatments for benzodiazepine overdose. References: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.


NEW QUESTION # 41
There is an increase in catheter-associated urinary tract infections (CAUTIs) following a change in urinary catheter insertion trays. After conducting a literature review of evidence-based practices regarding indwelling catheter insertion and care, the nurse should

  • A. locate a unit in the facility that still has the original trays in stock and restock the supply closet with these.
  • B. contact the materials coordinator and request that the previous trays be re-ordered.
  • C. lead a meeting in which the results of the literature review are presented, and staff input is obtained.
  • D. share the results of the literature review with the physician team.

Answer: C

Explanation:
Conducting a literature review is an essential step in evidence-based practice. Sharing these findings with the staff and obtaining their input fosters a collaborative environment and ensures that the best practices are understood and implemented by all. This approach also helps identify any practical concerns or barriers to implementation. Simply switching back to the old trays without addressing the root cause or educating the staff may not prevent future CAUTIs. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


NEW QUESTION # 42
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