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CCRN-Adult Valid Test Objectives - CCRN-Adult Lead2pass
Getting the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification will highly expand your expertise. To achieve the CCRN-Adult certification you need to prepare well. CCRN-Adult exam dumps are a great way to assess your skills and abilities. CCRN-Adult Questions can help you identify your strengths and weaknesses and better understand what you're good at. You should take a CCRN-Adult Practice Exam to prepare for the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification exam. With CCRN-Adult exam preparation software, you can practice your skills and improve your performance.
AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 1
- 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 3
- 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 4
- 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 5
- CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
Topic 7
- 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 (Q365-Q370):
NEW QUESTION # 365
A 64-year-old male patient is in the ICU following a prolonged hospital stay due to severe pneumoni a. He has been successfully weaned off mechanical ventilation. However, the patient seems to have memory problems and shows signs of anxiety. What is the BEST approach to help this patient?
- A. Restrict family visits to reduce stimuli
- B. Administer benzodiazepines to alleviate anxiety
- C. Promote a normal sleep-wake cycle
- D. No interventions are necessary; these are expected findings that will resolve on their own
Answer: C
Explanation:
The patient's signs are consistent with Post-Intensive Care Syndrome (PICS), which includes cognitive, psychological, and physical problems due to hospitalization in an intensive care unit. There are several interventions that can help with PICS, one of which is promoting a healthy sleep-wake cycle. While reducing stimuli is appropriate, doing so by restricting family visits is not as it can increase anxiety and loneliness. Promoting family involvement is recommended for patients experiencing PICS. Although benzodiazepines might temporarily alleviate anxiety, they can potentially exacerbate cognitive impairment. A non-pharmacological approach is preferred to PICS.
NEW QUESTION # 366
A critical care nurse realizes that the nursing team seems to struggle with adhering to infection control practices during high work volume periods. Which response LEAST illustrates a systems thinking approach when responding to this issue?
- A. Asking environmental services to check the levels of hand sanitizers on the unit more frequently during high work volume periods
- B. Collaborating with other units to make hand hygiene a part of handoff
- C. Placing prominent signage reminding staff of the importance of hand hygiene
- D. Suggesting an infection control specialist support the unit during high work volume periods
Answer: C
Explanation:
Systems thinking is best defined as a body of knowledge that allows the nurse to manage environment and system resources for patients, families, and staff. Placing prominent signage and reminding staff of the importance of hand hygiene is a type of education and does not illustrate systems thinking. Asking environmental services to check the levels of hand sanitizers on the unit more frequently during high work volume periods, collaborating with other units to make hand hygiene a part of handoff, and suggesting an infection control specialist support the unit during high work volume periods do illustrate systems thinking.
NEW QUESTION # 367
Which of the following types of shock is characterized by an abnormal placement of vascular volume and a normal cardiac output?
- A. Distributive shock
- B. Hypovolemic shock
- C. Cardiogenic shock
- D. Obstructive shock
Answer: A
Explanation:
Distributive shock occurs as a result of poor distribution of blood to the tissues, leading to inadequate tissue perfusion. It is different from the other three categories of shock in that it occurs even though the output of the heart is at or above a normal level, but the blood is not appropriately distributed throughout the vascular bed. This type of shock is seen in spinal, septic, and anaphylactic shock. Massive vasodilation occurs in each of these situations, causing the vascular bed to be much larger than normal.
The usual volume of circulating blood is no longer sufficient to fill the vascular space, causing hypotension and inadequate tissue perfusion. For this reason, distributive shock is also known as relative hypovolemic shock.
NEW QUESTION # 368
The nurse who is caring for a patient following an esophagectomy notes new subcutaneous emphysema in the upper chest and neck. The nurse should expect an order for
- A. IV antibiotics.
- B. gastric decompression.
- C. chest tube insertion.
- D. a CT scan.
Answer: D
Explanation:
Subcutaneous emphysema (SE) is a condition where gas or air accumulates in the subcutaneous tissue layer of the skin, causing swelling and a crackling sensation when touched. SE can occur after esophagectomy, a surgical procedure to remove part or all of the esophagus, due to air leakage from the anastomosis site or the lung. SE can also be a sign of a more serious complication, such as anastomotic leakage, mediastinitis, or tracheal injury12. Therefore, the nurse should expect an order for a CT scan, which is a diagnostic imaging test that can detect the source and extent of the air leakage and any associated complications. A CT scan can also guide the appropriate management of SE, which may include conservative measures, such as increasing the suction of the chest tube, or more invasive interventions, such as surgical repair or drainage123. Chest tube insertion, IV antibiotics, and gastric decompression are not likely to be ordered for SE after esophagectomy, as they do not address the underlying cause of the air leakage or the potential complications. Chest tube insertion may be indicated for pneumothorax, but not for SE alone. IV antibiotics may be indicated for infection, but not for SE alone. Gastric decompression may be indicated for gastric distension, but not for SE alone.
NEW QUESTION # 369
You're caring for a Muslim patient who requires life-saving surgery during Ramadan. The patient is hesitant due to fasting customs during this period. Which is the MOST appropriate nursing intervention in this situation?
- A. Schedule the surgery and provide the patient with medication to ensure compliance
- B. Consult the hospital's chaplain or the patient's religious leader to discuss the situation
- C. Explain to the patient that their health is more important than their religious customs
- D. Reschedule the surgery until after Ramadan
Answer: B
Explanation:
Consulting the hospital's chaplain or the patient's religious leader to discuss the situation respects the patient's cultural and religious beliefs while providing the greatest likelihood that the necessary medical intervention is taken. Convincing the patient to disregard their customs or acting without the patient's agreement disregards ethical standards of autonomy. Postponing necessary surgery might harm the patient's health and, while it may be the intervention that is ultimately necessary, should not be the initial response.
NEW QUESTION # 370
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