Head office:
Farmview Supermarket, (Level -5), Farmgate, Dhaka-1215
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 2
Topic 5
Topic 7
Topic 8
AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q333-Q338):
NEW QUESTION # 333
A 67-year-old man with COPD has been admitted to the ICU. He consistently refuses his respiratory treatments, stating they make him feel "trapped." What is the BEST way for the nurse to handle this situation?
Answer: A
Explanation:
Patient autonomy is a crucial aspect of ethical nursing practice. The patient has the right to refuse treatment. The nurse should try to understand the patient's fears and explore alternatives if possible.
Discussing the situation with the patient's healthcare power of attorney is not correct, as the patient's healthcare power of attorney can only make decisions for the patient if the patient is unable to make his own decisions. Seeking a court order to give treatment is not appropriate, as the patient does have the right to make their own healthcare decisions. Administering the treatments over his objections would be assault and battery.
NEW QUESTION # 334
A patient in the ICU has an advance directive indicating "Do Not Resuscitate" (DNR), but when the patient has a sudden cardiac arrest, the patient's spouse, who is their legal decision maker, insists that the nurse perform CPR. What should the nurse do in this situation?
Answer: B
Explanation:
If the patient's spouse is legally entitled to make decisions for the patient while the patient is incapacitated and the patient experiences a cardiac arrest, then the patient's spouse is legally entitled to make all medical decisions for the patient, including rescinding their DNR. The nurse must consider the DNR rescinded and perform CRP. During a cardiac arrest, there is likely not enough time to discuss the situation with the nurse's supervisor or with the ethics committee.
NEW QUESTION # 335
The MOST important variable regulating Antidiuretic Hormone (ADH) secretion is:
Answer: A
Explanation:
Antidiuretic Hormone (ADH) is produced by the hypothalamus and stored in the posterior pituitary gland at the base of the brain. ADH is normally released by the pituitary in response to sensors that detect an increase in serum osmolality, as this increase indicates dehydration. When serum osmolality is increased, ADH (which works primarily in the distal collecting tubules of the kidneys) decreases water excretion (conserving body water), thereby increasing urine concentration (osmolality), and hemodilution. This in turn corrects the increase in blood osmolality and returns these levels back to normal (thus correcting the dehydration).
NEW QUESTION # 336
The nurse is caring for a patient who has an infiltrated IV. Which of the following interventions is BEST?
Answer: A
Explanation:
Infiltration occurs when an IV catheter slips out of the vein and into the surrounding tissues, infusing the IV solution into the tissues instead of into circulation. Infiltration is only typically appreciated during an infusion.
When infiltration occurs, the first action by the nurse should be to stop the IV solution to prevent further potential injuries to the tissues. After stopping the infusion, the nurse may then assess what is infusing, administer an antidote or neutralizing agent if appropriate, and provide a warm compress to reduce the localized edema if indicated.
NEW QUESTION # 337
Which of the following is LEAST LIKELY to increase the risk of an aortic aneurism?
Answer: C
Explanation:
Aortic aneurism occurs due to weakening of the wall of the aortic artery. The pathology of cystic fibrosis is not known to significantly increase the risk of damage to the wall of the aortic artery. The stress of chronic hypertension does increase the likelihood of damage to the wall of the aorta. The pathology of Marfan syndrome predisposes patients to aortic aneurisms. Chest trauma can cause mechanical damage and weaken the aorta.
NEW QUESTION # 338
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Head office:
Farmview Supermarket, (Level -5), Farmgate, Dhaka-1215
Corporate office:
18, Indira Road, Farmgate, Dhaka-1215
Branch Office:
109, Orchid Plaza-2, Green Road, Dhaka-1215