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CCRN-Adult Test Vce Free & Top CCRN-Adult Questions

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 2

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

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

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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q208-Q213):

NEW QUESTION # 208
A 75-year-old male patient presents to the pulmonary clinic with complaints of 2 months of a cough, and increasing shortness of breath when walking. His arterial blood gases (ABGs) show the following:
* pH: 7.33
* PaCO2: 48 mmHg
* PaO2: 75 mmHg
* SaO2: 92%
* HCO3: 29 mEq/L
What does this ABG reveal?

A. Respiratory alkalosis with hypoxemia
B. Respiratory alkalosis without hypoxemia
C. Respiratory acidosis with hypoxemia
D. Respiratory acidosis without hypoxemia

Answer: C

Explanation:
Normal ABGs are as follows:
* pH = 7.35-7.45
* PaCO2 = 35-45 mm Hg
* PaO2 = 80-100 mm Hg
* SaO2 = > 95%
* HCO3 = 22-26 mEq/L
Respiratory acidosis occurs when the pH is below 7.35 and the PaCO2 is above 45 mmHg. Hypoxemia is present as the patient's PaO2 is below 80 mmHg, and SaO2 is below 95%.

NEW QUESTION # 209
What category/stage is a pressure ulcer that has full thickness of skin loss?

A. Stage II
B. Stage III
C. Deep tissue injury
D. Stage I

Answer: B

Explanation:
A stage III pressure ulcer is characterized by full thickness skin loss extending into the subcutaneous tissue. Slough/eschar may be present in the wound bed but does not obscure the depth of the wound.
A Stage II pressure ulcer has partial thickness tissue loss with a pink/red wound bed. A stage IV is full thickness of skin and tissue loss; the muscle, bone, or tendon may be present in the wound bed. A deep tissue injury is purple or maroon colored intact skin.

NEW QUESTION # 210
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?

A. Discuss the situation with the patient's healthcare power of attorney
B. Administer the treatments over his objections
C. Seek a court order to give treatment
D. Discuss his fears and explore alternative treatment options

Answer: D

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 # 211
The nurse is helping care for a patient who is suspected of having pulmonary fibrosis. Which of the following is LEAST LIKELY to help in the diagnosis of pulmonary fibrosis?

A. Lung biopsy
B. CT scan
C. Sweat chloride test
D. Pulmonary function tests

Answer: C

Explanation:
Pulmonary fibrosis is a condition in which the lungs gradually develop scar tissue that decreases lung compliance and inhibits diffusion of gasses across the alveolar membranes. A sweat chloride test is used to diagnose cystic fibrosis, not pulmonary fibrosis. High-resolution CT scan of the chest, lung biopsy, and pulmonary function tests can all be used as part of the diagnosis of pulmonary fibrosis.

NEW QUESTION # 212
When considering patient advocacy, the nurse understands which of the following is TRUE?

A. The principle of advocacy is very similar to the principle of autonomy
B. It is only a necessity when the patient is unable to make their own healthcare decisions
C. It is an essential role of the nurse
D. It is a secondary ethical principle, that may be overridden by other more important ethical principles

Answer: C

Explanation:
Advocacy is one of the core ethical principles of nursing and is essential to the role of a nurse. It refers to the use of one's own skills and knowledge to promote the interests of another. Advocacy will not be a secondary ethical principle in most situations, and should be practiced even when ethical conflicts occur.
Advocacy is always necessary for the patient, even when the patient is able to make their own decisions.
The principle of advocacy is separate from the principle of autonomy. Autonomy involves the patient's right to make their own decisions, while advocacy involves representing the patient's best interests.
These two principles may conflict at times.

NEW QUESTION # 213
......

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