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The Best CCRN-Adult Certification Exam Infor & Leading Offer in Qualification Exams & Free Download CCRN-Adult: CCRN (Adult) - Direct Care Eligibility Pathway

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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 2

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 5

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.

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The AACN CCRN-Adult certification exam is an industrial-recognized CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certificate that is designed to validate candidates' skills, experience, and knowledge quickly. The CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification exam has been inspiring AACN professionals since its beginning. Now this CCRN-Adult certification exam has become solid proof of certain skills set and knowledge.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q413-Q418):

NEW QUESTION # 413
A student nurse comes to the critical care nurse concerned that a patient's PICC line is infiltrating. Which of the following considerations MOST guides the critical care nurse's response?

A. Intact PICC lines almost never infiltrate.
B. If the patient's PICC line is infiltrating, surgery will likely be necessary.
C. PICC lines only typically infiltrate within the 24 hours immediately after their insertion.
D. The medications administered in PICC lines are likely to cause localized tissue death if infiltration occurs.

Answer: A

Explanation:
A Peripherally Inserted Central Catheter (PICC) is inserted into a vein peripherally then advanced into the superior vena cava. Infiltration occurs in IVs when the catheter slides out of the vein into the tissues around the insertion site. Because a PICC line is advanced far into a vein, the likelihood that an intact PICC line will infiltrate is very slim, as many centimeters of catheter would have to come out of the vein.
While some medications administer in PICC lines are likely to cause localized tissue death if infiltration occurs, infiltration in PICC lines is very unlikely; this is the reason that these medications are administered through PICCs.

NEW QUESTION # 414
An 82-year-old female arrives at the emergency department with complaints of abdominal cramping, nausea and diarrhe a. She has a history of renal failure and type 2 diabetes mellitus (T2DM). The nurse establishes an IV line and draws the patient's blood for lab studies. The patient's serum potassium level is 6.3 mEq/L.
During a physical assessment of this patient, which of the following signs and symptoms would be expected?

A. Tachycardia
B. Increased deep tendon reflex (DTR) response
C. Palpitations
D. Narrowed QRS complex

Answer: C

Explanation:
Serum potassium (K+) impacts normal neuromuscular and cardiac function. Hyperkalemia is diagnosed with serum K+ levels > 5.5 mEq/L (normal values range from 3.5-5.5 mEq/L).
A nurse would expect this patient with hyperkalemia to have chest pain, palpitations, dyspnea, vague muscle weakness, mental confusion, nausea, diarrhea, cramping, flaccid paralysis and decreased DTRs.
The muscle weakness would most likely originate in the legs and travel to the trunk.
Other cardiac abnormalities include bradycardia, tall/peaked T waves, a shortened QT interval, slowed intraventricular conduction, and a widened QRS complex.

NEW QUESTION # 415
The family of a non-English speaking patient insists on translating the medical information instead of using a hospital interpreter. How should the nurse respond to this request?

A. Ask for a professional translator to verify this is the patient's wish, then allow the family to translate once approved
B. Allow the family to interpret to respect their cultural norms
C. Have a hospital staff member fluent in the language interpret if possible
D. Insist on using a professional interpreter

Answer: D

Explanation:
A professional interpreter should be used to ensure accurate translation and understanding of medical information. Allowing the family to interpret can lead to miscommunication due to a lack of medical knowledge or bias. A professional translator should not be substituted with a hospital staff member. A professional translator should be used, even if the patient is able to verify they are okay with their family translating, as having a family member translate is not the best practice.

NEW QUESTION # 416
A patient is admitted with a traumatic brain injury. During assessment, a nurse notes increased urinary output from the catheter. Which of the following should the nurse suspect?

A. cerebral salt wasting
B. nephrogenic diabetes insipidus
C. syndrome of inappropriate antidiuretic hormone (SIADH)
D. central diabetes insipidus

Answer: D

Explanation:
brain injury (TBI) is most suggestive of central diabetes insipidus (DI). This condition is caused by damage to the hypothalamus or pituitary gland, leading to insufficient secretion of antidiuretic hormone (ADH). The result is an inability to concentrate urine, leading to polyuria (excessive urine output) and potentially significant dehydration and electrolyte imbalances if not managed appropriately. References: =
* CCRN (Adult) Certification Review Course Online: Neurological Disorders and Endocrine Emergencies.
* American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved from AACN CCRN Exam Handbook
* Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN

NEW QUESTION # 417
The critical care nurse is busy caring for a patient during a night shift and is unavailable to provide her other patient's evening bath until 0300. The unit has a nighttime sleep protocol in which patient interaction is limited between 0100 and 0500.
Which action taken by the nurse is best?

A. Skip the patient's bath as the patient should not be disturbed at this time
B. Defer the patient's bath until after 0500
C. Go ahead and give the patient's bath at 0300 if the patient approves of the plan
D. Provide a revised bath, giving the basic elements of hygiene at 0300

Answer: B

Explanation:
Lack of sleep is a huge problem for critically ill patients for many reasons, and a nighttime sleep protocol is a very helpful tool to minimize sleep disturbances.
A non-essential care intervention, such as a bath, should not be provided during this block of time.
Providing the bath (or a revised version of a bath), but allowing the patient to sleep in later, will not be an effective intervention, as other members of the healthcare team will need to perform interventions after the scheduled sleep time is over. The nurse should still attempt to provide the bath once the scheduled sleep period is over as close to 0500 as possible.

NEW QUESTION # 418
......

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