Actual AACN CCRN-Adult Exam Questions–Key To Success
Actual AACN CCRN-Adult Exam Questions–Key To Success
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Tags: Valid CCRN-Adult Test Guide, CCRN-Adult Related Exams, Examcollection CCRN-Adult Dumps, CCRN-Adult Updated Demo, CCRN-Adult Exam Guide Materials
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AACN CCRN-Adult Exam Syllabus Topics:
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q553-Q558):
NEW QUESTION # 553
A patient in septic shock is treated with a dopamine (Intropin) infusion of 10 mcg/kg/min. Which of the following indicates that this intervention has been effective?
- A. decreased systemic vascular resistance and decreased MAP
- B. increased systemic vascular resistance and decreased MAP
- C. increased systemic vascular resistance and increased MAP
- D. decreased systemic vascular resistance and increased MAP
Answer: C
Explanation:
Dopamine, when administered at a dose of 10 mcg/kg/min, acts primarily as an alpha-adrenergic agonist, leading to vasoconstriction. This results in increased systemic vascular resistance (SVR) and increased mean arterial pressure (MAP), which are desired outcomes in the treatment of septic shock. This effect helps improve perfusion to vital organs and stabilize hemodynamics in patients with septic shock. References: =
* CCRN (Adult) Certification Review Course Online: Cardiovascular and Hemodynamics.
* 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 # 554
Which of the following BEST describes the risk of osteomyelitis associated with pressure injuries?
- A. Stage 4 pressure injuries
- B. Deep tissue injury
- C. Pressure injuries do not increase the risk of osteomyelitis
- D. Any stage of pressure injury
Answer: A
Explanation:
Osteomyelitis is an infection of the bone. Stage 4 pressure injuries are the only form of pressure injury in which the bone is exposed and osteomyelitis is most likely to occur with this form of pressure injury.
Deep tissue injuries may extend down to the bone; however, the skin is still intact in these injuries, making osteomyelitis unlikely.
NEW QUESTION # 555
Assessment of a patient with a head injury reveals increased muscle tone and contractured positioning of the upper extremities. A nurse should
- A. consult a physical therapist regarding appropriate positioning.
- B. recognize that contractures are an expected response after a head injury.
- C. obtain an order for a muscle relaxer.
- D. use wrist restraints to maintain upper extremity extension.
Answer: A
Explanation:
In patients with head injuries, increased muscle tone and contractured positioning (such as decorticate or decerebrate posturing) are signs of significant neurological impairment. It is essential to manage these symptoms to prevent further complications. Consulting a physical therapist is the best course of action to ensure appropriate positioning, prevent contractures, and manage spasticity effectively. References: = CCRN Exam Handbook and AACN's Certification Review Course materials.
NEW QUESTION # 556
The patient in renal failure is MOST LIKELY to suffer from which of the following hematological problems?
- A. Polycythemia
- B. Leukocytosis
- C. Anemia
- D. Agranulocytosis
Answer: C
Explanation:
The kidney is responsible for the production of erythropoietin, which acts on the bone marrow to increase production of RBCs. Iron, folic acid, and Vitamin B-12 are also needed for RBC production. A patient in renal failure is most likely to suffer from anemia because of the reduced production of the hormone erythropoietin.
The pluripotent stem cells in the bone marrow give rise to all white blood cells, including granulocytes and leukocytes. Polycythemia is a condition in which too many cells are produced in the bone marrow.
This is a response to low oxygen levels or malignancy (rare).
NEW QUESTION # 557
Of the following, which Pulmonary Artery Pressures (PAP) are within normal limits?
- A. PAP = 35/25
- B. PAP = 29/18
- C. PAP = 23/14
- D. PAP = 26/22
Answer: C
Explanation:
Normal Pulmonary Artery Systolic Pressure (PASP) is between 15 and 25 mmHg. Normal Pulmonary Artery Diastolic Pressure (PADP) is between 10 and 15 mmHg.
Pulmonary artery mean (PAM) is: [PASP + (2 x PADP)]/3 = 15-20 mmHg
NEW QUESTION # 558
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