Get AACN CCRN-Adult Dumps For Quick Study [2025]
Get AACN CCRN-Adult Dumps For Quick Study [2025]
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Reliable CCRN-Adult Braindumps and AACN Exam CCRN-Adult Answers: CCRN (Adult) - Direct Care Eligibility Pathway Finally Passed
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q132-Q137):
NEW QUESTION # 132
Diagnostic laboratory values indicative of heart failure include:
- A. decreased creatinine, elevated albumin, elevated serum sodium, decreased serum potassium
- B. decreased creatinine, decreased albumin, elevated serum sodium, elevated serum potassium
- C. elevated creatinine, decreased albumin, decreased serum sodium, decreased serum potassium
- D. elevated creatinine, elevated albumin, decreased serum sodium, decreased serum potassium
Answer: C
Explanation:
Due to the numerous conditions, both cardiac and noncardiac, that present similarly to heart failure in their clinical manifestations, a thorough initial assessment should be performed to rule out many possible diagnoses.
Lab results consistent with a diagnosis of heart failure include the following:
* Decreased red cell count (anemia)
* Elevated creatinine
* Decreased albumin
* Decreased serum sodium
* Decreased serum potassium
In addition, a chest x-ray reveals cardiomegaly and a cardiothoracic ratio > 0.5. Echocardiography reveals dilated left or right ventricle, or right atria; hypertrophied left ventricle, AV valve incompetence, diffuse or segmental hypocontractility; atrial thrombus; LVEF < 40%.
NEW QUESTION # 133
Which of the following fractures is MOST LIKELY to cause hypovolemic shock?
- A. Fractures are not likely to cause hypovolemic shock
- B. Spinal
- C. Femoral
- D. Pelvic
Answer: D
Explanation:
Fractures can cause a significant risk of hypovolemic shock due to the loss of blood that can occur with a fracture. Pelvic fractures cause the highest blood loss of any type of fracture.
NEW QUESTION # 134
Which of the following BEST describes the ethical principle that healthcare professionals should not cause harm to their patients?
- A. Nonmaleficence
- B. Veracity
- C. Fidelity
- D. Beneficence
Answer: A
Explanation:
The principle of nonmaleficence imposes the duty to do no harm. It suggests that the nurse should not knowingly inflict harm and is responsible if negligent actions result in detrimental consequences.
Beneficence affirms an obligation to promote good by actively helping others to advance and realize their interests. The rule of veracity simply means that one should tell the truth and not lie or deceive others. Fidelity is the obligation to be faithful to commitments and promises, and copyright the implicit and explicit commitments to patients, colleagues, and employers.
NEW QUESTION # 135
Which of the following best describes a burr hole?
- A. An anatomical opening in the base of the skull through which the spinal cord attaches to the skull
- B. Another name for a craniotomy
- C. A surgically-created opening in the skull
- D. An opening created by a compression fracture in the skull, secondary to trauma
Answer: C
Explanation:
A burr hole is a surgically-created hole in the skull that is used to relieve pressure or to insert cranial catheters.
The opening in the base of the skull through which the spinal cord attaches to the skull is called the foramen magnum. A craniotomy is surgical removal of part of the skull, not surgical creation of a small hole in the skull.
NEW QUESTION # 136
A 46-year-old male with a medical history of smoking and hypertension was performing heavy squats in the gym when he experienced a sudden severe headache. He came to the emergency department with complaints of a severe headache, dizziness, neck pain and stiffness, and blurred vision. He was admitted to the neuro ICU.
This patient's signs and symptoms are indicative of which of the following conditions?
- A. Subarachnoid hemorrhage (SAH)
- B. Cerebral concussion
- C. Subacute subdural hematoma (SDH)
- D. Ischemic cerebrovascular accident (CVA)
Answer: A
Explanation:
SAH can result from trauma, aneurysm, or other vascular malformations. Risk factors for intracranial aneurysm formation include smoking, hypertension, family history, and certain genetic disorders.
SAH due to the rupture of an intracranial aneurysm is often the result of an extremely strenuous workout or heavy lifting in a patient with existing risk factors. Patients with SAH experience sudden, severe headaches described as "explosive" or "the worst headache of my life." Other common signs include nausea and vomiting, stiff neck, blurred vision, mental status changes, and photophobia.
Aneurysmal SAH is more common in men until the age of 50. The incidence is higher in women after age
50 and in the overall population.
Cerebral concussions are caused by rapid acceleration-deceleration (common with MVAs) or by a sudden blow to the head.
An ischemic CVA is caused by a thrombotic or embolic event.
A subacute SDH presents with an insidious (not sudden) onset, because the brain can better compensate for this slow increase in mass. Blood collects in the subdural space over days to weeks, and symptoms include an increasingly severe headache, confusion, drowsiness, and possibly seizures.
NEW QUESTION # 137
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