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CCRN-Adult Valid Test Cost, CCRN-Adult Pass Test

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q877-Q882):

NEW QUESTION # 877
The critical care nurse understands that hospitalization on a critical care unit is NOT LIKELY to cause:

A. Dementia
B. Depression
C. Post-traumatic stress disorder (PTSD)
D. Delirium

Answer: A

Explanation:
Dementia is a progressive, irreversible loss of intellectual or cognitive abilities, such as reasoning, math, or abstract thinking. It is most often associated with an underlying pathological condition, and is not likely to be caused by hospitalization in a critical care unit.
Delirium, PTSD, depression and anxiety are all potential conditions that may be caused by, or exacerbated by, critical care hospitalization.

NEW QUESTION # 878
In the past, the MOST commonly used drug for the prevention and treatment of delirium in critical care units has been:

A. haloperidol (Haldol)
B. succinylcholine (Anectine, Quelicin)
C. ketorolac (Acuvail, Acular)
D. dexmedetomidine (Precedex)

Answer: A

Explanation:
Haloperidol has been a popular drug in critical care units as it sedates without significant respiratory depression and is not associated with the potential development of tolerance or dependence. Potential side effects must be closely monitored and include dystonia and the potential for Neuroleptic Malignant Syndrome (NMS). While the drug is still being used to treat delirium in some critical care units, there has been no evidence that supports the use of haloperidol as a pharmacologic agent to reduce the duration of delirium. Instead, the guidelines point towards the use of dexmedetomidine to reduce the duration of delirium.
Ketorolac is a Non-Steroidal Anti-Inflammatory Drug (NSAID) used for short-term treatment of moderate to severe acute pain. Succinylcholine is a depolarizing Neuromuscular Blocking Agent (NBA) used to obtain, protect, and maintain a safe, secure airway and to assist with mechanical ventilation.

NEW QUESTION # 879
Which of the following is TRUE regarding Intracranial Pressure (ICP)?

A. It decreases when the patient is in the supine position
B. It is normally between 50-75 mmHg
C. An increase in ICP increases cerebral perfusion pressure
D. It increases in hypoxic states

Answer: D

Explanation:
Intracranial Pressure (ICP) is the difference between Mean Arterial Pressure (MAP) and Cerebral Perfusion Pressure (CPP). ICP increases in hypoxic states. When the arterial PaO2 drops below 50 mmHg and when carbon dioxide is retained, the cerebral blood vessels dilate.
A normal CPP is between 70 and 95 mmHg (a CPP of at least 50 to 60 mmHg is necessary for adequate cerebral perfusion in adults). A normal ICP is between 0 and 15 mmHg in adults.
ICP decreases when the head of the bed is elevated 30 degrees, as this intervention allows CSF to drain more easily.

NEW QUESTION # 880
In the patient with chronic anemia, which of the following drugs would the nurse MOST LIKELY administer to restore bone marrow production of red blood cells (RBCs)?

A. Oxygen
B. Albumin
C. Packed red blood cells (PRBCs)
D. Erythropoietin

Answer: D

Explanation:
Erythropoietin stimulates RBC production in the bone marrow. Therefore, in cases of chronic anemia, the nurse should administer recombinant human erythropoietin (rHuEpo) to restore bone marrow's production of RBCs. The nurse should ensure that the patient has the adequate vitamin B-12 and iron levels needed to stimulate the bone marrow to produce RBCs. The response may take several weeks, so it may not be appropriate in situations in which acute correction of anemia is necessary. Chronic kidney disease patients and patients receiving chemotherapy may benefit from this treatment.
Supplemental oxygen can increase oxygen saturation in situations of acute anemia and minimize dyspnea and desaturations during activity.
Adequate hemoglobin can be replaced in acute situations only by transfusion of RBCs. It is considered when blood loss is severe, the patient is actively bleeding, or when the patient is very symptomatic.
Albumin provides volume expansion without adding to oxygen-carrying capacity.

NEW QUESTION # 881
Being sensitive to diversity while providing care includes understanding:

A. Delineating standard goals of therapy will help enhance patient adherence to a therapeutic regimen
B. How to recognize and incorporate differences into the multidisciplinary plan of care
C. Health beliefs among members of a cultural group are generally similar
D. The ability to facilitate learning for patients, families, and staff

Answer: B

Explanation:
One of the eight nurse competencies of the Synergy Model is response to diversity, which is described as a sensitivity to recognize, appreciate, and incorporate differences into the provision of care.
Thus, being sensitive to diversity means that the nurse must recognize and incorporate the patient's differences into the plan of care to optimize success for the patient. Synergy results when the needs and characteristics of a patient and clinical unit or system are matched with a nurse's competencies.
The ability to facilitate learning for patients, families, and staff describes the nurse competency of
'facilitation of learning' and not the nurse competency of "response to diversity."

NEW QUESTION # 882
......

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