CCRN-ADULT LATEST TEST PREP & LATEST CCRN-ADULT EXAM BOOK

CCRN-Adult Latest Test Prep & Latest CCRN-Adult Exam Book

CCRN-Adult Latest Test Prep & Latest CCRN-Adult Exam Book

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Tags: CCRN-Adult Latest Test Prep, Latest CCRN-Adult Exam Book, Latest CCRN-Adult Exam Vce, CCRN-Adult Exam Bible, CCRN-Adult Exam Dumps

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q99-Q104):

NEW QUESTION # 99
Adrenal insufficiency goes by which of the following names?

  • A. Cushing's disease
  • B. Cushing's triad
  • C. Addison disease
  • D. Pheochromocytoma

Answer: C

Explanation:
Adrenal insufficiency also goes by the name Addison disease. Cushing's disease refers to excessive secretion of cortisol by the adrenal cortex. Cushing's triad refers to a triad of symptoms that are a late indicator of increased intracranial pressure. Pheochromocytoma is a hormone secreting tumor that can affect the adrenal glands and may be related to either Addison disease or Cushing's disease, but is not another name for adrenal insufficiency.


NEW QUESTION # 100
A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

  • A. dobutamine (Dobutrex), fluid infusions, and transvenous pacing
  • B. dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix)
  • C. nitroglycerin, fluid infusions, and morphine
  • D. nitroprusside (Nipride), fluid restrictions, and transvenous pacing

Answer: A

Explanation:
A nurse should expect a plan of care that includes dobutamine (Dobutrex), fluid infusions, and transvenous pacing for a patient with a complicated RV infarction, as these interventions aim to improve RV function, increase cardiac output, and correct bradyarrhythmias. Dobutamine is an inotropic agent that increases myocardial contractility and reduces RV afterload1. Fluid infusions are used to optimize RV preload and maintain adequate systemic perfusion12. Transvenous pacing is indicated for patients with symptomatic bradycardia or high-grade AV block that compromise hemodynamics13. Dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix) are not appropriate for a patient with a complicated RV infarction, as they may worsen RV preload and cardiac output. Nitroprusside (Nipride), fluid restrictions, and transvenous pacing are not suitable for a patient with a complicated RV infarction, as they may cause excessive vasodilation and hypotension. Nitroglycerin, fluid infusions, and morphine are not optimal for a patient with a complicated RV infarction, as they may reduce RV preload and increase RV ischemia.


NEW QUESTION # 101
Which of the following is LEAST LIKELY to be a complication of barbiturate coma therapy?

  • A. Ileus
  • B. Myocardial depression
  • C. Loss of thermoregulation
  • D. Hypertension

Answer: D

Explanation:
Barbiturate coma therapy may be used to lower intracranial pressure; however, there are potential complication associated with this intervention. These include hypotension (not hypertension), myocardial depression, loss of thermoregulation, and ileus.


NEW QUESTION # 102
Strategies for preventing the development of Ventilator-Associated Pneumonia (VAP) in the critically ill patient include all of the following EXCEPT:

  • A. Avoid supine positioning
  • B. Implement an oral hygiene program that includes oral suctioning, teeth-brushing, and use of chlorhexidine gluconate
  • C. Maintain a closed system on ventilator/humidifier circuits and routinely change the circuit
  • D. Eliminate invasive devices and equipment as soon as possible

Answer: C

Explanation:
Though the nurse should maintain a closed system on ventilator/humidifier circuits and avoid pooling of condensation or secretions in the tubing, changing the ventilator circuit should not be done routinely.
Rather, only change the circuit when visibly soiled or malfunctioning. The other answer choices are prevention strategies.


NEW QUESTION # 103
Which of the following conditions is MOST LIKELY to cause rhabdomyolysis?

  • A. Status asthmaticus
  • B. Sick sinus syndrome
  • C. Status ellipticus
  • D. Parkinson's disease

Answer: C

Explanation:
Status ellipticus can cause prolonged muscle activity that can lead to tissue breakdown, ultimately leading to a significant increase in the risk of rhabdomyolysis. Status asthmaticus, sick sinus syndrome, and Parkinson's disease are not likely to cause rhabdomyolysis. While Parkinson's disease does cause muscle tremors, these are not likely to be vigorous enough or demanding enough on muscle tissues to lead to rhabdomyolysis.


NEW QUESTION # 104
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