RELIABLE CCRN-ADULT EXAM PDF | CCRN-ADULT FREE TEST QUESTIONS

Reliable CCRN-Adult Exam Pdf | CCRN-Adult Free Test Questions

Reliable CCRN-Adult Exam Pdf | CCRN-Adult Free Test Questions

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q123-Q128):

NEW QUESTION # 123
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. increased systemic vascular resistance and increased MAP
  • B. decreased systemic vascular resistance and increased MAP
  • C. decreased systemic vascular resistance and decreased MAP
  • D. increased systemic vascular resistance and decreased MAP

Answer: A

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 # 124
A patient is admitted for acute benzodiazepine overdose. Nursing interventions should include administration of

  • A. sodium bicarbonate.
  • B. naloxone (Narcan).
  • C. osmotic diuretics.
  • D. flumazenil (Romazicon).

Answer: D

Explanation:
Flumazenil is a benzodiazepine antagonist that can reverse the effects of benzodiazepine overdose. It acts by competitively inhibiting the activity at the benzodiazepine receptor, thus reversing sedation and other effects caused by benzodiazepines. Sodium bicarbonate, naloxone, and osmotic diuretics are not appropriate treatments for benzodiazepine overdose. References: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.


NEW QUESTION # 125
A patient who sustained acute head trauma exhibited intermittent unconsciousness prior to admission. The patient is disoriented initially and exhibits rapid deterioration in neurological status shortly after admission.
X-rays reveal a right temporal bone fracture, and a diagnosis of epidural hematoma is made. The deterioration in the patient's condition is most likely associated with

  • A. intracranial aneurysm.
  • B. clot formation.
  • C. venous bleeding.
  • D. arterial bleeding.

Answer: D

Explanation:

Epidural hematoma

An epidural hematoma is a collection of blood that forms between the skull and the dura mater, the outermost layer of the meninges that cover the brain. The most common cause of an epidural hematoma is a head injury that fractures the temporal bone and tears the middle meningeal artery, which runs along the inner surface of the skull. Arterial bleeding is under high pressure and can rapidly expand the hematoma, compressing the brain and causing neurological deterioration. A typical symptom of an epidural hematoma is a brief loss of consciousness followed by a lucid interval and then a rapid decline in consciousness and brain function. This condition requires urgent surgical evacuation of the hematoma to prevent brain damage or death12. Venous bleeding, clot formation, and intracranial aneurysm are not the main factors associated with the deterioration of the patient's condition in this case.


NEW QUESTION # 126
Examination of a patient exhibiting Kernig's and Brudzinski's signs indicates which of the following?

  • A. autonomic hyperreflexia
  • B. meningeal irritation
  • C. increased intracranial pressure
  • D. adrenal insufficiency

Answer: B

Explanation:
Kernig's and Brudzinski's signs are classic clinical indicators of meningeal irritation, commonly associated with conditions such as meningitis. Kernig's sign is positive when there is resistance and pain upon extending the knee from a flexed position, and Brudzinski's sign is positive when flexion of the neck causes involuntary flexion of the hips and knees. These signs are not indicative of autonomic hyperreflexia, adrenal insufficiency, or increased intracranial pressure. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


NEW QUESTION # 127
There is an increase in catheter-associated urinary tract infections (CAUTIs) following a change in urinary catheter insertion trays. After conducting a literature review of evidence-based practices regarding indwelling catheter insertion and care, the nurse should

  • A. locate a unit in the facility that still has the original trays in stock and restock the supply closet with these.
  • B. share the results of the literature review with the physician team.
  • C. lead a meeting in which the results of the literature review are presented, and staff input is obtained.
  • D. contact the materials coordinator and request that the previous trays be re-ordered.

Answer: C

Explanation:
Conducting a literature review is an essential step in evidence-based practice. Sharing these findings with the staff and obtaining their input fosters a collaborative environment and ensures that the best practices are understood and implemented by all. This approach also helps identify any practical concerns or barriers to implementation. Simply switching back to the old trays without addressing the root cause or educating the staff may not prevent future CAUTIs. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


NEW QUESTION # 128
......

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