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Real CCRN-Adult Exam Answers | CCRN-Adult Exam Quick Prep
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| Topic 2 |
- Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
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| Topic 3 |
- CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
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| Topic 4 |
- PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.
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AACN CCRN-Adult PDF Questions [2025] To Gain Brilliant Result
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q902-Q907):
NEW QUESTION # 902
During a unit staff meeting, a suggestion is made to use a new technique for improving ventilation in patients with septic shock. What response by the critical care nurse is BEST?
- A. Ask the respiratory therapists their impressions of the efficacy of the new technique
- B. Begin implementing the new technique into her practice
- C. Use established techniques that the nurse is familiar with
- D. Research the technique and its impact on septic shock outcomes
Answer: D
Explanation:
As part of the nurse's ongoing process of questioning and evaluating their practice, they should research the technique and its impact on septic shock outcomes to evaluate whether they should implement the new technique into their clinical practice. Asking the respiratory therapists their impressions of the efficacy of the new technique is not as ideal as researching the technique using evidence-based studies.
Beginning to implement the new technique into practice or avoiding using the technique in favor of previously used techniques is not correct until the nurse has researched it.
NEW QUESTION # 903
The MOST common cause of upper Gastrointestinal (GI) bleeding is:
- A. peptic ulcer disease
- B. Crohn's disease
- C. duodenal ulcer
- D. colitis
Answer: A
Explanation:
The most common cause of upper GI bleeding is peptic ulcer disease, which accounts for 31%-67% of all cases. This is followed by erosive disease, variceal bleeding, esophagitis, cancer, and Mallory-Weis tears.
Peptic ulcers occur in the stomach and the duodenum and are characterized by a break in the mucosal layer that penetrates the muscularis mucosa (innermost muscular layer), resulting in bleeding. Infection of the mucosa by Helicobacter pylori has also been implicated in the pathogenesis of peptic ulcer disease.
Crohn's disease causes lower (not upper) GI bleeding, which results from radiation, chemotherapy, or ischemia. Duodenal ulcers result from an over-secretion of acid. Colitis is also a cause of lower GI bleeding.
NEW QUESTION # 904
The classic triad of Cushing's response, seen late in the course of neurologic deterioration, is marked by three vital sign changes. All of the following are vital sign changes observed in this triad EXCEPT:
- A. bradycardia
- B. widened pulse pressure
- C. hyperthermia
- D. irregular respiratory pattern
Answer: C
Explanation:
Cushing's response refers to a triad of vital sign changes seen late in the course of neurologic deterioration. The classic triad is marked by widened pulse pressure, bradycardia, and an irregular respiratory pattern.
Temperature is carefully monitored in patients with neurologic dysfunction because hyperthermia (regardless of infectious or noninfectious origin) causes increased cerebral metabolic demand. It is generally seen earlier (not later) in the course of neurologic deterioration.
NEW QUESTION # 905
An 82-year-old female arrives at the emergency department with complaints of abdominal cramping, nausea and diarrhe a. She has a history of renal failure and diabetes mellitus. The nurse establishes an IV line and draws the patient's blood for lab studies. The patient's serum potassium level is 6.5 mEq/L.
Which of the following ECG changes should the nurse expect in this patient?
- A. Prolonged QT interval
- B. Tachycardia
- C. Shortened PR interval
- D. Widened QRS complex
Answer: D
Explanation:
Because K+ impacts normal neuromuscular and cardiac function, these systems are carefully evaluated when hyperkalemia is suspected or confirmed (serum K+ more than 5.5 mEq/L). The predominant cardiac abnormalities are repolarization changes, which are reflected as tall, tented (peaked) T waves.
These are seen in the early phase of hyperkalemia.
As potassium levels increase, other ECG changes occur. These include:
* 5.5-6.5 mEq/L
* QT interval may shorten
* ST-segment depression
* 6.5-8.0 mEq/L
* Peaked T waves
* Widened QRS complex
* Amplified R wave
* Prolonged PR interval
* > 8.0 mEq/L
* Absence of P wave
* Progressive QRS widening
* Advanced AV block with ventricular escape rhythms, ventricular fibrillation, or asystole Bradycardia is also seen with hyperkalemia.
NEW QUESTION # 906
Which ECG leads will BEST show an acute inferior wall Myocardial Infarction (MI)?
- A. II, III, aVL
- B. II, III, aVF
- C. I, II, aVR
- D. I, aVF, aVL
Answer: B
Explanation:
The critical care nurse can locate an MI based on the ECG recording. Leads II, III, and aVF monitor the LV inferior wall, and thus inferior wall MI is diagnosed by indicative changes (ST elevation) in leads II, III, and aVF.
NEW QUESTION # 907
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