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Getting the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification will highly expand your expertise. To achieve the CCRN-Adult certification you need to prepare well. CCRN-Adult exam dumps are a great way to assess your skills and abilities. CCRN-Adult Questions can help you identify your strengths and weaknesses and better understand what you're good at. You should take a CCRN-Adult Practice Exam to prepare for the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) certification exam. With CCRN-Adult exam preparation software, you can practice your skills and improve your performance.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q54-Q59):

NEW QUESTION # 54
While recording hourly ventilator checks on a patient who is being mechanically ventilated, the nurse notes that the PIP has gradually increased by 5 cm H2O over the past 4 hours. This increase indicates

A. an improvement in pulmonary function.
B. a leak in the ET tube cuff.
C. a decrease in airway resistance.
D. a decrease in lung compliance.

Answer: D

Explanation:
An increase in peak inspiratory pressure (PIP) over time in a mechanically ventilated patient indicates a decrease in lung compliance. This means the lungs are becoming stiffer and less able to expand, which can be caused by conditions such as pulmonary edema, ARDS, or pneumothorax. It is important to address the underlying cause of decreased lung compliance to prevent further respiratory complications. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 55
A patient has gained 8 kg in the past week. Serum sodium is 115 mEq/L, CVP is 20 mm Hg, and serum osmolality is decreased. The patient has just experienced a generalized tonic-clonic seizure. In this situation, which of the following IV solutions should a nurse be prepared to administer?

A. 0.45% sodium chloride
B. 5% dextrose with 0.25% sodium chloride
C. 3% sodium chloride
D. 0.9% sodium chloride

Answer: C

Explanation:
The patient has signs of severe hyponatremia, which is a low level of sodium in the blood. Hyponatremia can cause cerebral edema, which can lead to seizures, confusion, coma, and death. The patient needs a hypertonic solution, which is a fluid that has a higher concentration of solutes than the blood, to draw water out of the brain cells and restore the normal sodium level. 3% sodium chloride is a hypertonic solution that can be used to treat severe hyponatremia. 0.45% sodium chloride, 0.9% sodium chloride, and 5% dextrose with 0.25% sodium chloride are all hypotonic solutions, which are fluids that have a lower concentration of solutes than the blood, and would worsen the patient's condition by adding more water to the blood and the brain.
References:
* AACN. (2023). CCRN (Adult) Exam Handbook. Retrieved from [CCRN Exam Handbook], p. 18.
* AACN. (2023). CCRN (Adult) Exam Blueprint. Retrieved from [CCRN Exam Blueprint], p. 2.
* AACN. (2020). Practice Alert: Hyponatremia. Retrieved from [Practice Alert], p. 1-2.
* Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2017).
Medical-surgical nursing: Assessment and management of clinical problems (11th ed.). St. Louis, MO:
Elsevier. Retrieved from [Textbook], p. 303-304.

NEW QUESTION # 56
A unit council is requesting to change a documentation screen of the electronic health record (EHR) at a large health system. The change was not discussed with the department prior to the request and was denied by the EHR committee. Which of the following strategies will most likely lead to accomplishing the team's goals?

A. Attempt to change the process through another format.
B. Work with key staff members to rewrite the request to present at the next meeting.
C. Have nursing leadership evaluate the proposal before resubmitting the request.
D. Discuss the proposed solution with stakeholders to determine buy in.

Answer: D

Explanation:
When seeking to make changes to a documentation screen in the electronic health record (EHR), it is crucial to involve all relevant stakeholders to ensure their buy-in and support. This includes discussing the proposed changes with those who will be directly impacted by it and obtaining their feedback. This collaborative approach can help in identifying potential issues and garnering the necessary support for the proposal, increasing the likelihood of it being accepted by the EHR committee in the future.References: = CCRN Exam Handbook, page 58

NEW QUESTION # 57
The family of a patient with trauma believes that the patient is in pain and requests that a neighbor, a therapeutic touch practitioner, be allowed to see the patient. Unit policy allows visits by immediate family only. Which of the following is the most important consideration in a nurse's decision about facilitating the visit?

A. Alternative therapies are not generally acceptable in an ICU setting.
B. The family needs an explanation of the rationale for unit visitation policies.
C. Alternative modalities have been associated with enhancements in pharmacologic effects.
D. Research does not support the value of therapeutic touch in pain management.

Answer: B

Explanation:
The primary consideration is to ensure that the family understands the unit's visitation policies. While alternative modalities like therapeutic touch can be beneficial, the nurse must adhere to established policies and explain the rationale to the family. This helps maintain the integrity of unit operations and ensures that all patients receive equitable care. Explaining the policies also provides an opportunity to discuss alternative ways to support the patient within the existing framework. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 58
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 # 59
......

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