CCRN (Adult) - Direct Care Eligibility Pathway - CCRN-Adult Exam Practice Test

Question 1

A nurse is caring for a patient who is ventilator-dependent due to end-stage Chronic Obstructive Pulmonary Disease (COPD). The patient's son has healthcare power of attorney and requests for the ventilator to be removed, despite the patient being conscious and able to make their intentions known.
What should the nurse do?

A. Notify the hospital's legal department

B. Schedule a meeting to discuss the matter with the patient and their family

C. Remove the ventilator, as the patient's son is in responsible for decision making while the patient is on a ventilator

D. Ignore the son's request and keep the ventilator on

Correct Answer: B

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Question 2

In which of the following ways is Methicillin-Resistant Staphylococcus Aureus (MRSA) LEAST LIKELY to be spread?

A. Personal contact with contaminated items

B. Equipment of healthcare providers

C. Unprotected sexual intercourse

D. The hands of infected persons

Correct Answer: C

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Question 3

Which of the following blood transfusion reactions does NOT necessarily require stopping the transfusion?

A. Acute hymolytic reaction

B. Acute febrile reaction

C. Transfusion-Related Acute Lung Injury (TRALI)

D. Transfusion-Associated Circulatory Overload (TACO)

Correct Answer: D

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Question 4

Peak flow measurement is one of the best assessment tools for determining the severity of status asthmatics or acute asthma exacerbations. Severe bronchoconstriction is generally diagnosed when the patient fails to respond to aggressive bronchodilator treatments in combination with a peak expiratory flow rate of:

A. < 90% of predicted

B. < 75% of predicted

C. < 50% of predicted

D. < 20% of predicted

Correct Answer: C

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Question 5

What is the nonsurgical intervention for the treatment of Peripheral Artery Disease (PAD)?

A. Cardiac catheterization

B. Endarterectomy

C. Angiography

D. Angioplasty

Correct Answer: D

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Question 6

Of the following, which MOST accurately describes the goal of intracranial pressure (ICP) monitoring and therapy?

A. Maintaining CPP < 50 mmHg

B. Maintaining MAP < 70 mmHg

C. Maintaining ICP < 15 mm Hg

D. Maintaining PaO2 and PaCO2 at normal levels

Correct Answer: C

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Question 7

Which of the following interventions are appropriate for the newly diagnosed patient with prerenal oliguria?

A. Restrict fluids and prepare for dialysis

B. Administer a fluid challenge and give diuretics

C. Administer fluids and prepare the patient for X-ray

D. Restrict fluids and give Kayexalate as ordered

Correct Answer: B

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Question 8

A flattened diaphragm suggests which of the following conditions?

A. Acute bronchitis

B. Atelectasis

C. Pneumonia

D. Chronic Obstructive Pulmonary Disease (COPD)

Correct Answer: D

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Question 9

Which of the following factors is LEAST LIKELY to contribute to sleep disturbances in the critical care setting?

A. Room temperature

B. Metabolic changes

C. Underlying cardiovascular disease

D. Nutrition

Correct Answer: D

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Question 10

Which of the following Arterial Blood Gas (ABG) results accurately indicates a pneumothorax?

A. pH 7.2, PaO2 85, PaCO2 45

B. pH 7.4, PaO2 70, PaCO2 55

C. pH 7.4, PaO2 90, PaCO2 50

D. pH 7.1, PaO2 60, PaCO2 80

Correct Answer: D

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Question 11

Which of the following is LEAST effective in helping to reduce the risk of aspiration in patients who are receiving enteral feedings?

A. Avoiding bolus feedings

B. Ensure the head of the patient's bed is elevated to at least a 30° angle

C. Verifying the placement of the feeding tube every four hours

D. Checking gastric residual volumes at least once every four hours

Correct Answer: D

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Question 12

A nurse is instructing a patient with an aortic aneurysm on signs of aortic dissection. Which of the following is NOT a sign of aortic dissection?

A. Weakness

B. A sudden increase in existing chest or back pain

C. Hemoptysis

D. Oliguria

Correct Answer: C

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Question 13

A patient presents to the emergency department after overdosing on propranolol. What antidote(s) would be indicated for this?

A. Glucagon and calcium

B. Kelocyanor

C. Sodium bicarbonate

D. Digibind

Correct Answer: A

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Question 14

Which of the following is INCORRECT when interacting with the family of a critically ill patient?

A. Waiting to share negative news until the family is together

B. Providing reassurance

C. Giving honest answers and information

D. Offering realistic hope

Correct Answer: A

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Question 15

A patient is admitted to the ICU after a phencyclidine (PCP) overdose. The nurse that knows major signs and symptoms of PCP overdose include violent behavior and hallucinations. What else should the nurse monitor for in this patient?

A. Tinnitus and vertigo

B. Hypotension

C. GI distress

D. Rhabdomyolysis

Correct Answer: D

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AACN CCRN (Adult) - Direct Care Eligibility Pathway - CCRN-Adult Exam Practice Test

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