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[General] AACN Exam CCRN-Adult Answers: CCRN (Adult) - Direct Care Eligibility Pathway - P

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【General】 AACN Exam CCRN-Adult Answers: CCRN (Adult) - Direct Care Eligibility Pathway - P

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AACN CCRN-Adult Exam Syllabus Topics:
TopicDetails
Topic 2
  • The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
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.
Topic 5
  • 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.
Topic 7
  • In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
Topic 8
  • 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) - Direct Care Eligibility Pathway Sample Questions (Q81-Q86):NEW QUESTION # 81
A 17-year-old patient who was in a motor vehicle accident sustained multiple traumas and has been declared brain-dead. The parents decide to discontinue life support and donate their child's organs. In response to the parents' request, the most appropriate action by the critical care nurse would be to:
  • A. discontinue life support per the parents request
  • B. schedule a multidisciplinary care conference
  • C. ask the physician what the best decision is for the patient
  • D. contact the organ procurement agency
Answer: D
Explanation:
In patients without decisional capacity, the determination to withdraw, or withhold, treatment is made by the identified surrogate. If the benefits outweigh the burdens, the obligation is to provide appropriate treatment to the patient. In this scenario, the parents' request should be respected, but the nurse should follow the guidelines of the organ procurement agency in order to best preserve the patient's organs before discontinuing life support.

NEW QUESTION # 82
Which of the following cranial nerves is responsible for lateral eye movement?
  • A. Cranial nerve II (Optic)
  • B. Cranial nerve III (Oculomotor)
  • C. Cranial nerve IV (Trochlear)
  • D. Cranial nerve VI (Abducens)
Answer: D
Explanation:
Assessment of cranial nerves provides an indication of the integrity of the nerves themselves and of brain stem function. Cranial nerve VI (Abducens) is responsible for lateral eye movement.
Cranial nerve IV (Trochlear) is responsible for eye movement down and toward the nose. Cranial nerve III (Oculomotor) is responsible for most extraocular eye movements, the ability to elevate the eyelid, and muscular contraction of the iris in response to light. The optic nerve is responsible for visual acuity and visual fields.

NEW QUESTION # 83
A competent patient with terminal cancer refuses further chemotherapy and wants to be transferred to a hospice for palliative care. However, the healthcare team believes further treatment could extend the patient's life. What should the nurse do?
  • A. Refuse to discontinue treatment because it is not in the patient's best interests
  • B. Make sure the patient fully understands the decision they are making then support their decision
  • C. Tell the patient that treatment is being discontinued, but continue to administer it without their knowledge
  • D. Focus on convincing the patient to agree to further chemotherapy
Answer: B
Explanation:
The patient has the right to autonomy, making their own healthcare decisions regardless of the consequences. The nurse should make sure the patient is fully informed about the decision they are making, then support their decision without judgement. Focus on convincing the patient to agree to further chemotherapy, refusing to discontinue treatment, or lying to the patient by telling them that treatment is being discontinued but continuing to administer it without their knowledge all fail to support the patient's right to autonomy.

NEW QUESTION # 84
Which of the following structures relays motor and sensory signals to their appropriate area of the brain, and plays a vital role in sleep, wakefulness, consciousness, learning and memory?
  • A. Occipital lobes
  • B. Thalamus
  • C. Medulla
  • D. Corpus callosum
Answer: B
Explanation:
The thalamus is a small structure within the brain, located just above the brain stem between the cerebral cortex and the midbrain; it has extensive nerve connections to both. The thalamus is the body's information relay station. All incoming motor and sensory information must first pass through the thalamus before being routed or directed to its destination in the brain's cerebral cortex (the outermost layer of the, brain) for further processing and interpretation. The thalamus also plays a role in sleep, wakefulness, consciousness, learning and memory.
The corpus callosum connects the left side of the brain to the right side, allowing information to pass between the two halves.
The medulla oblongata is the bottom-most part of the brain, where the brain and spinal cord connect, making it a key conduit for nerve signals to and from your body. It also helps control vital processes like your heartbeat, breathing and blood pressure.
The occipital lobes sit at the back of the head. They are responsible for visual perception, including colour, form and motion.

NEW QUESTION # 85
In a healthy adult female, what are the normal values for hemoglobin (Hgb) and hematocrit (Hct)?
  • A. Hgb 8-12 g/dL, Hct 32%-36%
  • B. Hgb 18-22 g/dL, Hct 39%-49%
  • C. Hgb 14-18 g/dL, Hct 42%-52%
  • D. Hgb 12-16 g/dL, Hct 36%-48%
Answer: D
Explanation:
Hemoglobin is the primary carrier of oxygen to body tissues. Hematocrit measures the RBC mass in relationship to a volume of blood, expressed as the percentage of cells per 100 mL of blood. Normal values in healthy adult women (Hgb 12-16 g/dL, Hct 36%-48%) are slightly less than those of healthy adult men (Hgb 14-18 g/dL, Hct 42%-52%). A lower Hgb and Hct is suggestive of anemia from blood loss, post-surgical values, or chronic disease.

NEW QUESTION # 86
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