CCRN-Adult Guaranteed Success, Latest CCRN-Adult Questions

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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 2	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.
Topic 4	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 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	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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Latest CCRN-Adult Questions - CCRN-Adult Test Duration

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q499-Q504):

NEW QUESTION # 499
Which of the following has the greatest influence on the risk of aspiration when using enteral feeding in a critically ill patient?

A. Nasal vs oral tube placement
B. The size of the feeding tube
C. The position of the patient
D. Gastrostomy tube placement vs other placements

Answer: C

Explanation:
The position of the patient is one of the primary factors influencing aspiration risk. Studies have confirmed that aspiration and pneumonia are significantly more likely when patients are supine with the head of the bed elevated at less than 30 degrees. While the semirecumbent position with head of the bed elevations of >/= 30 degrees cannot guarantee absolute protection against aspiration, it is a method that is inexpensive and relatively easy to accomplish and monitor. Strict use of semirecumbent position (head of the bed at 30-45 degrees) is the most consistent and potent means to reduce the likelihood of aspiration.
The size of a feeding tube and the placement of the tube, whether it be oral, nasal, or via a gastrostomy, has not been shown to alter the risk of aspiration.

NEW QUESTION # 500
A caloric irrigation test of the oculovestibular reflex is performed on a patient who is comatose following a hypoxic brain injury. When cold water is introduced into the left ear, nystagmus occurs with slow deviation of the eyes toward the left, followed by faster eye deviation to the right. This pattern is indicative of a

A. persistent vegetative state.
B. brain-stem infarction.
C. normal response.
D. third cranial nerve palsy.

Answer: C

Explanation:
The caloric irrigation test, also known as the oculovestibular reflex test, is used to assess brainstem function in patients, especially those who are comatose. In this test, cold water is introduced into the ear canal, which should induce a predictable response if the brainstem is intact. The normal response to cold water irrigation is nystagmus with slow deviation of the eyes toward the side of the cold water (in this case, the left) and a fast phase of eye movement (nystagmus) away from the side of the cold water (to the right). This indicates that the brainstem pathways are functioning properly. References: =
* 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 # 501
Evidence-based strategies to prevent CLABSIs (central line-associated bloodstream infections) include replacing transparent central line dressings whenever damp, soiled, or loose, or at least every:

A. 10 days
B. 96 hours
C. 72 hours
D. 7 days

Answer: D

Explanation:
Several practices have been evaluated in an attempt to reduce the incidence of CLABSI. One evidence- based strategy for preventing central line infections is replacing central line dressings whenever damp, loose, or soiled, or at a frequency of every 7 days for transparent, chlorhexadine impregnated dressings.
Gauze dressings should be replaced if the patient is diaphoretic or if the site is bleeding or oozing, or at least every 2 days. The catheter site should be assessed every shift for redness, tenderness, pain, or exudate.

NEW QUESTION # 502
Which of the following is NOT considered a loop diuretic?

A. Torsemide (Demadex)
B. Furosemide (Lasix)
C. Bumetanide (Bumex)
D. Chlorothiazide (Diuril)

Answer: D

Explanation:
Diuril is not considered a loop diuretic. It is a thiazide diuretic and works by enhancing the excretion of sodium, chloride, and water by inhibiting the transport of sodium across the renal tubular epithelium in the cortical diluting segment of the nephron. It also increases the excretion of potassium and bicarbonate. Thiazide diuretics are used in the management of edema and hypertension.
Loop diuretics (Lasix, Bumex, and Demadex) are diuretics that act at the ascending loop of Henle in the kidney; they inhibit active transport of chloride and possibly sodium, resulting in enhanced excretion of sodium, chloride, potassium, hydrogen, magnesium, ammonium, and bicarbonate. Loop diuretics are usually used in the management of edema associated with HF (Heart Failure) or oliguric renal failure, as well as the management of hypertension.

NEW QUESTION # 503
The critical care nurse understands that the primary etiology of hyperphosphatemia in all patients, including the critically ill, is:

A. bone tumors
B. renal failure
C. Addison disease
D. excessive intake of vitamin D

Answer: B

Explanation:
Renal failure is the most common cause of excessive phosphate levels in all patients, including the critically ill. The regulation of phosphate in the body is performed by the kidneys. Other causes of hyperphosphatemia include hypoparathyroidism, excessive intake of alkali or vitamin D, Addison disease, and with bone tumors or fractures. It is often associated with hypocalcemia and presents most commonly with muscle cramps, joint pain, and seizures.

NEW QUESTION # 504
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CCRN-ADULT GUARANTEED SUCCESS, LATEST CCRN-ADULT QUESTIONS

CCRN-Adult Guaranteed Success, Latest CCRN-Adult Questions