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CCRN-Adult Examcollection - CCRN-Adult Latest Braindumps Book

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q225-Q230):

NEW QUESTION # 225
Which of the following is MOST LIKELY to cause idiopathic pulmonary fibrosis?

A. Connective tissue disorders
B. Chemotherapeutic agents
C. Occupational exposure to pulmonary irritants
D. Familial factors

Answer: D

Explanation:
Idiopathic pulmonary fibrosis, by definition, will not have a clearly defined cause, such as exposure to chemotherapeutic agents and occupational pulmonary irritants or concurrent connective tissue disorders. Idiopathic pulmonary fibrosis is most likely to have some degree of familial and genetic factors that influence its development.

NEW QUESTION # 226
A critical care nurse notices a recent increase in patient falls on the unit. Which of the following represents the BEST initial response utilizing systems thinking?

A. Advocate for improved staffing levels
B. Implement a more frequent rounding schedule for patients
C. Develop a system for ensuring that patients' fall risks are communicated to all members of the healthcare team
D. Raise awareness of the issue with nursing staff on the unit

Answer: C

Explanation:
Developing an interdisciplinary system for ensuring that patients' fall risks are communicated to all members of the healthcare team demonstrates systems thinking because it takes the overall healthcare delivery system into consideration, not just the nurses on the unit. More frequent rounding, increased awareness among nursing staff, and increased staffing levels may be part of the solution, but these actions do not demonstrate systems thinking to the extent that developing an interdisciplinary system for fall risk awareness does.

NEW QUESTION # 227
A patient develops the dysrhythmia shown below:

Blood pressure is 83/40. The patient is pale, diaphoretic, lethargic, and disoriented. The most appropriate treatment is

A. adenosine (Adenocard), 6 mg rapid IV bolus.
B. cardioversion at 100 J.
C. lidocaine (Xylocaine), 1.5 mg/kg IV.
D. defibrillation at 200 J.

Answer: B

Explanation:
The dysrhythmia shown in the image is likely a rapid ventricular tachycardia (VT), given the hemodynamic instability (BP 83/40, patient pale, diaphoretic, lethargic, and disoriented). Synchronized cardioversion at 100 joules is the appropriate treatment for unstable VT, as it can effectively terminate the arrhythmia and restore normal sinus rhythm, addressing both the dysrhythmia and the patient's symptoms.References: = CCRN Exam Handbook, page 33

NEW QUESTION # 228
What is the MOST important indicator of cerebral functioning in the critically ill patient?

A. Respiratory response
B. Eye response
C. Motor response
D. Level of consciousness (LOC)

Answer: D

Explanation:
The single most important indicator of cerebral functioning is the LOC. The LOC is assessed in the critically ill patient using the Glasgow Coma Scale (GCS).
Components of the GCS include a baseline pupil assessment and eye response, motor functioning assessment, and respiratory assessment.

NEW QUESTION # 229
Which of the following is considered the normal value for SvO2 (mixed venous oxygen saturation)?

A. 75% to 90%
B. 85% to 100%
C. 60% to 75%
D. 50% to 65%

Answer: C

Explanation:
Mixed venous Oxygen saturation (SvO2) is the percentage of oxygen bound to hemoglobin in blood returning to the right side of the heart. This reflects the amount of oxygen "left over" after the tissues remove what they need. It is used to help recognize when a patient's body is extracting more oxygen than normal and is an indicator of how well the body's demand for oxygen is being met under different clinical conditions. Normal values for oxygen saturation are 60% to 75%.

NEW QUESTION # 230
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