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CCRN-Adult Exam Dumps - AACN CCRN Questions and Answers

Question # 4

A patient who is confused and dyspneic is admitted with ABG values that reveal hypoxemia. Results from insertion of a pulmonary artery catheter are:

PAP 38/18 mm Hg

PAOP10 mm Hg

CI 3.5 L/min/m2

These values are most indicative of

Options:

A.

hypovolemia.

B.

hypervolemia.

C.

pulmonary dysfunction.

D.

left ventricular failure.

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Question # 5

A patient with hypertension received tPA for an acute embolic stroke with complete resolution of symptoms. Twenty-four hours after tPA administration, the nurse should anticipate an order for

Options:

A.

diuretics.

B.

beta blockers.

C.

antiplatelet agents.

D.

calcium channel blockers.

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Question # 6

A patient's IV with norepinephrine (Levophed) infusing is red, swollen, and the IV pump is alarming. A nurse should anticipate

Options:

A.

administering phentolamine (Regitine).

B.

providing a warm compress.

C.

lowering the extremity below heart level.

D.

removing the IV immediately.

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Question # 7

A patient is recovering from CABG surgery. On postoperative day 3, the patient's laboratory values indicate thrombocytopenia and elevated liver function tests. The patient is scheduled for hemodialysis today. A nurse notifies the physician of the abnormal laboratory values. The nurse should next anticipate an order to

Options:

A.

administer heparin to prevent clot formation.

B.

complete hemodialysis without heparin.

C.

transfuse platelets during hemodialysis.

D.

reschedule hemodialysis.

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Question # 8

A patient has been declared brain dead. A nurse would like the family to consider organ donation but has never requested this from a family before. The best initial action by the nurse is to

Options:

A.

consult the organ donation liaison.

B.

directly ask the patient's family members if they would consider organ donation.

C.

find out if the patient has an organ donor card.

D.

request that the physician discuss the issue with the family.

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Question # 9

A patient is admitted with a traumatic brain injury. During assessment, a nurse notes increased urinary output from the catheter. Which of the following should the nurse suspect?

Options:

A.

syndrome of inappropriate antidiuretic hormone (SIADH)

B.

central diabetes insipidus

C.

cerebral salt wasting

D.

nephrogenic diabetes insipidus

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Question # 10

A patient who underwent bowel resection surgery due to small bowel rupture is tachycardic and hypotensive. A nurse calls the on-call surgical resident and reports the findings. No new orders are received. The nurse should continue to monitor the patient and

Options:

A.

notify the charge nurse during nightly rounds.

B.

inform the clinical manager in the morning.

C.

initiate the rapid response team.

D.

consult the nearest nursing colleague.

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Question # 11

For a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for

Options:

A.

a shortened PR interval.

B.

tall peaked T waves.

C.

ST segment depression.

D.

a prolonged PR interval.

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Question # 12

A patient with a history of six cardiac catheterizations relates that he has received differing instructions about the duration of required bedrest after the procedure. To further investigate this issue, which of the following is a nurse's most appropriate action?

Options:

A.

Ask about obtaining an independent evaluation of unit outcomes.

B.

Conduct an informal chart review and outcome evaluation of patients treated with different bedrest protocols.

C.

Review recent published research about bedrest protocols.

D.

Ask the nursing supervisor to request standardized physician orders for patients who have undergone catheterization.

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Question # 13

Which of the following is a sign of splenic injury and diaphragmatic irritation?

Options:

A.

tachypnea

B.

flank pain

C.

left shoulder pain

D.

hiccoughs

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Exam Code: CCRN-Adult
Exam Name: CCRN (Adult) - Direct Care Eligibility Pathway
Last Update: Jan 30, 2025
Questions: 150
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