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AACN CCRN (Adult) - Direct Care Eligibility Pathway - CCRN-Adult Exam Questions

QUESTION NO: 1
A patient has paradoxical breathing. Which of the following conditions is MOST LIKELY to cause this?

A. Flail chest B. Situs inversus C. Chronic obstructive pulmonary disorder D. Tension pneumothorax

Correct Answer: A

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QUESTION NO: 2
Which laboratory test is used as a marker of severity for ventricular failure (heart failure)?

A. Troponin B. Myoglobin C. Creatine kinase-myocardial band (CK-MB) levels D. Brain natriuretic peptide (BNP) levels

Correct Answer: D

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QUESTION NO: 3
Which of the following questions BEST demonstrates systems thinking in response to an incident?

A. "What process needs improving?" B. "What body system was affected?" C. "Who was responsible?" D. "What needs to be taught?"

Correct Answer: A

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QUESTION NO: 4
The MOST common signs and symptoms of intestinal ischemia on admission to the hospital are:

A. Nausea and vomiting, leukocytosis, metabolic acidosis B. Anorexia, fever, tachycardia C. Cramping, constipation, decreased bowel sounds D. Hematochezia, abdominal pain, diarrhea

Correct Answer: D

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QUESTION NO: 5
Which of the following elements of an Electrocardiogram (ECG) represents atrial muscle depolarization?

A. ST segment B. QRS complex C. P wave D. T wave

Correct Answer: C

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QUESTION NO: 6
An adolescent patient with severe asthma has the following arterial blood gas (ABG) results:
pH 7.35; PaO2 81 mmHg; PaCO2 52 mmHg; and HCO3- 29 mEq/L
Choose the condition suspected after reviewing her ABG results.

A. Respiratory acidosis, compensated B. Respiratory acidosis, uncompensated C. Respiratory alkalosis, uncompensated D. Respiratory alkalosis, compensated

Correct Answer: A

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QUESTION NO: 7
An absolute neutrophil count that is less than which of the following values indicates a severely compromised immune system response:

A. 10,000 cells/mm3 B. 5,000 cells/mm3 C. 1,000 cells/mm3 D. 20,000 cells/mm3

Correct Answer: C

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QUESTION NO: 8
The critical care nurse understands that a patient is at risk of developing Post-Intensive Care Syndrome (PICS) after a lengthy stay in the intensive care unit (ICU).
Which of the following interventions will be the LEAST helpful in preventing this condition from occurring?

A. Ensuring pain is treated promptly B. Encouraging the patient to keep a diary while in the ICU C. Ensuring the patient's glasses are available D. Ensuring the patient is appropriately sedated

Correct Answer: D

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QUESTION NO: 9
Which of the following is MOST LIKELY to precipitated Diabetic Ketoacidosis (DKA)?

A. Newly diagnosed, previously unknown diabetes B. Stroke C. Underlying infection D. Missed insulin

Correct Answer: C

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QUESTION NO: 10
The nurse is caring for a patient with irreversible Multiple Organ Dysfunction Syndrome (MODS).
According to the updated international sepsis care guidelines, the nurse should request a palliative care consult as early as possible, but no later than within:

A. 96 hours of ICU admission B. 12 hours of ICU admission C. 24 hours of ICU admission D. 72 hours of ICU admission

Correct Answer: D

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QUESTION NO: 11
The critical care nurse and a student nurse are caring for a patient who has recently experienced a blunt chest traum a. The student nurse suggests considering drawing a troponin T level on this patient. Which of the following responses by the nurse is best?

A. We already know that this will definitely be elevated, and there is no need to test this. B. This would only tell us if the patient is having a myocardial infarction. C. We already know that this will not be elevated, and there is no need to test this. D. This would be a good way to evaluate for myocardial damage.

Correct Answer: D

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QUESTION NO: 12
Which of the following conditions affects and alters pulmonary perfusion?

A. Asthma B. Pneumonia C. Pulmonary embolus D. COPD

Correct Answer: C

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QUESTION NO: 13
When considering weaning a patient from a ventilator, which of the following criteria indicates the patient is NOT ready to be weaned?

A. Respiratory rate: 26 B. FIO2: 0.60 C. Minute ventilation: 5L D. PaO2 / FIO2 ratio > 200

Correct Answer: B

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QUESTION NO: 14
Which of the following is MOST LIKELY to occur with dilated cardiomyopathy?

A. Decreased RA pressures B. S3/S4 heart sounds C. Suppressed A wave on the PAOP waveform D. Increased cardiac output (CO)

Correct Answer: B

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