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AACN CCRN-Adult Exam Syllabus Topics:
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q525-Q530):
NEW QUESTION # 525
An acute neurological injury associated with severe, sudden onset headache can be due to:
- A. subarachnoid hemorrhage
- B. hypoxia
- C. migraine
- D. subdural hematoma
Answer: A
Explanation:
Subarachnoid Hemorrhage (SAH) can result from trauma, aneurysm, or other vascular malformations.
Patients with SAH experience sudden, severe headaches described as "explosive" or "the worst headache of my life." Other common signs and symptoms include nausea and vomiting, stiff neck, blurred vision, mental status changes, and photophobia. Focal deficits such as hemiparesis, hemiplegia, or aphasia may also occur. Subdural hematomas are less likely to result in a headache that is sudden. Migraines are not a form of neurological injury.
NEW QUESTION # 526
Which of the following BEST describes the form of cardiomyopathy in which the ventricular chambers are decreased in size, but the ventricular muscle mass is increased?
- A. Dilated
- B. Idiopathic
- C. Restrictive
- D. Hypertrophic
Answer: D
Explanation:
Hypertrophic cardiomyopathy is a form of cardiomyopathy in which the volume of the ventricles is decreased due to an increase in ventricular muscle mass. Dilated cardiomyopathy refers to a condition where the ventricles are dilated and have impaired contractility. Restrictive cardiomyopathy is characterized by decreased ventricular compliance. Idiopathic cardiomyopathy is cardiomyopathy that does not have a clear cause.
NEW QUESTION # 527
Patients with gastrointestinal (GI) bleeding are at GREATEST risk of developing which of the following?
- A. Distributive shock
- B. Cardiogenic shock
- C. Disseminated intravascular coagulation (DIC)
- D. Hypovolemic shock
Answer: D
Explanation:
Life-threatening GI bleeding originates most commonly in the upper GI tract, and requires immediate medical attention to prevent complications. Patients presenting with sudden blood loss are at risk for decreased tissue perfusion and oxygen-carrying capacity associated with hypovolemic shock.
The fundamental goal of initial treatment of upper GI bleeding is to assess the hemodynamic consequences of the blood loss, identify the bleeding site, and control/stop the bleeding. If blood loss is greater than 25% of blood volume, hemodynamic instability will ensue. The patient will need at least two large-bore IV catheters for fluid resuscitation with crystalloid solutions and blood products, if indicated.
NEW QUESTION # 528
A patient's medical team highly recommends a high protein diet as a core part of her recovery plan. The patient tells the nurse that she adheres to a strict vegan diet because she cares deeply about the environmental impact of meat consumption. What response by the nurse is BEST?
- A. "Going off your vegan diet for just a few weeks is unlikely to have any meaningful impact on the environment."
- B. "Your diet might inhibit a high protein intake, but you definitely have the right to choose what diet you'd like to follow."
- C. "Let's talk to the dietitian about ways to maintain a high-protein diet while still following a strict vegan diet."
- D. "Meat consumption doesn't actually impact the environment significantly more than farming vegetables and grains."
Answer: C
Explanation:
The nurse should respect the patient's autonomy and preferences while still supporting and meeting their healthcare needs. Offering to discuss ways to accommodate the patient's diet with a dietitian best meets the nurse's professional obligations. Their diet may inhibit their ability to achieve a high protein intake; however, this should not be the nurse's initial focus when discussing the matter with the patient.
The nurse should not opine on the logical basis of the patient's beliefs that influence them to follow this diet, rather they should attempt to accommodate the patient if possible.
NEW QUESTION # 529
Which of the following is MOST LIKELY to occur in a patient who is experiencing a Transfusion-Related Acute Lung Injury (TRALI)?
- A. Elevated temperature
- B. Wheezing
- C. Urticaria
- D. Hypoxia
Answer: D
Explanation:
A patient who is experiencing TRALI will have hypoxia related to noncardiogenic pulmonary edema. An elevated temperature may occur with an acute febrile reaction, while urticaria and wheezing are possible with an acute allergic reaction.
NEW QUESTION # 530
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