AACN CCRN - CCRN (Adult) - Direct Care Eligibility Pathway Exam
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Total 146 questions
Question #11 (Topic: Exam A)
An acutely ill postoperative patient is receiving furosemide (Lasix) and epinephrine (Adrenaline) infusions intravenously. Laboratory values identify the patient as hyperglycemic. A nurse should anticipate
A. repetition of laboratory values in 1 hour and discontinuation of diet.
B. diabetic diet and culture of surgical wound to rule out infection.
C. discontinuation of furosemide and avoiding infusions with dextrose.
D. frequent capillary glucose testing and continuous insulin infusion.
Answer: D
Question #12 (Topic: Exam A)
The following orders are received for a patient with multisystem organ dysfunction syndrome (MODS). Which of the following interventions should take priority?
A. Increase the PEEP on the ventilator.
B. Complete an echocardiogram.
C. Obtain serum electrolytes.
D. Begin continuous renal replacement therapy (CRRT).
Answer: A
Question #13 (Topic: Exam A)
A patient's blood culture report notes the presence of vancomycin resistant enterococcus. The nurse should place the patient in which type of isolation?
A. protective
B. contact
C. airborne
D. droplet
Answer: B
Question #14 (Topic: Exam A)
After consultation with the interdisciplinary team, a nurse implements progressive mobility by having the patient sit at the side of the bed. The patient's HR increases by 10, RR increases by 6, SpO₂ remains at 94%, and BP remains stable. The patient states he is tired. Which of the following should be the nurse's next action?
A. Return the patient to a supine position and notify the physician.
B. Discontinue the attempts to mobilize the patient.
C. Wait for assistance from physical therapy to resume mobility.
D. Progress to sitting in a chair during the next activity.
Answer: D
Question #15 (Topic: Exam A)
A patient has been receiving mechanical ventilation and vasopressor therapy for 5 days. Which of the following measures will be most effective in preventing post intensive care syndrome?
A. bedside report and hourly rounding
B. early mobility and hourly rounding
C. bedside report and minimizing sedation
D. early mobility and minimizing sedation
Answer: D
