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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q777-Q782):
NEW QUESTION # 777
On which of the following patients would a bilateral pneumonectomy potentially be performed?
- A. A patient who is receiving Extracorporeal Membrane Oxygenation (ECMO)
- B. A patient with lung cancer in lobes of both lungs
- C. A patient who is brain-dead
- D. A patient with pulmonary fibrosis
Answer: C
Explanation:
A bilateral pneumonectomy is surgical removal of both lungs and would only be performed in patients who are legally dead and are organ donor candidates. The only patient described that meets this criteria is the patient who is brain-dead. This procedure would only be performed if the patient was an organ donor.
NEW QUESTION # 778
A first-degree Arterioventricular (AV) block would be considered NORMAL in which of the following patients?
- A. The patient with a normal resting heart rate of 50 bpm
- B. The patient who has been taking beta-blockers for the past 12 months
- C. The patient newly diagnosed with coronary heart disease
- D. The patient with a diagnosis of rheumatic heart disease
Answer: A
Explanation:
First-degree AV block, or first-degree heart block, is defined as prolonged AV conduction time of supraventricular impulses into the ventricles. First-degree AV block is normal in persons with a slow heart rate or high vagal tone.
First-degree AV block can be caused by the use of beta-blockers, use of calcium-channel blockers, rheumatic heart disease, and coronary heart disease. ECG characteristics include:
* Sinus rate of usually 60 to 100 beats/min, but can occur at any rate
* A regular rhythm
* Normal P waves that precede every QRS complex
* Prolonged PR interval above 0.20 seconds
* Usually normal QRS complex
* Normal conduction through the atria, delayed through the AV node, and normal through the ventricles
NEW QUESTION # 779
You observe another nurse come into the room of one of your patients who is in the ICU for ARDS (Acute Respiratory Distress Syndrome). You observe the patient inserting their finger into your patient's vagin a. The nurse is not assigned to your patient nor are they supposed to be performing any care in the room. The patient is heavily sedated and on a ventilator. Which of the following actions is MOST important?
- A. Notifying the police of the other nurse's actions
- B. Asking the nurse about the incident and seeing if they have a reasonable explanation for their actions
- C. As the patient is not aware of what happened, you should express to your colleague that their actions were inappropriate, but no further action is necessary
- D. Notifying your immediate supervisor
Answer: A
Explanation:
If a nurse observes sexual assault, they are legally responsible for notifying law enforcement. Failure to do so can result in the nurse that observed the behavior also being held legally responsible for the other nurse's actions. Notifying your immediate supervisor is important but does not relieve you of your responsibility to report the matter to law enforcement. You may ask the nurse about the incident; however, there can be no reasonable explanation for their actions and law enforcement should be notified. Action should always be taken in situations of sexual assault, regardless of the patient's state of consciousness during the assault.
NEW QUESTION # 780
An experienced ICU nurse is assigned to a patient with a rare condition that she has never encountered before. What would be the MOST appropriate action for her to take in order to ensure patient safety and effective care?
- A. Use ChatGPT to perform in-depth research on the condition
- B. Seek guidance and additional learning resources from colleagues familiar with the condition or other reliable resources
- C. Avoid the situation by trading patients with another nurse who is experienced with the condition
- D. Rely on her years of experience to help her manage the patient's condition
Answer: B
Explanation:
The correct answer is seeking education on the condition from reputable sources. Continuous learning and seeking help when unsure is key to maintaining patient safety and providing quality care. Relying on her years of experience to help her manage the patient's condition may lead to potential mistakes and compromise patient safety. Avoiding the situation by trading patients with another nurse who is experienced with the condition does not facilitate learning. Generative AI tools like ChatGPT should not be relied on as learning tools due to their inability to always provide trustworthy, reliable information.
NEW QUESTION # 781
A patient in septic shock is treated with a dopamine (Intropin) infusion of 10 mcg/kg/min. Which of the following indicates that this intervention has been effective?
- A. decreased systemic vascular resistance and decreased MAP
- B. increased systemic vascular resistance and increased MAP
- C. decreased systemic vascular resistance and increased MAP
- D. increased systemic vascular resistance and decreased MAP
Answer: B
Explanation:
Dopamine, when administered at a dose of 10 mcg/kg/min, acts primarily as an alpha-adrenergic agonist, leading to vasoconstriction. This results in increased systemic vascular resistance (SVR) and increased mean arterial pressure (MAP), which are desired outcomes in the treatment of septic shock. This effect helps improve perfusion to vital organs and stabilize hemodynamics in patients with septic shock. References: =
* CCRN (Adult) Certification Review Course Online: Cardiovascular and Hemodynamics.
* American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved
* from AACN CCRN Exam Handbook
* Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN
NEW QUESTION # 782
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