2025 LATEST CCRN-ADULT–100% FREE NEW EXAM PRICE | CCRN-ADULT TEST DURATION

2025 Latest CCRN-Adult–100% Free New Exam Price | CCRN-Adult Test Duration

2025 Latest CCRN-Adult–100% Free New Exam Price | CCRN-Adult Test Duration

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q34-Q39):

NEW QUESTION # 34
You're the nurse caring for a patient who has recently been placed on a ventilator. The patient's spouse is clearly distressed and asks to speak with you privately. They tell you they're unsure if they can handle seeing their spouse this way and want to know if the ventilator is really necessary. How should you respond?

  • A. Tell them it's best to focus on the positive aspects of the patient's condition
  • B. Arrange a meeting with the healthcare team to discuss the rationale and necessity of the ventilator
  • C. Reassure them that all possible interventions will be used to help the patient
  • D. Explain that the ventilator is necessary for now, and they should try to accept the situation

Answer: B

Explanation:
Arranging a meeting with the healthcare team allows the spouse to discuss the rationale and necessity of the ventilator, and is a way of addressing their concerns in a respectful and informative manner.
While the nurse can provide information about the necessity of the ventilator themselves, involving other members of the healthcare team (especially the physician), can provide a more cohesive and unified perspective. Simply reassuring them without addressing their concerns, suggesting acceptance without further discussion, or shifting focus to the positive aspects without acknowledging their distress does not fully address their concerns or promote understanding.


NEW QUESTION # 35
A patient in the ICU is refusing life-saving treatment due to religious beliefs. The patient's family members are pleading with the patient to reconsider their decision. As an ICU nurse, how should you respond?

  • A. Facilitate continued communication between the patient and their family, providing medically correct information as needed
  • B. Begin the treatment without the patient's consent
  • C. Remove the patient's family from their room to prevent distress to the patient then honor the patient's wishes
  • D. Convince the patient to reconsider for the sake of their family

Answer: A

Explanation:
It is correct to respect patient autonomy and the nurse should ultimately follow the patient's wishes as long as they are competent. The nurse, however, should facilitate continued communication between the patient and their family and provide medically correct information as needed so that a consensus can be reached on how to move forward with the patient's care. It is inappropriate to begin the treatment without the patient's consent. The nurse should provide the patient with the information they need to make an informed decision, but should not attempt to convince the patient to make a decision that may conflict with their religious beliefs. Removing the patient's family is only correct if it is clearly in the patient's best interests or if the patient specifically requests this. Removing them just because they are discussing the patient's healthcare decision is not appropriate.


NEW QUESTION # 36
The critical care nurse is providing treatment to a patient who has been mechanically ventilated for 3 days while being treated for status epilepticus. The nurse notes that the patient has developed dyspnea, hemoptysis, and a fever. The patient is found to have a WBC count of 15,200/mm3.
Which of the following conditions has the patient MOST LIKELY developed?

  • A. Septicemia
  • B. Acute respiratory failure (ARF)
  • C. Pulmonary arterial hypertension (PAH)
  • D. Ventilator-associated pneumonia (VAP)

Answer: D

Explanation:
Development of VAP is a serious complication in critically ill patients, and is associated with prolonged intubation. It is characterized by a number of findings, including: pleuritic chest pain, dyspnea, tachypnea, productive cough and hemoptysis, fever, and elevated WBC. Management involves appropriate broad-spectrum antimicrobial therapy, fluid resuscitation to correct hypovolemia and hypotension (if present), and improving oxygenation and ventilation.
Septicemia may somewhat fit this set of symptoms; however, pleuritic chest pain and hemoptysis are more suggestive of VAP.
If not treated promptly, this patient's pneumonia can turn into ARF, but at this stage, the patient's clinical presentation best fits a diagnosis of VAP.
This patient is not exhibiting signs and symptoms indicative of PAH.


NEW QUESTION # 37
Which of the following critically ill patients is at the LOWEST risk of developing hospital-acquired pneumonia?

  • A. A 64-year-old male with a COPD exacerbation
  • B. A 21-year-old female with AIDS being treated for cardiac dysrhythmias
  • C. A 34-year-old male being treated for DKA
  • D. A 91-year-old female with sepsis who is improving after beginning antibiotic therapy

Answer: C

Explanation:
There are several factors that can increase the risk of critically ill patients developing hospital-acquired pneumonia. These include advanced age, chronic respiratory or cardiac disease, and immunocompromised condition from diseases such as AIDS. A young patient being treated for DKA has the lowest risk of the available options.


NEW QUESTION # 38
All postoperative cardiac surgical patients typically develop:

  • A. chronic chest pain
  • B. pericarditis
  • C. hypertension
  • D. hypokalemia

Answer: B

Explanation:
Pericarditis is a chronic or acute inflammation of the pericardium. Acute pericarditis typically follows another disease process or cardiac surgery and usually resolves within six weeks. Pericarditis can occur due to:
* Infections (viral and bacterial)
* Cardiac surgery
* Rheumatic disease
* Radiation therapy
* Neoplasm
* Myocardial infarction
* Uremia
* Scleroderma
Hypertension, hypokalemia, and chronic chest pain are not common manifestations in postoperative cardiac surgical patients.


NEW QUESTION # 39
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