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CCRN-Adult New Guide Files | New CCRN-Adult Exam Questions
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| Topic 1 |
- PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.
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| Topic 3 |
- Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
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New CCRN-Adult Exam Questions - Sure CCRN-Adult Pass
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q997-Q1002):
NEW QUESTION # 997
A patient's urine output is 6 liters per day with a low urine specific gravity. Despite good oral intake, the patient's thirst is unquenchable. Which of the following is the MOST likely diagnosis?
- A. SIADH
- B. Adrenal insufficiency
- C. Diabetes mellitus
- D. Diabetes insipidus
Answer: D
Explanation:
Diabetes insipidus is characterized by the excretion of a large volume of dilute urine and uncontrolled thirst. This condition is caused by insufficient secretion of the Antidiuretic Hormone (ADH). Diabetes mellitus leads to increased urine output but typically comes with glucose in the urine, not a low specific gravity. It also is unlikely to cause polyuria that produces such a high volume. Adrenal insufficiency and SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion) don't typically present with high urine output. SAIDH is caused by elevated secretion of ADH and has the opposite effects of diabetes insipidus.
NEW QUESTION # 998
The critical care nurse is assessing a patient's pressure ulcer. Which of the following is LEAST LIKELY to indicate that a wound is becoming infected?
- A. Warmth
- B. Purulent drainage
- C. Increasing wound depth
- D. Redness
Answer: C
Explanation:
Increasing wound depth of a pressure ulcer can indicate continued necrosis of the wound tissues that may be caused by infection, but may also be caused by impaired circulation to the wound tissues.
Redness, warmth, and purulent drainage are all indicators of infection.
NEW QUESTION # 999
Which valvular disorder is MOST commonly associated with aortic dissection?
- A. Mitral stenosis
- B. Aortic insufficiency
- C. Aortic stenosis
- D. Mitral insufficiency
Answer: B
Explanation:
Aortic insufficiency (regurgitation) is most commonly associated with aortic dissection and endocarditis.
If the aortic valve does not close properly, blood regurgitates, or flows backward, from the aorta into the left ventricle during diastole. It causes decreased coronary artery blood flow and brief compensatory tachycardia. This causes significant increases in the volumes and pressures of the left ventricle, contributing to the gradual development of left ventricular dilation and hypertrophy. Hypertension also places significant pressure on the aortic valve, often causing aortic insufficiency.
NEW QUESTION # 1000
The classic triad of Cushing's response, seen late in the course of neurologic deterioration, is marked by three vital sign changes. All of the following are vital sign changes observed in this triad EXCEPT:
- A. widened pulse pressure
- B. bradycardia
- C. hyperthermia
- D. irregular respiratory pattern
Answer: C
Explanation:
Cushing's response refers to a triad of vital sign changes seen late in the course of neurologic deterioration. The classic triad is marked by widened pulse pressure, bradycardia, and an irregular respiratory pattern.
Temperature is carefully monitored in patients with neurologic dysfunction because hyperthermia (regardless of infectious or noninfectious origin) causes increased cerebral metabolic demand. It is generally seen earlier (not later) in the course of neurologic deterioration.
NEW QUESTION # 1001
Analyze and interpret the ABG results:
* pH: 7.50
* PaCO2: 44 mmHg
* HCO3: 33 mEq/L
- A. Partially compensated respiratory alkalosis
- B. Fully compensated metabolic acidosis
- C. Acute (uncompensated) metabolic alkalosis
- D. Normal ABG
Answer: C
Explanation:
Normal pH ranges from 7.35-7.45. Since this patient's pH is above 7.45, the patient is alkalotic. Normal CO2 (carbon dioxide) levels range from 35-45 mmHg, and normal HCO3 (bicarbonate) levels range from
22-26 mEq/L. CO2 is the respiratory component and HCO3 is the metabolic component. The component that matches the pH is the system controlling the ABG.
In this scenario, the pH and bicarbonate levels are both alkalotic, so the primary mechanism is a metabolic alkalosis. The pH is high, but the CO2 levels are still within normal range, so there is no indication that the respiratory system is compensating.
NEW QUESTION # 1002
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