2025 CCRN-Adult–100% Free Key Concepts | High-quality New CCRN-Adult Mock Test
2025 CCRN-Adult–100% Free Key Concepts | High-quality New CCRN-Adult Mock Test
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Tags: Key CCRN-Adult Concepts, New CCRN-Adult Mock Test, CCRN-Adult Guaranteed Passing, Exam CCRN-Adult Questions, Valid CCRN-Adult Test Simulator
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AACN CCRN-Adult Exam Syllabus Topics:
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q754-Q759):
NEW QUESTION # 754
Pain in the elderly patient is often reported differently than that of a younger patient due to all of the following changes that accompany aging EXCEPT:
- A. social
- B. cultural
- C. psychological
- D. physiological
Answer: A
Explanation:
Social changes may occur with age, but are not related to pain like other aging related changes.
Psychological, physiologic, and cultural changes occur with aging; some elderly patients may fear loss of control or independence, or may even associate pain with impending death. For these reasons, elderly patients may not report their pain accurately, as if to deny pain is to deny death. It is important for nurses to incorporate behavioral or physiologic indicators of pain into a variety of pain assessment strategies when caring for elderly patients.
NEW QUESTION # 755
An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should
- A. discontinue neurologic assessments.
- B. encourage the patient to sleep between assessments.
- C. establish a schedule with the provider.
- D. move the patient to the quieter part of the unit.
Answer: C
Explanation:
Verified answer: C. establish a schedule with the provider. Neurological assessments are important for monitoring the patient's neurological status and detecting any changes that may indicate a complication or improvement. However, frequent interruptions of sleep can have negative effects on the patient's health and well-being, such as impaired cognition, mood, immune function, and wound healing. Therefore, the nurse should collaborate with the provider to establish a schedule for neurologic assessments that balances the need for monitoring and the need for rest. This may involve reducing the frequency of assessments during the night, clustering other interventions to minimize disruptions, and using non-invasive methods of assessment when possible. Discontinuing neurologic assessments, encouraging the patient to sleep between assessments, or moving the patient to a quieter part of the unit are not appropriate actions as they do not address the root cause of the problem or ensure adequate monitoring of the patient's condition.
NEW QUESTION # 756
Which of the following organisms is MOST LIKELY to cause community-acquired pneumonias (CAPs)?
- A. Escherichia coli
- B. Candida albicans
- C. Acinetobacter baumannii
- D. Streptococcus pneumoniae
Answer: D
Explanation:
CAPs are respiratory infections developed before hospitalization, while ventilator-associated pneumonias (VAPs) are acquired during hospitalization (hospital-acquired and ventilator-associated).
Streptococcus pneumoniae is most commonly associated with CAP, and does not commonly cause VAP.
Organisms that cause VAPs include Escherichia coli, Candida albicans, and Acinetobacter baumannii.
NEW QUESTION # 757
A critical care nurse is providing teaching to a patient about a TAVR they are about to undergo. Which of the following statements made by the patient indicates the need for further teaching?
- A. This surgery involves replacement of my aortic heart valves.
- B. They will not need to open my chest to perform this surgery.
- C. I will probably not have chest tubes for more than three days.
- D. I will probably be discharged within a couple of days after this procedure.
Answer: C
Explanation:
A Transcatheter Aortic Valve Replacement (TAVR) involves replacement of the aortic valve using catheters inserted into the heart through blood vessels. Patients who undergo this procedure are likely to be discharged within a couple of days and will not require chest tubes like patients who undergo open heart surgery.
NEW QUESTION # 758
A student nurse is explaining the risk of aspiration to a patient who is receiving enteral nutrition. Which of the following statements made to the patient is CORRECT?
- A. You are at an increased risk of aspiration, even if everything is done right.
- B. Adding blue dye to your feedings will provide a sensitive indicator of aspiration.
- C. If you follow all the instructions the nurses give you, you will not aspirate.
- D. Because this form of nutrition is administered directly into your veins, there is no increased risk of aspiration.
Answer: A
Explanation:
Enteral feeding increases the risk of aspiration, even if the additional precautions taken with these patients are followed. Parenteral nutrition, not enteral nutrition is administered directly into the venous system. Blue dye has been shown to not be a sensitive indicator of whether aspiration has occurred.
NEW QUESTION # 759
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