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AACN CCRN-Adult - CCRN (Adult) - Direct Care Eligibility Pathway

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Total 150 questions

To maintain adequate pain control in a post-surgical patient addicted to heroin, a nurse should plan to

A.

administer oral opioids only as needed.

B.

administer PCA opioids with on-demand dosing only.

C.

administer PCA with continuous and on-demand opioid delivery.

D.

avoid administering any intravenous pain medication.

A nurse is caring for a patient with pulmonary fibrosis who is exhibiting shortness of breath, tachypnea, and feels a sense of impending doom. In order to relieve these symptoms, the nurse should anticipate an order for

A.

morphine.

B.

hydromorphone.

C.

lorazepam.

D.

diazepam.

Which of the following is a cause of cardiogenic pulmonary edema?

A.

elevated PAOP reading

B.

RV chamber enlargement

C.

pulmonary hypertension

D.

LV noncompliance

Which of the following signs is most frequently associated with meningitis?

A.

positive Trousseau's

B.

positive Cullen's

C.

positive Kernig's

D.

positive Babinski's

The dysrhythmia most commonly associated with mitral stenosis is

A.

second-degree AV heart block, Mobitz Type II.

B.

idioventricular rhythm.

C.

sinus bradycardia.

D.

atrial fibrillation.

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.

Progress to sitting in a chair during the next activity.

D.

Wait for assistance from physical therapy to resume mobility.

The rationale for initiating early enteral feeding in a patient with sepsis is to

A.

minimize translocation of GI bacteria.

B.

minimize electrolyte imbalances and fluid shifts.

C.

prevent pulmonary aspiration.

D.

increase GI motility.

The underlying pathophysiology of disseminated intravascular coagulation (DIC) is best explained as

A.

depression of platelet aggregation.

B.

inactivation of tissue thromboplastin.

C.

depletion of clotting factors.

D.

fragmentation of erythrocytes.

A patient is receiving continuous enteral feedings via jejunostomy tube. The patient develops mild, intermittent diarrhea. Which of the following actions is most appropriate?

A.

Obtain an abdominal x-ray.

B.

Review the patient's formula with nutrition services.

C.

Contact the physician for an order to hold feedings.

D.

Consider PICC line placement.

An unconscious patient presents with the following laboratory values:

Appropriate management of this patient should include

A.

IV hydration.

B.

hemodialysis.

C.

intubation.

D.

osmotic diuresis.