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

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Total 150 questions

An experienced nurse new to a unit believes the literature does not support current unit practice of a fixed-dose nitroglycerin IV (Tridil) infusion in all postoperative cardiac surgery patients for 24 hours. The nurse develops a proposal referencing peer-reviewed articles. Based on the proposal, unit leaders agree to remove the nitroglycerin IV (Tridil) infusion from the standard order set. The actions taken by the nurse are best described as

A.

collaboration with a team.

B.

a clinical research study.

C.

a performance improvement project.

D.

evidence-based practice.

A nurse who is providing care to a patient with a hemorrhagic stroke receives an order to administer 3% Normal Saline IV. The nurse should recognize the goal of therapy is to create an

A.

osmotic gradient which pulls fluid from the brain tissue into the vascular system.

B.

osmotic gradient which pulls fluid from the vascular system into the brain tissue.

C.

oncotic gradient which pulls fluid from the brain tissue into the vascular system.

D.

oncotic gradient which pulls fluid from the vascular system into the brain tissue.

A patient with a sodium level of 114 mEq/L is most likely to develop

A.

tetany.

B.

flaccid paralysis.

C.

seizures.

D.

cardiac arrhythmias.

Which of the following is a late finding in hypovolemic shock?

A.

tachycardia

B.

UO greater than 30 mL/hr

C.

cool, dry skin

D.

hypotension

A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

A.

dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix)

B.

nitroprusside (Nipride), fluid restrictions, and transvenous pacing

C.

nitroglycerin, fluid infusions, and morphine

D.

dobutamine (Dobutrex), fluid infusions, and transvenous pacing

An oncology patient presents with hematuria and bleeding from previous injection sites. Which diagnostic test result should the nurse review first?

A.

complete blood count

B.

arterial blood gas

C.

complete metabolic panel

D.

coagulation panel

A patient who experienced a blunt chest trauma in an automobile crash is admitted with multiple rib fractures. The patient is dyspneic and hypotensive and is reporting left shoulder pain. On auscultation, a nurse notes that bowel sounds can be heard over the lower left thorax. These findings are consistent with

A.

ruptured abdominal viscus.

B.

ruptured diaphragm.

C.

flail chest.

D.

mediastinal shift.

An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing

A.

heart failure with reduced EF.

B.

heart failure with preserved EF.

C.

left ventricular failure.

D.

advanced heart failure.

The goal of PEEP therapy in acute lung injury (ALI) is to

A.

decrease PAP.

B.

decrease airway resistance.

C.

increase cardiac output.

D.

reduce physiologic shunting.

A patient with an acute anterior wall MI presents with an S3 gallop and the following values:

Which drug therapy would be most appropriate for this patient?

A.

vasodilators and positive inotropes

B.

vasopressors and beta-blockers

C.

vasodilators and diuretics

D.

vasopressors and calcium-channel blockers