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

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Total 150 questions

A patient with hypertension received tPA for an acute embolic stroke with complete resolution of symptoms. Twenty-four hours after tPA administration, the nurse should anticipate an order for

A.

diuretics.

B.

beta blockers.

C.

antiplatelet agents.

D.

calcium channel blockers.

A patient with a left ventricular assist device has been hospitalized for 5 days. A nurse notes anasarca and skin breakdown over multiple pressure points. When addressing the patient's nutritional needs, which of the following should the nurse consider?

A.

Edema may mask physical signs of protein calorie malnutrition.

B.

Initial signs may include low hemoglobin and hematocrit.

C.

Parenteral administration of amino acids is the first-line treatment.

D.

Lipids are needed for the utilization of protein calorie replacements.

A patient with a history of COPD is admitted with increasing dyspnea and fatigue. O2 is initiated via nasal cannula at 4 L/min with an O2 saturation of 99%. One hour later, the patient becomes lethargic. Which of the following is the most likely cause for the change in the patient's mental status?

A.

O2 toxicity

B.

absorption atelectasis

C.

depressed hypoxic drive

D.

decreased end-tidal CO2

A patient is admitted for sepsis secondary to pneumonia. The patient has received 2000 mL of plasmalyte and their BP remains 80/50. What should the nurse anticipate next for the patient?

A.

dopamine

B.

norepinephrine

C.

1L of plasmalyte

D.

vasopressin

While recording hourly ventilator checks on a patient who is being mechanically ventilated, the nurse notes that the PIP has gradually increased by 5 cm H2O over the past 4 hours. This increase indicates

A.

an improvement in pulmonary function.

B.

a leak in the ET tube cuff.

C.

a decrease in airway resistance.

D.

a decrease in lung compliance.