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CCRN-Adult Exam Passing Score, CCRN-Adult Exam Lab Questions

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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 3

The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.

Topic 5

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.

Topic 6

CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q675-Q680):

NEW QUESTION # 675
In septic shock, a mixed venous O2 saturation (SO2) of 84% indicates that

A. O2 delivery to tissues is inadequate due to shunting.
B. the tissue cells are being well oxygenated.
C. venous pO2 and saturation are irrelevant to tissue perfusion.
D. the mixed venous pO2 is low.

Answer: B

Explanation:
A high mixed venous O2 saturation (SO2) indicates that the tissue cells are not extracting enough oxygen from the blood, which can be due to impaired cellular metabolism or increased oxygen delivery. In septic shock, there is often a mismatch between oxygen delivery and consumption, resulting in a high SO2 despite tissue hypoxia. Therefore, SO2 alone is not a reliable indicator of tissue perfusion in septic shock.
References:
* Mixed venous oxygen saturation (SvO2) monitoring * LITFL * CCC
* SvO2 to monitor resuscitation of septic patients: let's just understand the basic physiology | Critical Care
| Full Text
* Reference Guide for CCRN (Adult), page 14.

NEW QUESTION # 676
In the trauma patient, which of the following biochemical markers is used to assist in the identification of myocardial injuries?

A. Lactate Dehydrogenase (LDH)
B. Myoglobin
C. Creatine Kinase (CK)
D. Troponin

Answer: D

Explanation:
In the trauma patient who may have sustained chest trauma, troponin levels are used to assist in the identification and diagnosis of myocardial injuries. In addition, echocardiography and a 12-lead ECG are other tools used to diagnose cardiac injury.

NEW QUESTION # 677
The ONLY universal sign of acute pancreatitis is:

A. fever
B. acute pain
C. nausea and vomiting
D. distended, tender abdomen

Answer: B

Explanation:
A sudden onset of pain in the upper abdomen, the only universal sign of acute pancreatitis, is caused by peritoneal irritation from activated pancreatic exocrine enzymes, edema or distention of the pancreas, or interruption of the blood supply to the pancreas. Treating the pain is a priority because it causes increased exocrine enzyme release by the pancreas, which may worsen the pathologic process.
The other answer choices are other signs/symptoms that may accompany acute pancreatitis.

NEW QUESTION # 678
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. coagulation panel
C. complete metabolic panel
D. arterial blood gas

Answer: B

Explanation:
For an oncology patient presenting with hematuria and bleeding from injection sites, reviewing the coagulation panel first is crucial. This test will provide information on the patient's clotting status, helping to identify potential coagulopathies such as disseminated intravascular coagulation (DIC), which is common in cancer patients. References: = AACN Certification and Core Review for High Acuity and Critical Care, 7th Edition, AACN Handbook for CCRN Certification, pp. 112-115.

NEW QUESTION # 679
A patient in the ICU who has been previously alert and oriented has become acutely restless and agitated. The patient is having difficulty concentrating and seems disoriented to time. What is the MOST likely diagnosis?

A. Hypoactive delirium
B. Acute dementia
C. Hyperactive delirium
D. Mixed delirium

Answer: C

Explanation:
These symptoms are consistent with hyperactive delirium, which is characterized by restlessness, agitation, and disorientation. Hypoactive delirium typically presents with lethargy, decreased alertness, and slowed responses, while mixed delirium alternates between hyperactive and hypoactive states.
Dementia is a chronic condition and doesn't present with an acute onset of symptoms.

NEW QUESTION # 680
......

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