Pass the AACN CCRN CCRN-Adult Questions and answers with CertsForce

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Viewing questions 31-40 out of questions
Questions # 31:

A patient has been declared brain dead. A nurse would like the family to consider organ donation but has never requested this from a family before. The best initial action by the nurse is to

Options:

A.

consult the organ donation liaison.


B.

directly ask the patient's family members if they would consider organ donation.


C.

find out if the patient has an organ donor card.


D.

request that the physician discuss the issue with the family.


Questions # 32:

A patient is admitted with a femoral shaft fracture and an oblique fracture of three ribs on the right side. The patient suddenly reports shortness of breath. Assessment reveals new-onset headache, central and peripheral cyanosis, and petechiae of the neck and anterior chest wall. Available data are:

Question # 32

The nurse should suspect the development of

Options:

A.

a pulmonary embolus.


B.

sepsis.


C.

acute pulmonary edema.


D.

a fat embolus


Questions # 33:

A terminally ill patient is deteriorating. The patient's family states, "We don't want him to suffer any more." The most appropriate response is

Options:

A.

"I have given him the medication that was ordered."


B.

"Do you feel he is suffering now?"


C.

"He probably isn't feeling anything right now."


D.

"I will make a referral to the chaplain."


Questions # 34:

A patient's blood culture report notes the presence of vancomycin resistant enterococcus. The nurse should place the patient in which type of isolation?

Options:

A.

droplet


B.

airborne


C.

contact


D.

protective


Questions # 35:

A patient has experienced significant brain damage from an anoxic episode and has been unable to be weaned from ventilator support. The patient's spouse expresses ambivalence about stopping the ventilator now that it has been started. Which of the following statements is the nurse's most appropriate response?

Options:

A.

"When the patient no longer responds to treatment, it can be discontinued."


B.

"We can look at the hospital's policies regarding discontinuing therapy."


C.

"Perhaps you should talk with the rest of your family before making any decisions."


D.

"Maybe we shouldn't have been so quick to start the ventilator."


Questions # 36:

Which of the following is a sign of brain death?

Options:

A.

positive vestibulo-ocular reflex


B.

negative apnea test


C.

positive cough reflex


D.

negative cold caloric test


Questions # 37:

For a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for

Options:

A.

a shortened PR interval.


B.

tall peaked T waves.


C.

ST segment depression.


D.

a prolonged PR interval.


Questions # 38:

An unconscious patient in hepatic failure secondary to alcoholism becomes acutely hypoglycemic. Glucagon administration is contraindicated for this patient because glucagon

Options:

A.

interferes with lactulose (Cephulac) therapy.


B.

produces additional sedative effects.


C.

is ineffective when hepatocytes are damaged.


D.

causes rebound hyperglycemia.


Questions # 39:

A caloric irrigation test of the oculovestibular reflex is performed on a patient who is comatose following a hypoxic brain injury. When cold water is introduced into the left ear, nystagmus occurs with slow deviation of the eyes toward the left, followed by faster eye deviation to the right. This pattern is indicative of a

Options:

A.

persistent vegetative state.


B.

brain-stem infarction.


C.

normal response.


D.

third cranial nerve palsy.


Questions # 40:

A unit council is requesting to change a documentation screen of the electronic health record (EHR) at a large health system. The change was not discussed with the department prior to the request and was denied by the EHR committee. Which of the following strategies will most likely lead to accomplishing the team's goals?

Options:

A.

Have nursing leadership evaluate the proposal before resubmitting the request.


B.

Discuss the proposed solution with stakeholders to determine buy in.


C.

Work with key staff members to rewrite the request to present at the next meeting.


D.

Attempt to change the process through another format.


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Viewing questions 31-40 out of questions