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CCRN-Adult Latest Exam Question - CCRN-Adult Visual Cert Test

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q413-Q418):

NEW QUESTION # 413
Which of the following is LEAST likely to be a risk factor predisposing someone to depression?

A. Heavy coffee use
B. Pessimism
C. Financial pressure
D. Pain

Answer: A

Explanation:
While substance abuse is a known risk factor for depression, heavy coffee use is not typically considered a form of substance abuse. Pessimism, financial pressures, and pain are all risk factors that predispose someone to depression.

NEW QUESTION # 414
A patient with a history of multiple hospitalizations has been diagnosed with an infection caused by Vancomycin-Resistant Enterococcus (VRE). The MOST appropriate nursing action to prevent the spread of this infection would be which of the following?

A. Strict adherence to contact precautions
B. Placing the patient in a negative pressure room
C. Implementing droplet precautions
D. Administering appropriate antibiotics

Answer: A

Explanation:
VRE is spread through direct contact, so strict adherence to contact precautions, including the use of gloves and gowns, is necessary to prevent its spread. Droplet precautions are not specifically indicated for VRE. Administering appropriate antibiotics will help treat the patient's infection, but it will not prevent transmission to others. A negative pressure room is not needed, as VRE is not airborne.

NEW QUESTION # 415
A nurse is performing medication reconciliation during a patient's admission. To determine the patient's current understanding of the medication furosemide (Lasix), which of the following is the best statement by the nurse?

A. "Can you explain to me what furosemide (Lasix) does for you?"
B. "Do you take the furosemide (Lasix) for your hypertension?"
C. "When is the best time of day to take furosemide (Lasix)?"
D. "Which of your medications help to remove extra fluid?"

Answer: A

Explanation:
Asking the patient to explain what furosemide (Lasix) does for them assesses their understanding and allows the nurse to gauge their knowledge and correct any misconceptions. This method is more effective than asking yes/no questions, as it provides a comprehensive insight into the patient's medication literacy. References: = AACN Handbook for CCRN Certification, pp. 102-105.

NEW QUESTION # 416
Which of the following rhythms CANNOT be defibrillated with an AED?

A. Ventricular fibrillation (V-fib)
B. Atrial fibrillation (A-fib)
C. Ventricular tachycardia (V-tach)
D. All of these can be defibrillated

Answer: B

Explanation:
An Automatic External Defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation and pulseless ventricular tachycardia, and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to reestablish an effective rhythm. Defibrillation is a technique used in emergency medicine to terminate Ventricular Fibrillation (VF) or pulseless Ventricular Tachycardia (VT). If the AED does not identify one of these life-threatening rhythms, it will not shock the patient and will not allow the operator to deliver a shock.
Defibrillation is not indicated for atrial fibrillation. CPR must be conducted on a patient with asystole, and cardiac stimulating medications must be delivered if advanced rescue is present. If all efforts yield a shockable rhythm, the AED will then indicate the AED operator to shock the patient.

NEW QUESTION # 417
If a patient is suspected of having an acute hypoglycemic episode, all of the following would be appropriate as a first intervention EXCEPT:

A. administer 6 oz. regular cola
B. draw a STAT blood glucose level
C. check the patient's blood glucose with a glucometer
D. administer IV glucose or IM glucagon

Answer: B

Explanation:
Although drawing a STAT blood glucose level may be part of a number of initial interventions, it should not be the first, since results will take too long to obtain. Patients who are suffering from acute hypoglycemia are at high risk of incurring permanent neurological damage since the primary energy source for the brain is sugar. Patients who are conscious should consume a simple sugar which will absorb rapidly (10 to 15 g carbohydrate), such as cola or glucose tablets. Patients who are unconscious outside the hospital setting or without IV access in the hospital setting should receive IM glucagon.
Patients who are conscious in the hospital setting with IV access may be given IV dextrose.

NEW QUESTION # 418
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