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Exam CCRN-Adult Papers - CCRN-Adult Latest Exam Duration

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q75-Q80):

NEW QUESTION # 75
A charge nurse is planning staffing for the evening shift after having two nurses call out sick. Which of the following AACN Synergy Model competencies is the nurse exhibiting?

A. This action is not exhibiting one of the AACN Synergy Model competencies
B. Advocacy and moral agency
C. Systems thinking
D. Collaboration

Answer: C

Explanation:
The AACN Synergy Model is the source of content for 20% of the CCRN, making this concept a central component of the test. The eight components of the AACN Synergy Model are:
* Clinical judgement
* Advocacy and moral agency
* Caring practices
* Collaboration
* Systems thinking
* Response to diversity
* Facilitation of learning
* Clinical inquiry
Systems thinking involves critical thinking regarding the system through which healthcare is provided.
Planning to ensure that adequate staff levels are present to provide care is an example of systems thinking.

NEW QUESTION # 76
Which of the following is used to screen for congenital coagulation disorders and for monitoring anticoagulation with unfractionated (IV) heparin therapy?

A. Activated Coagulation Time (ACT)
B. Prothrombin Time (PT)
C. Activated partial thromboplastin time (aPTT)
D. Vitamin K levels

Answer: C

Explanation:
The activated partial thromboplastin time (aPTT) is reported in seconds and is used to evaluate fibrin clot formation stimulated by the intrinsic and common pathways of coagulation. This test is used to screen for congenital coagulation disorders and for monitoring anticoagulation with unfractionated (IV) heparin therapy.
Activated Coagulation Time (ACT) is reported in seconds and is used most commonly to monitor effects of unfractionated heparin during and following cardiovascular procedures such as cardiopulmonary bypass and percutaneous coronary interventions.
Prothrombin Time (PT) evaluates the extrinsic pathway and final common pathway of fibrin clot formation.
Vitamin K levels are not used to evaluate for congenital coagulation disorders or for monitoring anticoagulation.

NEW QUESTION # 77
A critical care nurse realizes that the nursing team seems to struggle with adhering to infection control practices during high work volume periods. Which response LEAST illustrates a systems thinking approach when responding to this issue?

A. Suggesting an infection control specialist support the unit during high work volume periods
B. Asking environmental services to check the levels of hand sanitizers on the unit more frequently during high work volume periods
C. Placing prominent signage reminding staff of the importance of hand hygiene
D. Collaborating with other units to make hand hygiene a part of handoff

Answer: C

Explanation:
Systems thinking is best defined as a body of knowledge that allows the nurse to manage environment and system resources for patients, families, and staff. Placing prominent signage and reminding staff of the importance of hand hygiene is a type of education and does not illustrate systems thinking. Asking environmental services to check the levels of hand sanitizers on the unit more frequently during high work volume periods, collaborating with other units to make hand hygiene a part of handoff, and suggesting an infection control specialist support the unit during high work volume periods do illustrate systems thinking.

NEW QUESTION # 78
What is the preferred oxygen delivery method for a patient with COPD and acute respiratory distress?

A. Venturi mask
B. Non-rebreather mask
C. Nasal cannula
D. Mechanical ventilation

Answer: A

Explanation:
A Venturi mask is preferred in this case as it allows for precise control of FiO2, which is important in COPD (Chronic Obstructive Pulmonary Disease) patients who are sensitive to getting too much oxygen.
Non-rebreather masks and nasal cannulas do not allow for the same precise control of FiO2. Mechanical ventilation does allow for precise control of FiO2; however, it is not preferred over a Venturi mask unless necessary due to the risks associated with intubation.

NEW QUESTION # 79
A 67-year-old man with COPD has been admitted to the ICU. He consistently refuses his respiratory treatments, stating they make him feel "trapped." What is the BEST way for the nurse to handle this situation?

A. Discuss his fears and explore alternative treatment options
B. Seek a court order to give treatment
C. Discuss the situation with the patient's healthcare power of attorney
D. Administer the treatments over his objections

Answer: A

Explanation:
Patient autonomy is a crucial aspect of ethical nursing practice. The patient has the right to refuse treatment. The nurse should try to understand the patient's fears and explore alternatives if possible.
Discussing the situation with the patient's healthcare power of attorney is not correct, as the patient's healthcare power of attorney can only make decisions for the patient if the patient is unable to make his own decisions. Seeking a court order to give treatment is not appropriate, as the patient does have the right to make their own healthcare decisions. Administering the treatments over his objections would be assault and battery.

NEW QUESTION # 80
......

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