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Reliable AACN CCRN-Adult Dumps Files | Flexible CCRN-Adult Learning Mode
As far as the CCRN (Adult) - Direct Care Eligibility Pathway (CCRN-Adult) exam questions are concerned, these AACN CCRN-Adult exam questions are designed and verified by the experience and qualified CCRN-Adult exam trainers. They work together and strive hard to maintain the top standard of CCRN-Adult Exam Practice questions all the time. So you rest assured that with the PracticeVCE AACN CCRN-Adult exam questions you will ace your CCRN-Adult exam preparation and feel confident to solve all questions in the final AACN CCRN-Adult exam.
AACN CCRN-Adult Exam Syllabus Topics:
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q512-Q517):
NEW QUESTION # 512
Which type of generalized seizure is characterized by rhythmic muscle jerking?
- A. Clonic
- B. Tonic
- C. Atonic
- D. Absence
Answer: A
Explanation:
Generalized seizures are characterized by abnormal electrical discharge that rapidly affects both hemispheres. There are several types of generalized seizures:
* Absence: Sudden lapse of consciousness and activity that lasts 3 to 30 seconds; commonly described as a staring spell
* Myoclonic: Sudden, brief muscle jerking of one or more muscle groups. Commonly associated with metabolic, degenerative, and hypoxic causes
* Atonic (also called drop attacks): Sudden loss of muscle tone
* Clonic: Rhythmic muscle jerking
* Tonic: Sustained muscle contraction
* Tonic-clonic: Muscle activity varies between sustained contraction and jerking
NEW QUESTION # 513
Complications associated with extubation of an Endotracheal (ET) tube include all of the following EXCEPT:
- A. tracheomalacia
- B. tracheal damage
- C. aspiration
- D. bronchospasm
Answer: A
Explanation:
Tracheomalacia is a complication associated with prolonged intubation. While tracheomalacia may first be evident during extubation, it is a complication of being intubated, not of extubation. Aspiration, bronchospasm, and tracheal damage (including perforation) are complications associated with extubation. Coughing and deep breathing are encouraged to reduce the risk of these complications.
NEW QUESTION # 514
Positive Kernig and Brudzinski signs MOST likely indicate which of the following conditions?
- A. Myasthenia Gravis
- B. Meningitis
- C. Intraventricular Hemorrhage (IVH)
- D. Encephalitis
Answer: B
Explanation:
Meningitis is an acute inflammation of the meninges of the brain and spinal cord. Positive Kernig (severe pain in the hamstring with knee extension when the hip is flexed 90 degrees) and Brudzinski sign (involuntary flexion of the knees and hips when the neck is flexed) are commonly seen with meningitis.
Other signs and symptoms include fever, headache, neck stiffness, irritability, vomiting, photophobia, changes in LOC, seizures, weakness, and cranial nerve defects.
NEW QUESTION # 515
International guidelines for management of severe sepsis and septic shock recommend which of the following as the FIRST-CHOICE vasopressor agent?
- A. Phenylephrine
- B. Epinephrine
- C. Norepinephrine
- D. Dopamine
Answer: C
Explanation:
Norepinephrine is the first-choice vasopressor in the setting of severe sepsis and septic shock, according to the 2016 Surviving Sepsis Campaign international guidelines. Norepinephrine is a direct-acting vasoactive agent and has both alpha- and beta-adrenergic agonist properties, producing mixed vasopressor and inotropic effects.
Dopamine is recommended as an alternative vasopressor agent only in highly selected patients (eg, patients with low risk of tachyarythmias and absolute or relative bradycardia).
Epinephrine is an option in addition to norepinephrine to maintain BP in refractory patients. Its use is reserved for when other vasoconstrictors are inadequate.
Phenylephrine is not recommended in the treatment of septic shock except in the following circumstances:
* norepinephrine is associated with serious arrhythmias
* cardiac output is known to be high and blood pressure persistently low
* as salvage therapy when combined inotrope/vasopressor drugs and low-dose vasopressin have failed to achieve the MAP target It may be useful when dopamine, dobnutamine, norepinephrine, or epinephrine cause tachyarhythmias when a vasoconstrictor is required.
NEW QUESTION # 516
When considering weaning a patient from a ventilator, which of the following criteria indicates the patient is NOT ready to be weaned?
- A. Respiratory rate: 26
- B. FIO2: 0.60
- C. PaO2 / FIO2 ratio > 200
- D. Minute ventilation: 5L
Answer: B
Explanation:
Weaning parameters include the following:
* FIO2: < 0.50
* Spontaneous respiratory rate < 30 breaths per minute
* Spontaneous tidal volume: > 5mL/kg
* Vital capacity: > 10 mL/kg, ideally 15mL/kg
* Minute ventilation: < 10L
* Negative inspiratory pressure: < -25 to -30 cm H2O
* PaO2 / FIO2 ratio > 200
NEW QUESTION # 517
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