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

1. Examination of a patient exhibiting Kernig's and Brudzinski's signs indicates which of the following?

A) adrenal insufficiency
B) autonomic hyperreflexia
C) meningeal irritation
D) increased intracranial pressure

2. Assessment of a patient admitted with excruciating back pain reveals:

Appropriate therapy should include

A) nitroglycerin.
B) digoxin (Lanoxin).
C) nitroprusside (Nipride).
D) diltiazem (Cardizem).

3. A patient is admitted for acute benzodiazepine overdose. Nursing interventions should include administration of

A) naloxone (Narcan).
B) osmotic diuretics.
C) flumazenil (Romazicon).
D) sodium bicarbonate.

4. A patient reported to have smoked crack cocaine is brought to the hospital by paramedics and admitted in an agitated state. On the way to the hospital, the patient had a generalized seizure. The toxicology screen is positive for cocaine. Which of the following is most appropriate to administer?

A) ipecac
B) lorazepam (Ativan)
C) naloxone (Narcan)
D) activated charcoal

5. A patient is receiving continuous enteral feedings via jejunostomy tube. The patient develops mild, intermittent diarrhea. Which of the following actions is most appropriate?

A) Consider PICC line placement.
B) Obtain an abdominal x-ray.
C) Contact the physician for an order to hold feedings.
D) Review the patient's formula with nutrition services.

Solutions: