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

1. A patient who sustained acute head trauma exhibited intermittent unconsciousness prior to admission. The patient is disoriented initially and exhibits rapid deterioration in neurological status shortly after admission.
X-rays reveal a right temporal bone fracture, and a diagnosis of epidural hematoma is made. The deterioration in the patient's condition is most likely associated with

A) clot formation.
B) arterial bleeding.
C) venous bleeding.
D) intracranial aneurysm.

2. In a patient with status asthmaticus, which of the following indicate a deteriorating condition?

A) increased PaCO2 and decreased expiratory flow
B) decreased PaCO2 and increased minute ventilation
C) respiratory alkalosis and increased expiratory flow
D) increased compliance and respiratory acidosis

3. A patient with a history of asthma presents with acute onset of dyspnea, a non-productive cough, and tachypnea. He is very anxious, restless, and tachycardic. Which of the following is a first-line drug for these symptoms?

A) mast cell stabilizer
B) anticholinergic
C) beta-agonist
D) leukotriene inhibitor

4. The rationale for initiating early enteral feeding in a patient with sepsis is to

A) minimize electrolyte imbalances and fluid shifts.
B) increase GI motility.
C) minimize translocation of GI bacteria.
D) prevent pulmonary aspiration.

5. A patient who underwent bowel resection surgery due to small bowel rupture is tachycardic and hypotensive.
A nurse calls the on-call surgical resident and reports the findings. No new orders are received. The nurse should continue to monitor the patient and

A) notify the charge nurse during nightly rounds.
B) consult the nearest nursing colleague.
C) initiate the rapid response team.
D) inform the clinical manager in the morning.

Solutions: