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

1. A patient who survives near-drowning develops hypoxia-induced cerebral edema. Interventions should include

A) hyperventilation to maintain PaCO2 of 40-45 mm Hg.
B) keeping the patient flat, in a supine position.
C) administration of osmotic diuretics.
D) maintaining a MAP of 60-70 mm Hg.

2. During the monthly code team review, it is noted that regulators have been consistently missing from the O2 tanks. Which of the following is a nurse's best action?

A) Inform the nurse manager of the need for more regulators.
B) Document on the daily flow sheets when the regulators are missing.
C) Report the missing regulators to the shift supervisor.
D) Form a task force to try to find a solution.

3. A nurse is caring for a patient with pulmonary fibrosis who is exhibiting shortness of breath, tachypnea, and feels a sense of impending doom. In order to relieve these symptoms, the nurse should anticipate an order for

A) lorazepam.
B) hydromorphone.
C) morphine.
D) diazepam.

4. A consistent prolongation of the P-R interval beyond 0.20 sec indicates which of the following types of AV block?

A) second-degree, Mobitz Type II
B) third-degree (complete)
C) first-degree
D) second-degree, Mobitz Type I (Wenckebach)

5. A patient with end-stage COPD who has failed multiple mechanical ventilation weaning trials communicates a desire to discontinue mechanical ventilation and be extubated. Which of the following is a nurse's best response?

A) Advocate with the care team for a withdrawal of treatment plan.
B) Encourage the patient to continue with current medications and attempts to wean.
C) Explore the patient's reasons for the request and understanding of potential consequences.
D) Refer the patient's request to the healthcare facility's ethics committee for review.

Solutions: