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

1. A patient with history of hypothyroidism is admitted with severe confusion and nonpitting edema. The nurse should anticipate which order?

A) forced air warming blanket
B) diuretics
C) insulin drip
D) 3% saline 150 mL/hour

2. A patient underwent a successful percutaneous coronary intervention to the left anterior descending coronary artery. The patient suddenly begins to complain of dyspnea, jaw pain, and chest tightness. The bedside monitor displays sinus tachycardia and ST segment elevation in lead V2. The patient's neck veins are flat and BP is
152/98. Which of the following is the most likely cause of the patient's symptoms?

A) vasovagal reaction
B) coronary artery occlusion
C) cardiac tamponade
D) pulmonary hypertension

3. A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

A) nitroprusside (Nipride), fluid restrictions, and transvenous pacing
B) dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix)
C) dobutamine (Dobutrex), fluid infusions, and transvenous pacing
D) nitroglycerin, fluid infusions, and morphine

4. A 22-year-old trauma patient sustained multiple fractures after a fall. The patient fell 50 feet from a cliff while rock climbing without a harness. The patient is intubated and sedated with casts to bilateral lower extremities.
The nurse should recognize that young adults are

A) more likely to engage in risk-taking behaviors.
B) working through trust issues that cause them to test limits.
C) developmentally vulnerable to peer pressure in extreme sports.
D) influenced by long-time intervals spent in virtual reality.

5. There is an increase in catheter-associated urinary tract infections (CAUTIs) following a change in urinary catheter insertion trays. After conducting a literature review of evidence-based practices regarding indwelling catheter insertion and care, the nurse should

A) locate a unit in the facility that still has the original trays in stock and restock the supply closet with these.
B) contact the materials coordinator and request that the previous trays be re-ordered.
C) share the results of the literature review with the physician team.
D) lead a meeting in which the results of the literature review are presented, and staff input is obtained.

Solutions: