Get AACN CCRN-Adult Exam Practice Questions - Real and Updated

Answer : A

For a patient with type 1 diabetes admitted for diabetic ketoacidosis (DKA) who reports not following the prescribed medication plan, assessing the patient's ability to afford medications and supplies is crucial. Financial barriers are a common reason for non-adherence to treatment plans. Addressing these barriers can help the healthcare team provide the necessary resources or support to ensure the patient can follow the prescribed regimen, potentially preventing future hospitalizations. Reference: =

CCRN (Adult) Certification Review Course Online: Behavioral/Psychosocial.

American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved from AACN CCRN Exam Handbook

Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN

Answer : A

The best response is to assess the patient's feelings and understanding of their condition and prognosis. This response opens a dialogue and allows the nurse to provide education and emotional support based on the patient's specific concerns. Other responses may provide false reassurance or imply assumptions about the patient's future without first understanding their current emotional state and concerns. Reference: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.

Answer : C

The first step in developing a teaching plan is to assess the learner's needs, knowledge, and readiness to learn. This will help the nurse tailor the teaching plan to the individual's learning style, preferences, and goals. Obtaining written information, determining a schedule, and encouraging observation are all strategies that can be used later in the teaching plan, but they are not the first step.

AACN Essentials of Critical Care Nursing, Fourth Edition, page 18.

Patient Education and Counseling, page 3.

Answer : C

The patient's tachycardia and hypotension following bowel resection surgery indicate potential severe complications such as hemorrhage or septic shock, which require immediate intervention. If the on-call surgical resident does not provide new orders, the nurse must act promptly to prevent further deterioration by initiating the rapid response team (RRT). The RRT can provide critical interventions and facilitate timely transfer to a higher level of care if needed. Reference: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

Answer : D

The patient's present clinical status is most likely a result of a ventricular septal defect (VSD), which is a hole in the wall between the left and right ventricles. A VSD can occur as a mechanical complication of MI, usually within the first week, due to necrosis and rupture of the ventricular septum. A VSD causes a left-to-right shunt of blood, which leads to increased pulmonary pressure, pulmonary edema, and reduced cardiac output. The patient's symptoms and signs are consistent with a VSD, such as severe chest pain, hypotension, tachycardia, respiratory distress, high PAOP with large V waves, low CI, cool and clammy skin, inspiratory crackles, and a loud blowing holosystolic murmur at the apex. A papillary muscle rupture, a cardiac tamponade, and an acute aortic insufficiency are other possible mechanical complications of MI, but they have different clinical manifestations. A papillary muscle rupture causes acute mitral regurgitation, which presents with a soft systolic murmur at the apex and pulmonary congestion1. A cardiac tamponade causes compression of the heart by pericardial fluid, which presents with hypotension, muffled heart sounds, and jugular venous distension2. An acute aortic insufficiency causes backflow of blood from the aorta to the left ventricle, which presents with a diastolic decrescendo murmur at the left sternal border and a wide pulse pressure3.

1: Mechanical complications of acute myocardial infarction - UpToDate4, p. 2-3.

2: Cardiac tamponade - Symptoms, diagnosis and treatment | BMJ Best Practice US, p. 1-2.

3: Acute aortic regurgitation - Symptoms, diagnosis and treatment | BMJ Best Practice US, p. 1-2.