FREE PDF 2025 CCRN-ADULT: CCRN (ADULT) - DIRECT CARE ELIGIBILITY PATHWAY UNPARALLELED PASSLEADER REVIEW

Free PDF 2025 CCRN-Adult: CCRN (Adult) - Direct Care Eligibility Pathway Unparalleled Passleader Review

Free PDF 2025 CCRN-Adult: CCRN (Adult) - Direct Care Eligibility Pathway Unparalleled Passleader Review

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q120-Q125):

NEW QUESTION # 120
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. coronary artery occlusion
  • B. cardiac tamponade
  • C. pulmonary hypertension
  • D. vasovagal reaction

Answer: A

Explanation:
The patient presents with dyspnea, jaw pain, chest tightness, and sinus tachycardia with ST segment elevation in lead V2 after a percutaneous coronary intervention (PCI). These symptoms are indicative of myocardial ischemia or infarction, likely due to a re-occlusion of the treated coronary artery. Coronary artery occlusion is a common cause of these acute symptoms post-PCI. Other options like pulmonary hypertension, vasovagal reaction, and cardiac tamponade are less consistent with the clinical presentation. References: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.


NEW QUESTION # 121
The spouse of a critically ill patient is indecisive, withdrawn, and tells the nurse, "I feel so helpless." Appropriate nursing interventions include

  • A. offering solutions to problems identified by the spouse.
  • B. encouraging other family members to make necessary decisions.
  • C. providing reassurance that visiting is not always necessary.
  • D. identifying and reinforcing the spouse's support systems.

Answer: D

Explanation:
When dealing with a spouse who feels helpless, the most effective nursing intervention is to identify and reinforce their support systems. This helps the spouse feel less isolated and more empowered. Offering solutions to problems, encouraging other family members to make decisions, or providing reassurance that visiting is not necessary do not directly address the spouse's feelings of helplessness and may even contribute to feelings of exclusion or inadequacy. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


NEW QUESTION # 122
A patient with unilateral facial droop and slurred speech has a history of hyperlipidemia and hypertension. The nurse should anticipate an order for a

  • A. coagulation panel.
  • B. head MRI.
  • C. triglyceride panel.
  • D. head and neck CT scan.

Answer: D

Explanation:
Given the symptoms of unilateral facial droop and slurred speech, a stroke is highly suspected. A head and neck CT scan is the most appropriate initial imaging to quickly evaluate for the presence of an ischemic or hemorrhagic stroke, which is critical for determining the appropriate treatment plan. An MRI may provide more detailed information later but is not the initial test of choice in the acute setting. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


NEW QUESTION # 123
Which of the following signs is most frequently associated with meningitis?

  • A. positive Kernig's
  • B. positive Cullen's
  • C. positive Babinski's
  • D. positive Trousseau's

Answer: A

Explanation:

Meningitis
A positive Kernig's sign is a clinical test for meningitis that involves flexing the hip and knee of the patient and then extending the knee. If the patient feels pain or resistance in the lower back or hamstring, the test is positive. A positive Kernig's sign indicates irritation of the meninges, the membranes that cover the brain and spinal cord. A positive Trousseau's sign is a sign of hypocalcemia that involves carpal spasm after inflating a blood pressure cuff. A positive Cullen's sign is a sign of retroperitoneal bleeding that involves bruising around the umbilicus. A positive Babinski's sign is a sign of upper motor neuron lesion that involves fanning of the toes when the sole of the foot is stroked.
References:
* Kernig's sign - Wikipedia
* Trousseau's sign - Wikipedia
* Cullen's sign - Wikipedia
* Babinski sign - Wikipedia


NEW QUESTION # 124
Which of the following is the most common prerenal cause of acute tubular necrosis?

  • A. shock
  • B. crush injury
  • C. beta-hemolytic streptococcal infection
  • D. blood transfusion reaction

Answer: A

Explanation:
Shock is the most common prerenal cause of acute tubular necrosis (ATN). In the context of prerenal conditions, shock leads to decreased renal perfusion and subsequent ischemia, which can cause damage to the renal tubules. Other options such as blood transfusion reaction, crush injury, and beta-hemolytic streptococcal infection can lead to renal damage but are not the most common prerenal causes of ATN. References: CCRN Exam Handbook, AACN, page 28, section on Renal/GU.


NEW QUESTION # 125
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