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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q652-Q657):

NEW QUESTION # 652
According to the American College of Cardiology and the American Heart Association (ACC/AHA) stages of Heart Failure (HF), at which stage is a patient with structural disease, such as a previous MI (Myocardial Infarction), but has never shown signs or symptoms of HF?

A. Stage A
B. Stage C
C. Stage B
D. Stage D

Answer: C

Explanation:
The ACC/AHA developed a staging system that addresses the evolution and progression of HF, and for early identification of at-risk patients for HF. The staging system includes therapy recommendations for each stage.
* Stage A: Patients at high risk for HF due to the presence of conditions strongly associated with development of HF; currently asymptomatic
* Stage B: Patients with structural disease, but have never shown signs or symptoms of HF
* Stage C: Patients with structural disease who have current or prior symptoms of HF
* Stage D: Patients with advanced structural heart disease and marked symptoms at rest despite optimal medical therapy and who require specialized interventions The stages are not meant to replace the NYHA (New York Heart Association) classification system (used to provide systematic assessment of patient status and to benchmark improvement or deterioration from initial evaluation).

NEW QUESTION # 653
A patient with multiple traumatic injuries is ALWAYS presumed to have:

A. hypovolemic shock
B. alcohol and illegal drug use
C. a possible C-spine injury
D. pregnancy

Answer: C

Explanation:
Until proven otherwise, patients who have sustained multiple trauma injuries are always presumed to have a cervical spine (C-spine injury). A C-spine x-ray or CT scan is necessary to ensure all seven cervical vertebrae are intact. Cervical spine immobilization involves a cervical collar to prevent movement of the head or neck until the C-spine has been visualized and no injuries are found.
Alcohol and illegal drug use are common with many multiple trauma patients. Hypovolemic shock is a common complication of trauma. The critical care nurse should not assume these findings in trauma patients and must properly examine all patients, regardless of assumptions.

NEW QUESTION # 654
In the critically ill patient with dementia, all of the following would be helpful interventions to include in the plan of care EXCEPT:

A. encouraging patient input and participation in care
B. providing a structured environment
C. providing limited choices
D. decreasing noise and distractions

Answer: C

Explanation:
The patient should always be an active participant in the plan of care and limiting choices would not be helpful. Providing options gives the patient a sense of independence and allows trust to be built between patients and healthcare professionals.
Providing a structured environment and implementing strategies such as dimming lights and decreasing noise are also helpful interventions for critically ill patients with dementia.

NEW QUESTION # 655
A patient with a history of alcohol abuse has been admitted for progressive dyspnea and leg swelling.
Assessment findings include:
BP155/90
HR85
CVP12 mm Hg
Which of the following tests will provide the most definitive diagnosis?

A. liver function panel
B. chest x-ray
C. pro-BNP
D. echocardiogram

Answer: D

NEW QUESTION # 656
A 45-year-old woman has just been diagnosed with chronic heart failure. The nurse wants to ensure she understands the medications she is receiving in the ICU. Which of the following is the BEST approach?

A. Use the teach-back method to ensure comprehension
B. Ask her to identify any concepts or areas that she does not understand
C. Use written test to assess her understanding of the medications
D. Providing her an evidence-based pamphlet written by the AHA about heart failure

Answer: A

Explanation:
The teach-back method is a proven strategy to ensure patient comprehension and works by having the patient repeat the information back in their own words. Providing her an evidence-based pamphlet written by the AHA about heart failure may promote learning but does not allow the nurse to evaluate the patient's level of knowledge. Using the teach-back method is more effective than using a written test as it allows the nurse to better delve deeper into the patient's knowledge about particular topics.
Having the patient identify any concepts or areas that she does not understand is not as effective as the teach-back method as there may be deficiencies that the patient does not recognize and that can be appreciated by the nurse using the teach-back method.

NEW QUESTION # 657
......

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CCRN-Adult Exam Upgrade Dumps- First-grade CCRN-Adult Test Questions Pass Success

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q652-Q657):

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