CCRN-Adult無料問題集「AACN CCRN (Adult) - Direct Care Eligibility Pathway」

質問 1

A patient with a spinal cord injury at T7 tells the nurse that they now have a pounding headache. The nurse should

（A）check for bladder distension.

（B）administer PRN acetaminophen.

（C）perform a stroke assessment.

（D）place the patient in supine position.

正解：A 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 2

Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first

（A）consult with medical staff to change visiting hours.

（B）begin a literature search on family visitation practices.

（C）draft a new policy regarding visitation practices for the unit.

（D）schedule an interdisciplinary team meeting to discuss visiting hours.

正解：B 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 3

The spouse of a critically ill patient is indecisive, withdrawn, and tells the nurse, "I feel so helpless."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

（A）identifying and reinforcing the spouse's support systems.

（B）providing reassurance that visiting is not always necessary.

（C）offering solutions to problems identified by the spouse.

（D）encouraging other family members to make necessary decisions.

正解：A 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 4

Which of the following diagnostic procedures best pinpoints the location, size, and origin of a cerebral aneurysm?

（A）CT scanning

（B）MRI

（C）cerebral angiography

（D）positron emission tomography (PET) scanning

正解：C 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 5

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）second-degree, Mobitz Type I (Wenckebach)

（D）first-degree

正解：D 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 6

In order to meet the spiritual needs of critically ill patients and their families, which of the following should the nurse understand regarding chaplain services?

（A）The service should be provided only when specifically requested by the patient or family.

（B）The chaplain may be of a specific denomination, but the chaplain provides resources to patients of many faiths and beliefs.

（C）It would be inappropriate for the hospital chaplain to document in the medical record.

（D）A chaplain's visit will not benefit a patient who is comatose or non-communicative.

正解：B 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 7

An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing

（A）heart failure with preserved EF.

（B）advanced heart failure.

（C）heart failure with reduced EF.

（D）left ventricular failure.

正解：A 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 8

An unconscious patient in hepatic failure secondary to alcoholism becomes acutely hypoglycemic. Glucagon administration is contraindicated for this patient because glucagon

（A）interferes with lactulose (Cephulac) therapy.

（B）is ineffective when hepatocytes are damaged.

（C）causes rebound hyperglycemia.

（D）produces additional sedative effects.

正解：B 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 9

For a patient with suspected pulmonary embolism, which of the following is the most definitive diagnostic test?

（A）ventilation scan

（B）chest x-ray

（C）ABG analysis

（D）pulmonary angiography

正解：D 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

質問 10

A caloric irrigation test of the oculovestibular reflex is performed on a patient who is comatose following a hypoxic brain injury. When cold water is introduced into the left ear, nystagmus occurs with slow deviation of the eyes toward the left, followed by faster eye deviation to the right. This pattern is indicative of a

（A）brain-stem infarction.

（B）normal response.

（C）persistent vegetative state.

（D）third cranial nerve palsy.

正解：B 解答を投票する

解説: (JPNTest メンバーにのみ表示されます)

CCRN-Adult 無料問題集「AACN CCRN (Adult) - Direct Care Eligibility Pathway」

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