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

質問 1

A nurse who is providing care to a patient with a hemorrhagic stroke receives an order to administer 3% Normal Saline IV. The nurse should recognize the goal of therapy is to create an

（A）oncotic gradient which pulls fluid from the brain tissue into the vascular system.

（B）oncotic gradient which pulls fluid from the vascular system into the brain tissue.

（C）osmotic gradient which pulls fluid from the vascular system into the brain tissue.

（D）osmotic gradient which pulls fluid from the brain tissue into the vascular system.

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 2

The first priority in management of an acute GI hemorrhage is

（A）Sengstaken-Blakemore tube insertion.

（B）monitoring of serial Hgb and Hct.

（C）pain relief.

（D）fluid resuscitation.

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 3

A nurse is caring for a patient who had a gastric bypass procedure 2 days ago. A physician has ordered a gastric tube to be placed due to increased abdominal distention. The nurse realizes that this procedure will most likely need to be done

（A）under fluoroscopy.

（B）by two nurses.

（C）with a guide wire.

（D）using ultrasound.

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

After consultation with the interdisciplinary team, a nurse implements progressive mobility by having the patient sit at the side of the bed. The patient's HR increases by 10, RR increases by 6, SpO2 remains at 94%, and BP remains stable. The patient states he is tired. Which of the following should be the nurse's next action?

（A）Return the patient to a supine position and notify the physician.

（B）Progress to sitting in a chair during the next activity.

（C）Discontinue the attempts to mobilize the patient.

（D）Wait for assistance from physical therapy to resume mobility.

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 5

A common problem in patients with third-degree AV block is

（A）hypoperfusion.

（B）hypoxia.

（C）chest pain.

（D）heart 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 6

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）influenced by long-time intervals spent in virtual reality.

（C）working through trust issues that cause them to test limits.

（D）developmentally vulnerable to peer pressure in extreme sports.

正解：A 解答を投票する

質問 7

Postoperatively, symptoms that may indicate hemothorax or internal bleeding in a video-assisted thoracic surgery (VATS) patient include

（A）bradycardia.

（B）hypertension.

（C）diminished breath sounds.

（D）pain with deep inspiration.

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 8

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）nitroglycerin, fluid infusions, and morphine

（D）dobutamine (Dobutrex), fluid infusions, and transvenous pacing

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 9

A patient with a hemorrhaging renal laceration has received two units of PRBCs and 500 mL of NS via IV bolus. Assessment reveals: BP 78/42; HR 148; UO 15 mL/hr; skin is cool and diaphoretic. While preparing the patient for emergency surgery, a nurse should administer

（A）norepinephrine (Levophed), 10 mcg/min.

（B）mannitol (Osmitrol), 25 g IV.

（C）dopamine (Intropin), 3 mcg/kg/min.

（D）an additional 500-mL bolus of NS.

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 10

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)

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

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