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

質問 1

The most appropriate therapy for carboxyhemoglobinemia is

（A）100% O2 administration.

（B）hyperventilation.

（C）inhaled corticosteroids.

（D）aerosolized beta-agonists.

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

A patient develops the dysrhythmia shown below:

Blood pressure is 83/40. The patient is pale, diaphoretic, lethargic, and disoriented. The most appropriate treatment is

（A）defibrillation at 200 J.

（B）lidocaine (Xylocaine), 1.5 mg/kg IV.

（C）cardioversion at 100 J.

（D）adenosine (Adenocard), 6 mg rapid IV bolus.

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 3

A patient who is confused and dyspneic is admitted with ABG values that reveal hypoxemia. Results from insertion of a pulmonary artery catheter are:
PAP 38/18 mm Hg
PAOP10 mm Hg
CI 3.5 L/min/m2
These values are most indicative of

（A）pulmonary dysfunction.

（B）hypovolemia.

（C）left ventricular failure.

（D）hypervolemia.

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

A patient is admitted with a traumatic brain injury. During assessment, a nurse notes increased urinary output from the catheter. Which of the following should the nurse suspect?

（A）syndrome of inappropriate antidiuretic hormone (SIADH)

（B）cerebral salt wasting

（C）nephrogenic diabetes insipidus

（D）central diabetes insipidus

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 5

Which of the following is a cause of cardiogenic pulmonary edema?

（A）elevated PAOP reading

（B）pulmonary hypertension

（C）LV noncompliance

（D）RV chamber enlargement

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 6

To maintain adequate pain control in a post-surgical patient addicted to heroin, a nurse should plan to

（A）administer PCA with continuous and on-demand opioid delivery.

（B）administer PCA opioids with on-demand dosing only.

（C）avoid administering any intravenous pain medication.

（D）administer oral opioids only as needed.

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 7

A nurse is providing care to a patient diagnosed with abdominal compartment syndrome. The nurse should recognize the patient is most at risk for developing

（A）increased peak inspiratory pressure.

（B）increased urine output.

（C）decreased intracranial pressure.

（D）increased preload.

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

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 9

A patient with a history of COPD is admitted with increasing dyspnea and fatigue. O2 is initiated via nasal cannula at 4 L/min with an O2 saturation of 99%. One hour later, the patient becomes lethargic. Which of the following is the most likely cause for the change in the patient's mental status?

（A）decreased end-tidal CO2

（B）absorption atelectasis

（C）O2 toxicity

（D）depressed hypoxic drive

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

There is an increase in catheter-associated urinary tract infections (CAUTIs) following a change in urinary catheter insertion trays. After conducting a literature review of evidence-based practices regarding indwelling catheter insertion and care, the nurse should

（A）lead a meeting in which the results of the literature review are presented, and staff input is obtained.

（B）locate a unit in the facility that still has the original trays in stock and restock the supply closet with these.

（C）contact the materials coordinator and request that the previous trays be re-ordered.

（D）share the results of the literature review with the physician team.

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)

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

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