CCRN-Adult問題集、AACN実際の試験問題

質問 1

A devout Jewish patient in the ICU requires a non-emergency procedure, but it is the Sabbath. How should the nurse proceed?

A. Proceed with the procedure since it's medically necessary.

B. Ask the patient if they are okay with having the procedure performed on the Sabbath

C. Postpone the procedure until after the Sabbath, if medically acceptable

D. Seek advice from the hospital's ethics committee

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 2

Which of the following conditions is MOST LIKELY to cause rhabdomyolysis?

A. Status ellipticus

B. Sick sinus syndrome

C. Status asthmaticus

D. Parkinson's disease

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 3

A patient who underwent kidney transplantation one week ago is found to have increased creatinine levels, fever, and graft tenderness. These symptoms MOST likely suggest which of the following?

A. Cyclosporine A toxicity

B. Chronic rejection

C. Hyperacute rejection

D. Acute rejection

正解: D

解説: (PassTest メンバーにのみ表示されます)

質問 4

The critical care nurse and a student nurse are caring for a patient who has recently experienced a blunt chest traum a. The student nurse suggests considering drawing a troponin T level on this patient. Which of the following responses by the nurse is best?

A. This would only tell us if the patient is having a myocardial infarction.

B. We already know that this will definitely be elevated, and there is no need to test this.

C. This would be a good way to evaluate for myocardial damage.

D. We already know that this will not be elevated, and there is no need to test this.

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 5

Of the following nursing actions, which MIGHT decrease a patient's self-esteem?

A. Allowing the patient to do his or her own dressing changes if desired

B. Discussing negative aspects of the patient's condition

C. Requiring the patient to participate in all treatments

D. Providing opportunities to discuss issues important to the patient

正解: C

解説: (PassTest メンバーにのみ表示されます)

質問 6

All of the following are accurate regarding Acute Myocardial Infarction (AMI) EXCEPT:

A. the primary objective in managing AMI is to optimize blood flow to the myocardium

B. CK-MB detects MI within the first three hours

C. approximately 65% of patients have no ECG or other diagnostic changes

D. myoglobin is released from the myocardium within two hours of coronary occlusion

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 7

Which of the following components of the AACN's Synergy Model describes working with others to achieve the BEST possible goal for a patient?

A. Collaboration

B. Complexity

C. Systems thinking

D. Caring practices

正解: A

解説: (PassTest メンバーにのみ表示されます)

質問 8

Which of the following PRN medications would NOT be recommended in an acutely agitated critically ill patient with a psychiatric diagnosis?

A. Ziprasidone (Geodon)

B. Ketamine (Ketalar)

C. Olanzapine (Zyprexa)

D. Haloperidol (Haldol)

正解: B

解説: (PassTest メンバーにのみ表示されます)

質問 9

A 65-year-old man with a history of chronic pain is admitted to the ICU with severe abdominal pain due to acute pancreatitis. He is currently taking opioids for chronic pain. How should the nurse manage this patient's pain?

A. Decrease the opioid dose

B. Maintain the current opioid dose

C. Switch to non-opioid analgesics

D. Increase the opioid dose if it is safe to do so

正解: D

解説: (PassTest メンバーにのみ表示されます)

AACN CCRN (Adult) - Direct Care Eligibility Pathway - CCRN-Adult 模擬練習