AACN CCRN-Adult practice materials Questions Answers

Exam Code:
CCRN-Adult
Exam Name:
CCRN (Adult) – Direct Care Eligibility Pathway Exam
Last Update:
Jun 01,2026

150 Questions Answers Verified by Experts!


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Page: 1 / 30
Total Questions: 150

Questions & Answers PDF

• Question 1

  

  The purpose of administering a sodium nitroprusside (Nipride) drip after a carotid endarterectomy is to

  • promote myocardial contractility and thus enhance cerebral perfusion.
  • increase coronary perfusion and thus increase cardiac output.
  • decrease MAP and thus prevent hemorrhage at the operative site.
  • increase afterload and thus promote vessel patency.

  Reveal Answer Answer: C Next Question

• Question 2

  

  The family of a patient with trauma believes that the patient is in pain and requests that a neighbor, a therapeutic touch practitioner, be allowed to see the patient. Unit policy allows visits by immediate family only. Which of the following is the most important consideration in a nurse's decision about facilitating the visit?

  • Alternative modalities have been associated with enhancements in pharmacologic effects.
  • Research does not support the value of therapeutic touch in pain management.
  • Alternative therapies are not generally acceptable in an ICU setting.
  • The family needs an explanation of the rationale for unit visitation policies.

  Reveal Answer Answer: D Next Question

• Question 3

  

  Patients in end-stage cardiomyopathy often exhibit which of the following symptoms of right-sided heart failure?

  • hypotension and oliguria
  • JVD and hepatomegaly
  • hypertension and polyuria
  • pulmonary edema and restlessness

  Reveal Answer Answer: B Next Question

• Question 4

  

  An oncology patient presents with hematuria and bleeding from previous injection sites. Which diagnostic test result should the nurse review first?

  • complete blood count
  • arterial blood gas
  • complete metabolic panel
  • coagulation panel

  Reveal Answer Answer: D Next Question

• Question 5

  

  An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should

  • encourage the patient to sleep between assessments.
  • discontinue neurologic assessments.
  • establish a schedule with the provider.
  • move the patient to the quieter part of the unit.

  Reveal Answer Answer: C Next Question

• Question 6

  

  The first priority in management of an acute GI hemorrhage is

  • monitoring of serial Hgb and Hct.
  • fluid resuscitation.
  • pain relief.
  • Sengstaken-Blakemore tube insertion.

  Reveal Answer Answer: B Next Question

• Question 7

  

  A patient with history of hypothyroidism is admitted with severe confusion and nonpitting edem

  • The nurse should anticipate which order?
  • insulin drip
  • 3% saline 150 mL/hour
  • diuretics
  • forced air warming blanket

  Reveal Answer Answer: D Next Question

• Question 8

  

  A patient is admitted with anaphylactic shock secondary to a blood transfusion. The patient's spouse asks the nurse to explain how blood can cause a low blood pressure. The nurse responds that with anaphylactic shock the

  • heart muscle weakens and is unable to pump effectively.
  • peripheral blood vessels dilate, and this creates a maldistribution of volume.
  • kidneys excrete large amounts of urine dropping the blood pressure.
  • autonomic nervous system is disrupted dropping blood pressure.

  Reveal Answer Answer: B Next Question

• Question 9

  

  A patient underwent a successful percutaneous coronary intervention to the left anterior descending coronary artery. The patient suddenly begins to complain of dyspnea, jaw pain, and chest tightness. The bedside monitor displays sinus tachycardia and ST segment elevation in lead V2. The patient's neck veins are flat and BP is 152/98. Which of the following is the most likely cause of the patient's symptoms?

  • pulmonary hypertension
  • coronary artery occlusion
  • vasovagal reaction
  • cardiac tamponade

  Reveal Answer Answer: B Next Question

• Question 10

  

  A patient post-surgical externalized ventricular drain placement has treatment orders that include continuous cerebrospinal fluid (CSF) drainage at 10 mmHg. Which of the following should the nurse anticipate with an increase in the ICP above 25 mm Hg?

  • a decrease in the pulse pressure
  • a change in CSF drainage from clear to pink
  • the amplitude of P2 greater than P1 on the waveform morphology
  • an increase in the cerebral perfusion pressure from 65 to 70

  Reveal Answer Answer: C Next Question

Page: 1 / 30
Total Questions: 150

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