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CCRN - Critical Care Register Nurse - Dump Information

Vendor : Medical
Exam Code : CCRN
Exam Name : Critical Care Register Nurse
Questions and Answers : 360 Q & A
Updated On : Click to Check Update
PDF Download Mirror : CCRN Brain Dump
Get Full Version : Pass4sure CCRN Full Version


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CCRN Questions and Answers

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Answer: D


Section 20: Sec Twenty (351 to 355) Details:Critical Care Nursing Neonatal Exam


QUESTION: 351

If a newborn's stroke volume is about 5 mL, what is the average pulse required to ensure adequate cardiac output?


  1. 100 bpm.

  2. 145 bpm.

  3. 180 bpm.

  4. 195 bpm.


Answer: B


QUESTION: 352

A neonate has a differential diagnosis of congenital muscular dystrophy (CMD) (laminin alpha-2 deficiency) and exhibits hypotonia at birth with poor feeding and mild respiratory distress. Which tests are necessary to establish the diagnosis?


  1. Creatinine kinase.

  2. Electromyogram, nerve conduction studies, and muscle biopsy.

  3. Muscle biopsy only.

  4. MRI only.


Answer: B


QUESTION: 353

The nurse is inserting a PICC for an infant who requires extended IV therapy because of very low birth weight. During the procedure, the infant must be monitored for which of the following?


  1. Tachycardia and tachypnea.

  2. Bradycardia and hypoxia.


  3. Atrial fibrillation.

  4. Blood pressure.


Answer: B


QUESTION: 354

A mixed venous oxygen saturation (SvO2) level of less than 60% can indicate which of the following?


  1. Increased hemoglobin, PaO2, and/or cardiac output.

  2. Decreased hemoglobin, PaO2, and/or cardiac output.

  3. Decreased oxygen consumption.

  4. Sepsis.


Answer: B


QUESTION: 355

A 21-day-old neonate develops green-bronze jaundice, dark urine, claycolored stools, abdominal distention with distended abdominal veins, and hepatosplenomegaly with firm liver. Liver biopsy and test shows extrahepatic biliary atresia, and a hepatoportoenterostomy (Kasai procedure) is done to create a conduit between the liver and small intestine. Which added vitamin(s) or minerals should the baby receive postoperatively?


  1. Water-soluble vitamins (B-complex, C).

  2. Fat-soluble vitamins (A, D, E, K).

  3. Calcium.

  4. Potassium.


Answer: B


Section 21: Sec Twenty One (356 to 360) Details:Progressive Care Certified Nurse (PCCN) Practice


QUESTION: 356


Thoracic electrical bioimpedence monitoring with 4 sets of bioimpedence electrodes and 3 ECG electrodes is used to evaluate hemodynamic status of a postsurgical cardiac patient. Where are the bioimpedence electrodes placed?


  1. One set on the arms, one set on the legs, and one set on the sides of the chest.

  2. Two sets bilaterally at the base of the neck and two sets on each side of the chest.

  3. One set on the legs and three sets on each side of the chest.

  4. One set on the arms, one set bilaterally at the base of the neck, and two sets on each side of the chest.


Answer: B


QUESTION: 357

A 52-year-old female with a history of bipolar disease is one-day post-operative following a hip replacement. The patient slept only one or two hours during the night and is speaking rapidly, throwing her belongings at the nurses, and insisting she is going to leave the hospital against medical advice. The nurse should notify:


  1. The mental health crisis team

  2. Social services

  3. A home health agency

  4. The patient's husband


Answer: A


QUESTION: 358

If all patients who develop urinary infections are evaluated per urine culture and sensitivities for microbial resistance, but only those with clinically-evident infections are included, then those with subclinical infections may be missed, skewing results. This is an example of:


  1. Information bias

  2. Selection bias

  3. Hypothesis testing

  4. Generalizability


Answer: B


QUESTION: 359

A 28-year-old male with extensive second and third-degree burns develops abdominal discomfort and vomits coffee ground emesis and frank blood. The most likely cause is:


  1. A peptic ulcer

  2. The erosion of the esophagus from burns

  3. Paralytic ileus

  4. Stress-related erosive syndrome


Answer: D


QUESTION: 360

Beck's triad (increased central venous pressure with distended neck veins, muffled heart sounds, and hypotension) is indicative of which condition?


  1. Myocardial infarction

  2. Aortic valve prolapse

  3. Cardiac tamponade

  4. Pulmonary embolism


Answer: C


Medical CCRN Exam (Critical Care Register Nurse) Detailed Information

CCRN certification is a board certification granted by AACN Certification Corporation. It validates that a register nurse has achieved a level of knowledge in nursing necessary to care for patients in the acute care and/or critical care setting.
Initial Eligibility Requirements & Fees
A current, unencumbered U.S. RN or APRN license is required.
An unencumbered license is not currently being subjected to formal discipline by any state board of nursing and has no provisions or conditions that limit the nurse’s practice in any way.
Candidates must complete one of the following clinical practice hour requirement options:
Two-Year Option
Practice as an RN or APRN for 1,750 hours in direct care of acutely/critically ill adult patients during the previous two years, with 875 of those hours accrued in the most recent year preceding application
Five-Year Option
Practice as an RN or APRN for at least five years with a minimum of 2,000 hours in direct care of acutely/critically ill adult patients, with 144 of those hours accrued in the most recent year preceding application
Eligible Clinical Practice Hours:
• Must be completed in a U.S.-based or Canada-based facility or in a facility determined to be comparable to the U.S. standard of acute/critical care nursing practice.
• Are those spent actively providing direct care to acutely/critically ill adult patients or supervising nurses or nursing students at the bedside of acutely/critically ill adult patients, if working as a manager, educator, preceptor or APRN. The majority of practice hours for exam eligibility must be focused on critically ill patients.
• Are verifiable by your clinical supervisor or professional colleague (RN or physician). Contact information must be provided for verification of eligibility related to clinical hours, to be used if you are selected for audit.
• For complete eligibility requirements, refer to the CCRN Exam Handbook
Here’s an overview of the steps you’ll take to earn your specialty, subspecialty or advanced practice certification for the first time. For in-depth information about exam eligibility and the application process, consult the handbook for your specific exam and the Certification Exam Policy Handbook.
1Validate your eligibility for certification
2Apply for certification online
3Prepare for your exam
4Schedule your exam date
5Take the exam
6Celebrate your certification!
7Learn about certification renewal
Certification That Works for You
How do you sum up your clinical expertise, vast experience, dedication to patients and personal commitment to excellence? In a word, certification. Certification not only contributes to optimal outcomes for acutely/critically ill patients and their families, it advances your professional and personal growth.
Certification Value Program
Share
Add to Collection
To help more nurses become certified, AACN offers substantial savings and free review courses to support exam candidates to hospital-based employers through a prepaid certification exam voucher program.
In a Nutshell
Employers purchase a minimum of 30 certification exam vouchers using the Certification Value Program Exam Voucher Request Form.
Any combination of eligible exams may be selected.
Employers distribute vouchers to certification exam candidates as needed.
Exam candidates submit their voucher to AACN along with their certification application.
Candidates must sit for their exam within 90 days of receiving notification of application approval (computer-based testing only).
Vouchers are valid for three years from the date of purchase.
Significant price discounts apply see cost chart below for details.
All standard certification eligibility requirements apply.
Includes free institutional license for the review course associated with each specialty exam type purchased.
Download and share our Certification Value Program poster.
The Details
Which certification exams are eligible?
Certification Value Program prepaid vouchers may be purchased for initial CCRN, CCRN-K, CCRN-E, PCCN and PCCN-K specialty certification exams, and CMC and CSC subspecialty certification exams.
What do vouchers include?
Each prepaid voucher covers the application fee for one certification exam. As part of the Certification Value Program, employers receive one institutional license for the AACN certification review course associated with each specialty exam type purchased. Participant packets with additional study resources and CE options may also be purchased at a significant discount.
The institutional license authorizes the review courses be made available on a Facility’s/Institution’s Intranet or network system. This program is not intended for Learning Management Systems (LMS) or to be published on the Internet.
Vouchers do not include AACN membership. Learn more about our AACN bulk membership discount on our website, or call AACN Customer Care at 800-899-2226.
Do all 30+ exam vouchers have to be for the same credential?
No. Different eligible exams may be combined to make up the minimum of 30 exam vouchers.
Does the hospital need to sign a contract?
No. Contracts are not required. Simply complete the exam voucher request form and submit it with required payment to AACN.
What if I need additional vouchers?
Small quantities of additional exam vouchers may be purchased within one year of the original voucher purchase date. After one year, the 30-voucher minimum applies.
How long do I have to use the vouchers?
Vouchers are valid for three years.
What testing methods are available?
Exams must be taken via computer-based testing at an PSI/AMP Testing Center. Vouchers are not valid for group paper-and-pencil exam sessions.
How does the Certification Value Program support prospective certificants?
Thanks to the significant cost savings, employers may choose to distribute multiple vouchers to individual nurses, if needed, for retesting. Knowing they have a backup option often reduces nurses test anxiety and fear of failure.
AACN's Certification Value Program also provides access to a world-class certification review course for each exam type purchased, enhancing clinical knowledge and building test-taking confidence.
Are exam discount prices the same for AACN members and nonmembers?
Yes. The same discount exam voucher price applies regardless of AACN membership status.
Certification Value Program pricing:
Number of Vouchers Exam Price Per Application
Savings
(based on 30 vouchers)
Nonmember Member Value Program
30+ CCRN, CCRN-K, or CCRN-E $335 $230 $180 Up to $155 per exam
or $4,500 total
(if all CCRN/CCRN-E/CCRN-K)
PCCN or PCCN-K $280 $180 $145
Up to $135 per exam
or $3,900 total
(if all PCCN/PCCN-K)
CMC or CSC $210 $125 $100 Up to $110 per exam
or $3,150 total
(if all CMC/CSC)
How do I take advantage of the Certification Value Program?
There are two parts to participating in AACNs Certification Value Program.
Part 1: Employers
Request a prepaid voucher discount by completing the Certification Value Program Exam Voucher Request Form.
Mail completed form and payment to:
AACN Certification Corporation
Attn: Amy Shaw
101 Columbia, Aliso Viejo, CA 92656
Voucher orders will be processed within one week of receiving payment.
Distribute prepaid vouchers to exam candidates as needed, when they are ready to apply for a certification exam.
Part 2: Exam Candidates
Complete the appropriate printed application form and honor statement for your selected certification (in the back of each certification exam handbook).
Attach your exam voucher to your completed application documents, and mail them to:
AACN Certification Corporation
Attn: Amy Shaw
101 Columbia, Aliso Viejo, CA 92656
Schedule your exam date within 90 days after your application is processed and approved. You will receive exam scheduling information from PSI/AMP once your application is processed.
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I have without problems found the answer for all my doubts and issues. Thank you for providing me the solid and dependable dump. the quality product as I realize. Critical Care Register Nurse book Can the humanities help vital-Care fitness specialists Cope? | CCRN Real Questions and VCE Practice Test a brand new federally funded research lab on the tuition of Colorado Anschutz clinical Campus is asking into how inventive arts healing procedures could give a boost to resilience in important-care health specialists. by means of Meredith sell | April 1, 2019 Spend a day in a health facilitys intensive care unit and you may predict to witness ugly injuries, devastating diseases, and too often, decline and dying. Nurses may also go from talking to a patient once they first arrive in the ICU to placing that identical affected person on life guide. If that patient passes away, the nurse has to do the submit-mortem care of the affected person they were talking to a few days ago, says Dr. Marc Moss, vice chair for medical research within the college of Colorado college of medicine. advertisement For medical doctors, nurses, and other clinical professionals, whose jobs are to treat and retain the lives of their sufferers, the psychological toll of this environment can lead to anxiety, burnout, and even post-irritating stress ailment (PTSD). a brand new federally funded research lab led via Moss at the college of Colorado Anschutz scientific Campus is gearing up to see if inventive arts treatments may be harnessed to support vital care health specialists deal with the emotional and psychological demands of their work. artistic arts remedies (CAT) use distinct art kindstune, dance, visual art, dramato assist sufferers increase communication, expression, and emotional, cognitive, or social functioning. in place of asking patients to talk about whats going on of their lives, CAT engages them with diverse mediums that they can use to discover what might be tough to position into phrases. we now have these very selected psychological filters for speaking, but when we make artwork, when we make track, once we dance, these filters fall away, says Katherine Reed, manager of the Ponzio creative Arts remedy program at little oness sanatorium Colorado. We name it backdoor access to emotional territory. past enhancing psychological health, theres also the talents for CAT to have effective ripple outcomes on health facility body of workers retention and turnover. based on a 2018 report from Nursing options, Inc. (NSI), health center group of workers turnover is on the upward push in the U.S.: it reached a national ordinary of 18.2 p.c in 2017, with the South central vicinity averaging 19.1 percent. The maximum turnover is among emergency care nursesso high that NSI estimates that the ordinary emergency department replaces its complete group of workers of registered nurses each five years. About 15 years in the past, Moss started looking into the psychological health of critical care nurses after some of his analysis coordinators for one more challenge advised him that the very indicators he turned into gaining knowledge of in sufferersanxiousness, PTSD, and so forth.had been signs that they'd experienced as fitness care specialists. here's why I left nursing, Moss remembers the coordinators telling him. these observations spurred Moss into a new analysis direction that uncovered what he referred to as a plague of psychological misery and burnout syndrome amongst ICU nurses. advertisement Burnout syndrome and psychological distress in healthcare professionals is basically an occupational health concern, Moss says. Its now not that theres something wrong with the particular person. Its that they work in a tough environment. Over the remaining a few years, hes investigated the effectiveness of mindfulness-based cognitive therapies for crucial care nurses. In 2018, Moss saw a call from the countrywide Endowment for the arts (NEA) for analysis lab proposals involving the arts, health, and social/emotional health, and his analysis radar pinged. The NEA research Labs application is a comparatively new effort to boost empirical talents across the arts. according to Sunil Iyengar, the NEAs director of the office of analysis and analysis, the lab at Anschutz is one of 12 labs that could be up and running this spring. Over the next two years, the NEA is funding $one hundred fifty,000 to the lab at Anschutz, with the talents to prolong funding for a complete of 10 years. The lab is partnering with the Ponzio software at childrens, as well as Lighthouse Writers Workshop, to boost its application and study protocols. based on Moss, theyre currently planning to behavior two six-month clinical trials with cohorts of seventy five people for each trial, all important care fitness professionals. Fifteen people in each cohort will function a handle community. members will adventure artistic arts therapy 12 instances (twice a month) over the six-month durations. These first rounds of experiences will focus on designing the treatment options to be desirable to members and evaluating how feasible it's for participants to complete the software, with plans for a larger look at afterward with a view to focus on the effectiveness of CAT for constructing resiliency and wellbeing. Moss and his colleagues are at the moment within the manner of setting up the look ats protocols. you cant work in healthcare with out experiencing traumaits everywherebut the Western clinical mannequin doesn't in reality account for what it takes to live to tell the tale that, Reed says. if you have interaction your creative self, it offers you a car, a way to discover all that territory and work out tips to maintain the sacred in your work, even when its painful. And to assist transform that pain into some thing thats really significant. commercial At infantss clinic, the Ponzio artistic Arts remedy application is part of psychiatric patients daily medicine. many of the sufferers are added to paintings journalingtheyre given a blank publication of about eighty pages and encouraged to fill it with phrases and pictures, using something mediums they have fun with. Reed has countless experiences of how shes viewed CAT assist both her patients and kidss clinic personnel, some of whom now arrange their work schedules that allows you to attend CAT sessions. Michael Henry, govt director of Lighthouse, has considered similar results from writing workshops with a lot of populations, including individuals experiencing homelessness and people living with cancer diagnoses. you've got these experiences and they can wreck aside your sense of truth, he says. developing it in a story is a tangible approach of taking that broken aside event and inserting it togetherand via doing that, you profit manage over it, so it ceases to have handle over you. because the scientific fields expand and staffing wants develop, burnout and normally high turnover will be problems no longer only for medical institution onboarding charges, but also for first-class and continuity of care, and any system of fighting workforce burnout could be critical. The lab is paving the way to prove CATs efficacy in quantitative, measurable phrases which carry enhanced weight in the scientific neighborhood. 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