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AACN CCRN-Adult Latest Dumps - Affordable Price and Free Updates

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q172-Q177):

NEW QUESTION # 172
Following a craniotomy, a patient develops a fever, headache, and lethargy. A CT scan reveals a subdural empyem a. What is the MOST likely causative organism for this condition?

A. Neisseria meningitidis
B. Herpes simplex virus
C. Staphylococcus aureus
D. Candida albicans

Answer: C

Explanation:
Staphylococcus aureus is the most common causative organism for subdural empyema, especially following neurological surgery. Neisseria meningitidis and Herpes simplex virus are more commonly associated with meningitis, not empyema. Herpes simplex virus especially will not cause a subdural empyema, as these are almost always bacterial in origin. Candida albicans could cause an empyema, but it is less likely than Staphylococcus aureus in postoperative patients.

NEW QUESTION # 173
Which of the following people are LEAST likely to acquire Vancomycin-Resistant Enterococcus (VRE)?

A. An individual with an impaired immune status
B. A person who recently underwent surgery and has an invasive catheter in place
C. An ICU nurse frequently exposed to the infection
D. A person previously treated with vancomycin or other antibiotics for long periods of time

Answer: C

Explanation:
VRE, a multi-drug resistant organism, can cause serious local and systemic infections that can be severely debilitating and even life-threatening. According to the CDC, individuals at-risk for contracting VRE include those who have been previously treated with vancomycin or other antibiotics for long periods of time, hospitalized people who have received antibiotics for a long period of time, persons who are immunocompromised, and those who have had surgery or have invasive catheters.
The generally healthy person, such as the ICU nurse, is not likely to develop VRE, even if they are exposed to the infection. The importance of hand hygiene continues to play a significant role in the prevention of infection and in targeting transmission of multi-drug resistant organisms.

NEW QUESTION # 174
Which of the following is NOT an example of how the body compensates for metabolic alkalosis?

A. Through increased PaCO2
B. Through decreasing the excretion of bicarbonate
C. Through increased carbonic acid formation
D. Through alveolar hypoventilation

Answer: B

Explanation:
In metabolic alkalosis, there is either a primary increase in hydrogen ion loss or bicarbonate gain; the pH must be above 7.45 and the bicarbonate must be above 26 mEq/L. By decreasing the amount of CO2 eliminated from the body (alveolar hypoventilation), the respiratory system compensates for the increased pH. This compensatory attempt by the respiratory system results in a change in pH, but rarely to a normal value. Through hypoventilation, both PaCO2 and carbonic acid formation are increased.

NEW QUESTION # 175
Which of the following is TRUE of acute pancreatitis?

A. It can cause increased PaO2 and SaO2
B. It can cause hypercalcemia
C. It can cause decreased PaO2 and SaO2
D. It can cause decreased serum amylase

Answer: C

Explanation:
Acute pancreatitis is inflammation of the pancreas resulting from premature activation of pancreatic exocrine enzymes, such as trypsin, phospholipase A, and elastase within the pancreas. Pancreatitis can cause a patient to chronically and purposefully hypoventilate, leading to impaired gas exchange (a decreased PaO2 of < 60 mmHg and SaO2 of < 90%).
In acute pancreatitis, serum amylase levels are usually > 100 IU/L. Hypocalcemia is a common metabolic complication.

NEW QUESTION # 176
The nurse is helping care for a patient who is suspected of having pulmonary fibrosis. Which of the following is LEAST LIKELY to help in the diagnosis of pulmonary fibrosis?

A. Pulmonary function tests
B. Sweat chloride test
C. Lung biopsy
D. CT scan

Answer: B

Explanation:
Pulmonary fibrosis is a condition in which the lungs gradually develop scar tissue that decreases lung compliance and inhibits diffusion of gasses across the alveolar membranes. A sweat chloride test is used to diagnose cystic fibrosis, not pulmonary fibrosis. High-resolution CT scan of the chest, lung biopsy, and pulmonary function tests can all be used as part of the diagnosis of pulmonary fibrosis.

NEW QUESTION # 177
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