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AACN CCRN-Adult Exam Dumps

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CCRN-Adult Pack
Vendor: AACN
Exam Code: CCRN-Adult
Exam Name: CCRN (Adult) - Direct Care Eligibility Pathway
Exam Questions: 150
Last Updated: October 4, 2025
Related Certifications: AACN Certifications
Exam Tags: Advanced Level Nurse Practitioners and Healthcare Managers
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Free AACN CCRN-Adult Exam Actual Questions

Question No. 1

A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should

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Correct Answer: D

While it is important to support family involvement, previous disruptive behavior necessitates setting clear behavioral limits to ensure a safe and therapeutic environment for the patient. Allowing the visit with established guidelines helps balance the need for patient support with maintaining unit order. This approach also respects the patient's rest and recovery needs. Reference: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course


Question No. 2

A patient is recovering from CABG surgery. On postoperative day 3, the patient's laboratory values indicate thrombocytopenia and elevated liver function tests. The patient is scheduled for hemodialysis today. A nurse notifies the physician of the abnormal laboratory values. The nurse should next anticipate an order to

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Correct Answer: B

The patient has thrombocytopenia, which is a low platelet count that increases the risk of bleeding. Heparin is an anticoagulant that prevents clotting, but also increases the risk of bleeding. Therefore, heparin should be avoided in patients with thrombocytopenia. Hemodialysis can be performed without heparin by using alternative methods such as saline flushes, blood predilution, or specialized dialyzers that reduce clotting. Transfusing platelets during hemodialysis is not recommended, as platelets may be damaged by the extracorporeal circuit. Rescheduling hemodialysis may not be feasible, as the patient may have fluid overload, electrolyte imbalance, or uremia that require urgent dialysis.


Use and safety of heparin-free maintenance hemodialysis in the USA

Anticoagulation for the hemodialysis procedure

Dialysis without anticoagulation (Heparin Free Dialysis)

Question No. 3

An experienced nurse new to a unit believes the literature does not support current unit practice of a fixed-dose nitroglycerin IV (Tridil) infusion in all postoperative cardiac surgery patients for 24 hours. The nurse develops a proposal referencing peer-reviewed articles. Based on the proposal, unit leaders agree to remove the nitroglycerin IV (Tridil) infusion from the standard order set. The actions taken by the nurse are best described as

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Correct Answer: D

The actions taken by the nurse are best described as evidence-based practice. By reviewing the literature and developing a proposal referencing peer-reviewed articles, the nurse used current research findings to inform and change clinical practice. This approach ensures that patient care is based on the best available evidence, leading to improved patient outcomes. Reference: = CCRN Exam Handbook, page 59


Question No. 4

A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

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Correct Answer: D

A nurse should expect a plan of care that includes dobutamine (Dobutrex), fluid infusions, and transvenous pacing for a patient with a complicated RV infarction, as these interventions aim to improve RV function, increase cardiac output, and correct bradyarrhythmias. Dobutamine is an inotropic agent that increases myocardial contractility and reduces RV afterload1. Fluid infusions are used to optimize RV preload and maintain adequate systemic perfusion12. Transvenous pacing is indicated for patients with symptomatic bradycardia or high-grade AV block that compromise hemodynamics13. Dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix) are not appropriate for a patient with a complicated RV infarction, as they may worsen RV preload and cardiac output. Nitroprusside (Nipride), fluid restrictions, and transvenous pacing are not suitable for a patient with a complicated RV infarction, as they may cause excessive vasodilation and hypotension. Nitroglycerin, fluid infusions, and morphine are not optimal for a patient with a complicated RV infarction, as they may reduce RV preload and increase RV ischemia.


Question No. 5

Treatment of cerebral vasospasm includes administration of

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Correct Answer: C

Nimodipine is a calcium channel blocker that is used to prevent or treat cerebral vasospasm after subarachnoid hemorrhage. It works by relaxing the smooth muscle of the cerebral arteries and improving blood flow to the brain. Nimodipine is the only FDA-approved agent for vasospasm and has been shown to reduce the risk of ischemic complications and improve neurological outcomes12. Lorazepam, propranolol, and pentobarbital are not effective for treating cerebral vasospasm and may have adverse effects on the patient's blood pressure, heart rate, and level of consciousness.


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