AACN CCRN-Adult Exam Dumps

Pulmonary hypertension leads to increased pressure in the pulmonary circulation, which can cause right ventricular hypertrophy and failure. This results in systemic venous congestion, presenting as distended neck veins. Crackles, rhonchi, and pink frothy sputum are more indicative of pulmonary edema or other respiratory conditions rather than pulmonary hypertension. Reference: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.

For a patient with type 1 diabetes admitted for diabetic ketoacidosis (DKA) who reports not following the prescribed medication plan, assessing the patient's ability to afford medications and supplies is crucial. Financial barriers are a common reason for non-adherence to treatment plans. Addressing these barriers can help the healthcare team provide the necessary resources or support to ensure the patient can follow the prescribed regimen, potentially preventing future hospitalizations. Reference: =

CCRN (Adult) Certification Review Course Online: Behavioral/Psychosocial.

American Association of Critical-Care Nurses (AACN). (2024). CCRN Exam Handbook. Retrieved from AACN CCRN Exam Handbook

Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online. AACN

A patient with a sodium level of 114 mEq/L is most likely to develop seizures, which are a manifestation of severe hyponatremia and cerebral edema. Hyponatremia is a low level of sodium in the blood, which can cause water to move into the brain cells and cause them to swell. This can lead to increased intracranial pressure, neurological dysfunction, and seizures. Seizures are a medical emergency and require prompt treatment to prevent brain damage or death. Tetany, flaccid paralysis, and cardiac arrhythmias are not typical signs of hyponatremia, but may occur in other electrolyte disorders, such as hypocalcemia, hyperkalemia, or hypokalemia.

Overview of the treatment of hyponatremia in adults - UpToDate1, p. 1-2.

Manifestations of hyponatremia and hypernatremia in adults - UpToDate2, p. 1-2.

The patient's vital signs indicate hypertensive urgency or emergency (BP 190/100, HR 126), with a differential radial pulse, suggesting aortic dissection. Nitroprusside is a potent vasodilator used in the management of hypertensive crises and can help reduce blood pressure and the shear force on the aortic wall, which is crucial in managing aortic dissection. Nitroglycerin, diltiazem, and digoxin are not appropriate first-line therapies for this condition. Reference: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.