CCRN-Adult復習教材を利用する - CCRN (Adult) - Direct Care Eligibility Pathwayを取り除く

ちなみに、CertShiken CCRN-Adultの一部をクラウドストレージからダウンロードできます：https://drive.google.com/open?id=1Kv9cfPfCVfRn5fdCH_lHImMlNuEEUYY3

CCRN-Adultトレーニングクイズが役立つと自信を持って言えます。まず第一に、当社はユーザーのニーズに応じて常に製品を改善しています。学習製品が本当に役立つことを本当に望んでいるなら、私たちのCCRN-Adult学習教材は間違いなくあなたの最良の選択です。あなたはそれより完璧な製品を見つけることはできません。第二に、CCRN-Adultの学習に関する質問は多くの人々を本当に助けてくれました。これらの高齢者の経験を見ると、CCRN-Adult試験に合格することを強く決意していると思います。

AACN CCRN-Adult 認定試験の出題範囲：

トピック	出題範囲
トピック 1	Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
トピック 2	The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
トピック 3	PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.
トピック 4	In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
トピック 5	CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.

>> CCRN-Adult復習教材 <<

CCRN-Adult模擬トレーリング & CCRN-Adult問題例

CCRN-Adult認定試験について、あなたはどうやって思っているのですか。非常に人気があるAACNの認定試験の一つとして、この試験も大切です。しかし、試験の準備をよりよくできるために試験参考書を探しているときに、優秀な参考資料を見つけるのはたいへん難しいことがわかります。では、どうしたらいいでしょうか。大丈夫ですよ。CertShikenはあなたの望みを察して、受験生の皆さんの要望にこたえるために、一番良い試験CCRN-Adult問題集を提供してあげます。

AACN CCRN (Adult) - Direct Care Eligibility Pathway 認定 CCRN-Adult 試験問題 (Q216-Q221):

質問 # 216
A critical care nurse who is assuming care of a trauma patient asks the outgoing nurse why the patient's room is being kept cool. This is an example of which of the following?

A. Clinical inquiry
B. Lack of clinical knowledge
C. Systems thinking
D. A distraction from patient care

正解：B

解説：
Clinical inquiry is the ongoing process of questioning and evaluating practice and providing informed practice. It is a core nurse competency as defined in the AACN Synergy Model for Patient Care.
A trauma patient is at risk of developing hypothermia, and therefore keeping their room warm is typically indicated. By asking the outgoing nurse about the choice of room temperature for this patient, the nurse is demonstrating clinical inquiry.
This does not demonstrate a lack of clinical knowledge or an unnecessary distraction from patient care.
Systems thinking is a body of knowledge that allows the nurse to manage the environment and system resources for patients, families, and staff.

質問 # 217
According to the New York Heart Association (NYHA) Functional Classification System, in which class is a patient with cardiac disease which results in slight limitation of physical activity, but who is comfortable at rest?

A. Class III
B. Class IV
C. Class I
D. Class II

正解：D

解説：
The most commonly used classification system for addressing the evolution and progression of HF, the New York Heart Association (NYHA) Functional Classification, places patients in one of four categories based on how much they are limited during physical activity. It is used to provide systematic assessment of patient status and to benchmark improvement or deterioration from initial evaluation.
* Class I: No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath)
* Class II: Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath)
* Class III: Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea
* Class IV: Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest.
If any physical activity is undertaken, discomfort increases.

質問 # 218
A patient with a past diagnosis of schizoaffective disorder is admitted to the critical care unit with diabetes insipidus. As the admission nurse, priorities would include all of the following EXCEPT:

A. ask the patient if he knows why he is in the hospital
B. review all preadmission medications
C. hold all psychiatric medications until the patient's blood glucose is under control
D. contact the patient's psychiatrist with permission from the patient or the patient's guardian

正解：C

解説：
Medications should only be held when there is a clear benefit to doing so. Many of the psych meds have a long half-life, and holding them can affect the steady state of the drug within the body.
Asking the patient if he knows why he is in the hospital, and reviewing all preadmission medications should be done with all admitted patients. Continuity of care (contacting the patient's psychiatrist to ensure adequate care while inpatient) is important with every admission, and of particular importance with behavioral health issues.

質問 # 219
A patient who survives near-drowning develops hypoxia-induced cerebral edema. Interventions should include

A. administration of osmotic diuretics.
B. keeping the patient flat, in a supine position.
C. hyperventilation to maintain PaCO2 of 40-45 mm Hg.
D. maintaining a MAP of 60-70 mm Hg.

正解：A

解説：
Hypoxia-induced cerebral edema after a near-drowning incident can be managed by administering osmotic diuretics like mannitol. These medications help reduce intracranial pressure by drawing fluid out of the brain tissue and into the bloodstream, thereby alleviating cerebral edema. Maintaining a MAP of 60-70 mm Hg may not be sufficient to address the elevated intracranial pressure, keeping the patient flat could worsen cerebral edema, and hyperventilation with a PaCO2 of 40-45 mm Hg is not typically recommended for managing increased intracranial pressure as it can lead to vasoconstriction and decreased cerebral perfusion. References:
= CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

質問 # 220
A patient is immune compromised and on a ventilator. Their family would like to perform a tribal ritual that involves sacrificing a live chicken in the presence of the patient and having them drink some of the chicken's blood. They inform the nurse that this ritual is a vital healing ritual in their culture and that the patient will be cursed in the afterlife if the ritual is not performed. Which response by the nurse is BEST?

A. "You will need to contact someone from administration to clear this ritual before we can allow it to be performed."
B. "We will need you to kill the chicken at least six feet away from the equipment and will have to give the blood through an NG tube."
C. "Sacrificing a live animal in the ICU and having the patient ingest its blood will not be possible. Are there any ways to alter this ritual?"
D. "We respect your cultural practices and will do everything we can to help you perform this ritual the way you'd like to."

正解：C

解説：
While the nurse and healthcare team should make every reasonable attempt possible to accommodate cultural and religious practices, practices that are a potential danger to the patient or to the ability to safely provide care for other patients cannot be accommodated. Killing a live animal in the ICU environment and having an immune compromised patient ingest raw blood should be prohibited. The nurse should assess if there are other cultural practices that can be substituted. While it is important to demonstrate respect for the patient's cultural practices, clear boundaries must exist in some situations.
The nurse does not need to involve administration to make the decision to not permit this ritual to be performed.

質問 # 221
......

「学ぶのに遅すぎることはありません」、CCRN-Adult認定の準備が一般的になりつつあります。特に今日の職場では、さまざまなトレーニング資料やツールが常に混乱を招き、品質をテストする時間を無駄にしています。実際、当社のCCRN-Adultテスト問題を完全に信じて、CCRN-Adult試験に合格することを100％保証します。 CCRN-Adultのテスト問題を使用した後、残念ながら試験に不合格になった場合、証明証明書により当社から全額返金されます。

CCRN-Adult模擬トレーリング: https://www.certshiken.com/CCRN-Adult-shiken.html

さらに、CertShiken CCRN-Adultダンプの一部が現在無料で提供されています：https://drive.google.com/open?id=1Kv9cfPfCVfRn5fdCH_lHImMlNuEEUYY3