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實用的CCRN-Adult更新&保證AACN CCRN-Adult考試成功與全面覆蓋的CCRN-Adult考古題
目前,全球500強中的90%企業都在使用 AACN 公司的產品。CCRN-Adult 認證是全球專業認證各領域中的權威認證。在IT世界裡,擁有 AACN CCRN-Adult 認證已成為最合適的加更簡單的方法來達到成功。這意味著,考生應努力通過考試才能獲得認證。而 KaoGuTi 考題大師致力與為客戶提供 CCRN-Adult 認證的全真考題及認證學習資料,能夠幫助妳一次通過 CCRN-Adult 認證考試。
AACN CCRN-Adult 考試大綱:
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CCRN-Adult考古題,新版CCRN-Adult考古題
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最新的 AACN CCRN CCRN-Adult 免費考試真題 (Q353-Q358):
問題 #353
A patient has paradoxical breathing. Which of the following conditions is MOST LIKELY to cause this?
- A. Flail chest
- B. Chronic obstructive pulmonary disorder
- C. Tension pneumothorax
- D. Situs inversus
答案:A
解題說明:
Flail chest occurs with fractures in at least two places for three contiguous ribs. This creates a separate segment of the chest that moves inwards during inspiration and outwards during expiration, a condition called "paradoxical breathing". A tension pneumothorax, Chronic Obstructive Pulmonary Disorder (COPD) and situs inversus would not cause this phenomena.
問題 #354
If compartment syndrome is suspected, what is the MOST accurate way to diagnose this condition?
- A. Physical exam of tissue swelling and reports of pain
- B. Pain, pallor, and pulselessness
- C. Direct pressure measurement via needle insertion
- D. Radiographic imaging
答案:C
解題說明:
A definitive diagnosis of compartment syndrome requires direct measurements of pressures within the body compartment affected. The use of a specialized needle is inserted directly into the tissue compartment while an attached pressure monitor (transducer) records the pressures.
All of the other answer options may be present as well, but in varying degrees, and largely dependent on the nature of the injury. Radiographic imaging will not diagnose compartment syndrome.
問題 #355
What is the most common side effect of angiotensin-converting enzyme (ACE) inhibitors?
- A. Hypotension
- B. Cough
- C. Rash
- D. Taste disturbances
答案:B
解題說明:
ACE inhibitors are indicated in the management of hypertension and heart failure (HF), reducing blood pressure in hypertensive patients and reducing afterload in patients with HF.
A common and bothersome side effect is a dry, hacking cough that can interfere with activities of daily living (i.e., eating, talking, sleeping), and may require discontinuing therapy and changing to an angiotensin receptor blocker (ARB). However, this cough may be a symptom of congestive heart failure (CHF) rather than ACE inhibitor intolerance, and could improve with further diuresis.
Other adverse effects associated with ACE inhibitors include rash, taste disturbances, and drug-induced angioedema (which most often affects the lips, tongue, face, and upper airway). Initial-dose hypotension may occur in patients who are hypovolemic, hyponatremic, or who have been aggressively diuresed.
Hyperkalemia is also a possible complication of ACE inhibitor therapy.
問題 #356
Which of the following is LEAST LIKELY to be an indicator of infiltration?
- A. IV pump alarms
- B. Pain
- C. Generalized edema
- D. Coolness at the IV site
答案:C
解題說明:
Infiltration occurs when the distal end of an IV catheter slips from the vein into the surrounding tissues, infusing the IV medication or solution into tissues instead of into the vein. Localized, not generalized edema may occur as fluid accumulates into the tissues. Coolness at the IV site may be noted as the IV solution that is below body temperature accumulates in the tissues. Pain occurs due to stretching as localized edema develops. IV pump alarms may occur as resistance increases due to the slow absorption rate of the tissues.
問題 #357
Analyze and interpret the following ABG results:
* pH: 7.30
* PaCO2: 68 mmHg
* HCO3: 28 mEq/L
- A. Acute (uncompensated) respiratory acidosis
- B. Partially compensated metabolic acidosis
- C. Acute (uncompensated) metabolic alkalosis
- D. Partially compensated respiratory acidosis
答案:D
解題說明:
Normal pH ranges from 7.35-7.45. Since this patient's pH is below 7.45, the patient is experiencing acidosis. Normal CO2 (carbon dioxide) levels range from 35-45 mmHg, and normal HCO3 (bicarbonate) levels range from 22-26 mEq/L. CO2 is the respiratory component and HCO3 is the metabolic component. The component that matches the pH is the system controlling the ABG (Arterial Blood Gases).
In this scenario, the pH and CO2 levels are both acidotic, so the primary mechanism is a respiratory acidosis. Partial compensation is occurring because the CO2 and HCO3 are rising together, but the pH remains abnormal; the metabolic alkalosis is compensation for the CO2, but the pH is still not within normal limits, so it is only partially effective.
問題 #358
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