| Exam Code | CCRN-Adult |
| Exam Name | CCRN (Adult) - Direct Care Eligibility Pathway |
| Vendor | AACN |
| Total Questions | 150 |
| Last Updated | 26-Oct, 2026 |
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Free CCRN-Adult Practice Questions
Explore 5 free practice questions for the AACN CCRN-Adult exam and review the answers and explanations to support your preparation.
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Question 1
Single answerFor a patient who sustained blunt renal trauma and a crush injury to the leg, monitoring should include observing for
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Option A:Correct
a shortened PR interval.
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Option B:Correct
tall peaked T waves.
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Option C:Correct
ST segment depression.
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Option D:Correct
Show Answer & Explanation Hide Answer & Explanation
Correct Answer: B
Explanation
Crush injuries can lead to significant muscle damage and rhabdomyolysis, resulting in the release of intracellular potassium into the bloodstream, causing hyperkalemia. Tall peaked T waves are a classic sign of hyperkalemia, which needs to be closely monitored in these patients. References : = CCRN Exam Handbook and AACN ' s Certification Review Course materials.
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Question 2
Single answerThe water retention associated with SIADH is characterized by
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Option A:Correct
fluid intake greater than UO, weight gain, and increased urine osmolality and sodium.
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Option B:Correct
UO greater than fluid intake, extreme weight gain, and mild (2+) pitting edema.
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Option C:Correct
UO greater than fluid intake and severe (4+) pitting edema.
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Option D:Correct
Show Answer & Explanation Hide Answer & Explanation
Correct Answer: A
Explanation
The syndrome of inappropriate antidiuretic hormone (SIADH) is characterized by excessive release of antidiuretic hormone (ADH), leading to water retention. This results in fluid intake being greater than urine output (UO), weight gain due to fluid retention, and concentrated urine with increased osmolality and sodium levels. SIADH does not typically present with severe pitting edema or increased serum osmolality and sodium. References : =
CCRN (Adult) Certification Review Course Online: Endocrine Emergencies.
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
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Question 3
Single answerA unit council is requesting to change a documentation screen of the electronic health record (EHR) at a large health system. The change was not discussed with the department prior to the request and was denied by the EHR committee. Which of the following strategies will most likely lead to accomplishing the team ' s goals?
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Option A:Correct
Have nursing leadership evaluate the proposal before resubmitting the request.
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Option B:Correct
Discuss the proposed solution with stakeholders to determine buy in.
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Option C:Correct
Work with key staff members to rewrite the request to present at the next meeting.
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Option D:Correct
Show Answer & Explanation Hide Answer & Explanation
Correct Answer: B
Explanation
When seeking to make changes to a documentation screen in the electronic health record (EHR), it is crucial to involve all relevant stakeholders to ensure their buy-in and support. This includes discussing the proposed changes with those who will be directly impacted by it and obtaining their feedback. This collaborative approach can help in identifying potential issues and garnering the necessary support for the proposal, increasing the likelihood of it being accepted by the EHR committee in the future. References : = CCRN Exam Handbook, page 58
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Question 4
Single answerWhich of the following assessment findings would be found in a patient with pulmonary hypertension?
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Option A:Correct
crackles in the bases bilaterally
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Option B:Correct
rhonchi in the apices bilaterally
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Option C:Correct
pink frothy sputum
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Option D:Correct
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Correct Answer: D
Explanation
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. References : AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.
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Question 5
Single answerA patient is admitted for hypertensive crisis. As a nurse is starting a peripheral IV, the patient appears increasingly anxious as the catheter is about to be inserted. The patient threatens to harm the nurse if the catheter insertion causes pain. Which of the following is the nurse ' s best action?
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Option A:Correct
Engage the patient in a conversation and encourage him to verbalize his feelings.
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Option B:Correct
Physically restrain the patient during the performance of the procedure.
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Option C:Correct
Ask another staff member to distract the patient during insertion.
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Option D:Correct
Show Answer & Explanation Hide Answer & Explanation
Correct Answer: A
Explanation
When a patient exhibits anxiety and threats of harm, it is crucial to de-escalate the situation through verbal communication and engagement. By encouraging the patient to verbalize their feelings, the nurse can address the patient ' s fears and anxieties, reducing the likelihood of aggression. This approach promotes a therapeutic nurse-patient relationship and ensures the safety of both the patient and healthcare staff. References : = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course
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