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N450 EXAM UPDATE (QUESTIONS AND VERIFIED ANSWERS)
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QUESTIONS AND ANSWERS
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N450 EXAM 2 2024-2025 UPDATE(QUESTIONS AND VERIFIED
ANSWERS)
What is cri*cal care nursing?
Specialty of nursing that deals specifically with human responses to life-
threatening problems.
Cri*cal care nurse cer*fica*on
* applica*on/analysis level
*STRONG cri*cal thinking abili*es
*required number of clinical hours is an exam prereq
*renewed every three years
*Extensive on-going edu
*CCRN must have been in cri*cal care for a minimum of two years to be eligible
for the examina*on
Are cri*cal care nurses vulnerable?
YUP
AACN Six Standards for establishing and maintaining a healthy work
environment are?
Skilled communica*on
true collabora*on
effec*ve decision making
appropriate staffing
meaningful recogni*on
authen*c leadership
Roles of the CCRN include?
,Bedside clinicians
nurse educators/researchers/managers
clinical nurse specialists
nurse prac**oners
PATIENT ADVOCATE!
(AACN defines advocacy as respec*ng and suppor*ng the basic values, rights
and beliefs of the cri*cally ill pa*ent)
Where do CCRN's prac*ce?
Icus
Cardiac cath
bone marrow transplant units
solid organ transplant units
step down units
rapid response team
telemetry units
ER
Recovery rooms
home health
managed care
What is the defini*on of a cri*cally ill pa*ent?
Cri*cally ill pa*ents are defined as those puts who are at high risk for actual or
poten*al life-threatening health problems
The more cri*cally ill the pa*ent is, the more likely he/she is to be highly
vulnerable, unstable and complex, thereby requiring intense and vigilant
nursing care.
What are the six most common nursing diagnosis for cri*cal care pa*ents
,Nutri*on
Anxiety
Pain
Impaired Communica*on
Sensory-perceptual problems
Sleep problems
Six most common nursing diagnosis for cri*cal care pa*ents:
1. Nutri*on
Malnutri*on is linked to higher mortality rates
hypermetabolic or catabolic states
malnourished on admit
tests and procedures
Treatments: pt specific, prevent or correct nutri*onal deficiencies, enteral
nutri*on, parental nutri*on, monitor I&o's
Healing nutrients: Sufficient Kcals, protein, etc...
Six most common nursing diagnosis for cri*cal care pa*ents:
2. Anxiety
Pts are afraid
fear of death, pain, loss of control, uncertainty
Dignity: may be nude/par*ally exposed
feel embarrassed/helpless
Treatment: explain all procedures, pay a`en*on to the environment, assess
and reassess
, Six most common nursing diagnosis for cri*cal care pa*ents:
3. Pain
Invasive monitoring, ET tubes, immobiliza*on
treatment: con*nuous IV seda*on, pain assessment, interven*on, evalua*on,
advocate
Six most common nursing diagnosis for cri*cal care pa*ents:
4. Impaired Communica*on
Seda*ve and paralyzing drugs, ET tube
Treatment/interven*on:
promote alternate forms of communica*on, *mely and appropriate
communica*on of procedures and interven*ons, interpreters, touch
Six most common nursing diagnosis for cri*cal care pa*ents:
5. Sensory percep*on problems
Delusions, memory deficits, lethargy, restlessness, poor sleep, delirium,
physical condi*ons, medica*ons, sensory overload
Treatment: treat underlying cause, noises can be limited.
Six most common nursing diagnosis for cri*cal care pa*ents:
6. Sleep problems
Noise, machines, commo*on, anxiety
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