Adult CCRN Exam Barrons CCRN Review Book Complete solution guide QUESTIONS AND ANSWERS RATED A LATEST UPDATE 2026
Barrons CCRN Review Guide for the Adult CCRN Exam 2026 | Verified Answers A+ Rated Synergy Model: Resiliency - answer - The capacity to return to a restorative level of functioning using compensatory/coping mechanisms Synergy Model: Vulnerability - answer - Susceptibility to actual or potential stressors that may adversely affect patient outcomes Synergy Model: Stability - answer - The ability to maintain a steady-state equilibrium Synergy Model: Complexity - answer - The intricate entanglement of two or more systems (e.g., body, family, therapies) Synergy Model: Resource Availability - answer - Extent of resources (technical, fiscal, personal, psychological, social) the patient/family brings to the situation Synergy Model: Participation in Care - answer - Extent to which patient/family engages in aspects of care Synergy Model: Participation in Decision Making - answer - Extent to which patient/family engages in decision making Synergy Model: Predictability - answer - A characteristic that allows one to expect a certain course of events or course of illness Advocacy - answer - Acting on behalf of the patient to protect their rights and facilitate their voice Moral Distress - answer - The psychological imbalance that occurs when a nurse knows the right thing to do but institutional constraints make it nearly impossible Paternalism - answer - Making decisions for a patient without their consent (unethical in adult care unless emergency) Autonomy - answer - The right of the patient to make their own healthcare decisions Beneficence - answer - The duty to do good and act in the best interest of the patient Non-maleficence - answer - The duty to do no harm Justice - answer - Fair distribution of resources and care Veracity - answer - The obligation to tell the truth Fidelity - answer - Faithfulness to promises and agreements Battery in healthcare - answer - Touching a patient without consent (e.g., performing a procedure after a patient refused) Negligence - answer - Failure to act as a reasonably prudent nurse would in a similar situation Root Cause Analysis (RCA) - answer - A retrospective process used to identify the underlying factors of a sentinel event Angoff Method - answer - The method used to determine the passing score ("cut score") for the CCRN exam Generic Names Only Policy - answer - The AACN exam policy stating all medications are listed by generic name, not trade name Phlebostatic Axis - answer - 4th intercostal space, mid-axillary line (level of the atria) Square Wave Test - answer - Used to verify the dynamic response of a hemodynamic monitoring system Overdamped Waveform - answer - Sluggish upstroke, loss of dicrotic notch (Causes: clots, loose connections, kinks) Underdamped Waveform - answer - Exaggerated peaks ("ringing"), false high systolic (Causes: excessive tubing length, small bubbles) Normal Cardiac Output (CO) - answer - 4-8 L/min Normal Cardiac Index (CI) - answer - 2.5-4.0 L/min/m² Stroke Volume (SV) - answer - The amount of blood ejected by the ventricle with each beat (Normal: 60-100 mL) Preload - answer - The degree of muscle fiber stretch at the end of diastole (Volume status) Afterload - answer - The resistance the ventricle must overcome to eject blood (SVR/PVR) Contractility - answer - The inherent strength of the myocardial squeeze Normal CVP (Right Atrial Pressure) - answer - 2-6 mmHg Normal PAOP (Wedge Pressure) - answer - 8-12 mmHg Normal Pulmonary Artery Pressure (PAP) - answer - 25/10 mmHg (Quarter over dime) Normal SVR - answer - 800-1200 dynes/sec/cm⁻⁵ Elevated SVR causes - answer - Vasoconstriction, hypovolemia, hypothermia, cardiogenic shock Decreased SVR causes - answer - Sepsis, neurogenic shock, anaphylaxis, vasodilators Normal SvO2 - answer - 60-80% (Reflects global oxygen supply vs. demand) Low SvO2 causes - answer - Decreased delivery (low Hgb, low CO, hypoxia) or
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