그리고 Itcertkr ACNS 시험 문제집의 전체 버전을 클라우드 저장소에서 다운로드할 수 있습니다: https://drive.google.com/open?id=13AQpSVQ6GZRtmPhOomQKBZyJ4qFGIWKz
Nursing인증ACNS시험덤프의 문제와 답은 모두 우리의 엘리트들이 자신의 지식과 몇 년간의 경험으로 완벽하게 만들어낸 최고의 문제집입니다. 전문적으로Nursing인증ACNS시험을 응시하는 분들을 위하여 만들었습니다. 여러분이 다른 사이트에서도Nursing인증ACNS시험 관련덤프자료를 보셨을 것입니다 하지만 우리Itcertkr의 자료만의 최고의 전문가들이 만들어낸 제일 전면적이고 또 최신 업데이트일 것입니다.Nursing인증ACNS시험을 응시하고 싶으시다면 Itcertkr자료만의 최고의 선택입니다.
| Section | Objectives |
|---|---|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
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| Systems Leadership and Quality Improvement | - Healthcare systems improvement
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| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
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| Patient and Family Outcomes Management | - Care coordination and chronic disease management
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| Professional Role Development | - Advanced practice nursing roles and ethics
|
Nursing인증ACNS시험은 국제적으로 승인해주는 IT인증시험의 한과목입니다. 근 몇년간 IT인사들에게 최고의 인기를 누리고 있는 과목으로서 그 난이도 또한 높습니다. 자격증을 취득하여 직장에서 혹은 IT업계에서 자시만의 위치를 찾으련다면 자격증 취득이 필수입니다. Nursing인증ACNS시험을 패스하고 싶은 분들은Itcertkr제품으로 가보세요.
질문 # 80
ICP requires draining when a patient shows pressure ______.
정답：D
설명：
Intracranial pressure (ICP) monitoring and management are crucial aspects of care for patients with conditions that affect brain pressure, such as traumatic brain injury, stroke, or hydrocephalus. ICP monitoring helps healthcare providers assess the pressure exerted within the skull. Elevated ICP can lead to serious complications, including brain herniation, which can be fatal if not promptly and effectively managed.
The standard threshold for concern in most clinical settings is an ICP of 20 mm Hg. When ICP reaches or exceeds this level, it may necessitate intervention to reduce pressure and prevent further brain injury. The specific intervention can vary but often includes the drainage of cerebrospinal fluid (CSF) to quickly lower pressure within the cranial vault. This procedure is typically done through a ventriculostomy, where a catheter is inserted into a ventricle of the brain to allow for drainage.
It's important to note that while 20 mm Hg is a commonly recognized threshold, clinical decisions often depend on both the absolute value and the context, including the patient's overall neurological status and the duration that the elevated pressure has been sustained. For example, a sustained pressure of 15 mm Hg for a prolonged period, such as five minutes or more, might also prompt intervention. This is due to the potential for sustained moderate increases in ICP to cause cumulative damage over time.
The goal of managing elevated ICP is to maintain adequate cerebral perfusion pressure (CPP) and ensure that the brain receives sufficient blood flow. CPP is calculated by subtracting the ICP from the mean arterial pressure (MAP). Maintaining a CPP of 60 to 70 mm Hg is typically targeted, but this can vary based on individual patient factors and conditions.
In conclusion, while an ICP of 20 mm Hg is a standard threshold for initiating CSF drainage, medical teams must assess each situation individually. Continuous monitoring and timely intervention are crucial in managing elevated ICP to prevent secondary brain injury and improve outcomes for patients with elevated intracranial pressure.
질문 # 81
Which of the following tests is NOT typically used to diagnose Crohn's disease?
정답：D
설명：
To determine which of the listed tests is not typically used to diagnose Crohn's disease, it is important to understand the usual diagnostic methods for this condition. Crohn's disease is a type of inflammatory bowel disease (IBD) that affects any part of the gastrointestinal tract from the mouth to the anus, though most commonly it affects the end of the small bowel (the ileum) and the beginning of the colon.
Common diagnostic tests for Crohn's disease include: 1. **Colonoscopy**: This is one of the most important tests for diagnosing Crohn's disease. It allows direct visualization of the inside of the colon and the terminal ileum, enabling the identification of inflammation, ulcers, or other abnormalities. Biopsies can also be taken during this procedure to help confirm the diagnosis. 2. **Barium Enema**: This X-ray exam involves filling the large intestine with a barium solution to provide clearer images of the outline of the large intestine, revealing abnormalities related to Crohn's disease. 3. **Abdominal MRI**: Magnetic Resonance Imaging (MRI) of the abdomen can provide detailed images of the tissues in the abdomen and pelvis area without the use of radiation. It is particularly useful for assessing fistulas around the anal canal or small intestine.
An **Abdominal X-ray** is less commonly used as a primary diagnostic tool for Crohn's disease because it is not as sensitive or specific as the other tests. While it can reveal some signs of Crohn's disease, such as blockages or free air in the abdomen suggesting a perforation, it does not provide detailed images necessary for a definitive diagnosis. Therefore, an abdominal X-ray is not typically used to diagnose Crohn's disease but may be employed in emergency situations to check for complications like bowel obstructions.
In conclusion, among the options given, the test that is not typically used to specifically diagnose Crohn's disease is the **Abdominal X-ray**. It may be used in the management or detection of complications but not as a primary diagnostic tool.
질문 # 82
The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?
정답：A
설명：
The Patient Self-Determination Act (PSDA), enacted by the U.S. Congress in 1990, brought about significant policy changes in the way healthcare organizations deal with patients' rights to make decisions about their own healthcare. Below is an expanded explanation of the correct policy changes resulting from the PSDA:
The PSDA primarily ensures that individuals are informed of their rights to make decisions concerning their medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives. An advance directive is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions due to illness or incapacity. This includes documents like living wills and durable powers of attorney for healthcare.
One of the critical mandates of the PSDA is that all healthcare providers, including hospitals, nursing homes, hospice providers, home health agencies, and federally funded managed care organizations (MCOs), must inform patients of their rights under state laws governing advance directives at the time of their enrollment or admission. This requirement ensures that all patients, upon entering the care of these organizations, are immediately made aware of their legal rights to make decisions about their healthcare through advance directives.
Managed Care Organizations (MCOs), which are a type of health insurance or care system that integrates the financing and delivery of appropriate healthcare using a comprehensive set of services, are specifically required by the PSDA to inform subscribers about their rights to create advance directives under state law. MCOs must provide this information at the time of enrollment so that members are aware of their options before a situation arises where they are unable to make decisions for themselves.
It is important to clarify some misconceptions: the PSDA does not require patients to create advance directives; rather, it mandates that patients be informed of their right to do so. Additionally, the PSDA does not mandate hospitals or other healthcare providers to have "do not resuscitate" (DNR) orders on file for all terminally ill patients, nor does it obligate hospitalized patients to select a surrogate decision-maker. It also does not require healthcare facilities to assist every patient in creating a living will. The primary goal is to enhance patient autonomy by ensuring patients are informed and can choose to prepare an advance directive if they so desire.
In summary, the PSDA makes it mandatory for healthcare providers, including MCOs, to inform and educate their patients about their rights to make advance healthcare directives under state law. This ensures that patients can preemptively outline their healthcare preferences, thereby enhancing the respect for patient autonomy and ensuring that their medical and personal wishes are respected, even if they become incapable of making decisions themselves.
질문 # 83
A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:
정답：D
설명：
A 34-year-old female with multiple sclerosis (MS) has recently moved to be closer to relatives who can assist her with her condition. In managing her MS, it is essential to understand the roles of various treatments and interventions.
Multiple sclerosis is a chronic immune-mediated disease that affects the central nervous system, leading to various neurological symptoms. Treatment strategies aim to manage acute relapses, slow disease progression, and alleviate symptoms. A comprehensive management plan for MS typically includes medication, physical therapy, and occupational therapy, among other interventions.
**Physical and occupational therapy** are crucial components of the management plan for MS. These therapies help maintain mobility, prevent complications from immobility, and improve the quality of life through adaptive strategies. They are tailored to the individual's needs to help them manage daily activities and maintain independence for as long as possible.
**Corticosteroids, such as prednisone**, are commonly used in the treatment of MS but have a specific role. They are primarily used for managing acute exacerbations or relapses of the disease. During a relapse, corticosteroids help reduce inflammation quickly and decrease the severity of attacks. However, it is critical to note that **corticosteroids are not used as a maintenance therapy** in MS. Maintenance therapy in MS involves drugs that modify the disease course (disease-modifying therapies or DMTs), which help reduce the frequency and severity of relapses and slow the progression of disability.
**Acute exacerbations should be treated with prednisone 60-80 mg/day for about one week, followed by a taper over two to three weeks**. This regimen is effective in managing the acute phases but does not play a role in long-term management. The administration of corticosteroids for long periods would not be appropriate due to potential side effects and lack of efficacy in preventing disease progression.
A **complex treatment regimen must be coordinated with a neurologist** who specializes in MS. This coordination ensures that the patient receives comprehensive care, including the selection of appropriate disease-modifying therapies, management of symptoms, and monitoring for any side effects of treatments.
In summary, while corticosteroids are essential for treating acute exacerbations of MS, they are not suitable for maintenance therapy. Other aspects of the management plan, such as physical and occupational therapy and collaboration with a neurologist for disease-modifying treatments, are vital for the long-term care of MS patients.
질문 # 84
Opening the windpipe is performed by what surgery?
정답：C
설명：
The question asks about a surgical procedure that is performed to open the windpipe. The correct answer is tracheotomy. To further clarify, let's differentiate tracheotomy from other similar-sounding surgeries mentioned in the list: tonsillectomy, thyroidectomy, and septoplasty.
Tracheotomy is a surgical procedure that involves making an incision in the neck over the trachea (windpipe) to create a direct airway. This procedure is typically performed when there is an obstruction in the upper airway, during emergencies when breathing is impeded, or during surgeries when the airway needs to be bypassed. The main purpose of tracheotomy is to provide an open and clear air passage to help a person breathe more effectively when the usual airway route is compromised.
Tonsillectomy, on the other hand, involves the removal of the tonsils, which are two lymphatic tissue masses located at the back of the throat. This surgery is often performed to treat repeated episodes of tonsillitis or to address sleep apnea caused by enlarged tonsils blocking the throat during sleep.
Thyroidectomy involves the removal of all or part of the thyroid gland. The thyroid gland is located at the front of the neck, below the Adam's apple, and plays a crucial role in regulating the body's metabolism through the release of hormones. This surgery is typically performed to address conditions such as thyroid cancer, hyperthyroidism, or large goiters.
Lastly, septoplasty is a corrective surgical procedure aimed at straightening the nasal septum, which is the partition between the two nasal cavities. This operation is usually undertaken to correct a deviated septum, which can cause problems with proper breathing or nasal discharge.
In summary, while all these surgeries relate to regions in or around the neck and throat, tracheotomy specifically targets the opening of the windpipe to facilitate breathing. This direct intervention in the airway distinguishes it from other procedures like tonsillectomy, thyroidectomy, and septoplasty, which focus on other anatomical structures and issues within the head and neck region.
질문 # 85
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Nursing 인증 ACNS시험대비덤프를 찾고 계시다면Itcertkr가 제일 좋은 선택입니다.저희Itcertkr에서는 여라가지 IT자격증시험에 대비하여 모든 과목의 시험대비 자료를 발췌하였습니다. Itcertkr에서 시험대비덤프자료를 구입하시면 시험불합격시 덤프비용환불신청이 가능하고 덤프 1년 무료 업데이트서비스도 가능합니다. Itcertkr를 선택하시면 후회하지 않을것입니다.
ACNS인증시험 덤프공부: https://www.itcertkr.com/ACNS_exam.html
BONUS!!! Itcertkr ACNS 시험 문제집 전체 버전을 무료로 다운로드하세요: https://drive.google.com/open?id=13AQpSVQ6GZRtmPhOomQKBZyJ4qFGIWKz