참고: Fast2test에서 Google Drive로 공유하는 무료 2026 Nursing ACNS 시험 문제집이 있습니다: https://drive.google.com/open?id=17IeluvOGGymP5ib_GR3gkcWJaBEjTs31
Fast2test에서 출시한 Nursing 인증 ACNS시험덤프는Fast2test의 엘리트한 IT전문가들이 IT인증실제시험문제를 연구하여 제작한 최신버전 덤프입니다. 덤프는 실제시험의 모든 범위를 커버하고 있어 시험통과율이 거의 100%에 달합니다. 제일 빠른 시간내에 덤프에 있는 문제만 잘 이해하고 기억하신다면 시험패스는 문제없습니다.
| Section | Objectives |
|---|---|
| Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
| Professional Role Development | - Advanced practice nursing roles and ethics
|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
|
| Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
Fast2test 는 전문적으로 Nursing전문인사들에게 도움을 드리는 사이트입니다.많은 분들의 반응과 리뷰를 보면 우리Fast2test의 ACNS제품이 제일 안전하고 최신이라고 합니다. Fast2test의 학습가이드는 아주 믿음이 가는 문제집들만 있으니까요. Fast2test 덤프의 문제와 답은 모두 제일 정확합니다. 왜냐면 우리의 전문가들은 매일 최신버전을 갱신하고 있기 때문입니다.
질문 # 91
A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?
정답：D
설명：
When a patient presents to the emergency room with severe asthmatic exacerbation, it is critical for healthcare providers to initiate appropriate and effective treatment immediately. The question posed regards the first-line treatment for such a situation, and the correct answer is the use of an albuterol metered dose inhaler (MDI).
Albuterol is a fast-acting bronchodilator that works by relaxing the muscles around the airways, which helps to open them up quickly and ease the breathing process. It is typically administered through an inhaler, which allows the medication to go directly into the lungs where it is needed most. This direct route ensures that the medication acts quickly, which is crucial in a severe asthma attack where every second counts.
The symptoms of a severe asthmatic exacerbation can include tachypnea (rapid breathing), disappearance or lack of wheezing due to severe airway narrowing, use of accessory muscles to breathe, diaphoresis (sweating), and exhaustion. These signs indicate that the patient is struggling to get enough air and requires immediate intervention to prevent further respiratory distress or potential respiratory failure.
While there are other treatments available, such as adrenaline injection and nebulizer treatments, these are generally considered in specific circumstances or when initial treatments with a metered dose inhaler are not sufficient. Adrenaline injections are typically reserved for life-threatening reactions such as anaphylaxis and are not the standard first-line therapy for asthma exacerbations. Nebulizer treatments, which convert liquid medication into a mist that can be inhaled, are another option but may not be the most immediate choice for emergency response, depending on the situation and resources available.
Low to medium dose steroids are also used in the management of asthma, mainly to reduce inflammation and prevent future exacerbations. However, these are not typically used as the first-line treatment in acute, severe exacerbations as their action is not as fast as bronchodilators like albuterol.
In summary, the first-line treatment for a severe asthmatic exacerbation in an emergency setting is an albuterol metered dose inhaler. This treatment choice is preferred for its rapid action and effectiveness in opening the airways, thereby providing quick relief to the patient experiencing severe respiratory distress.
질문 # 92
When should a chest tube be milked?
정답：D
설명：
A chest tube is a medical device used to remove air, fluid, or pus from the intrathoracic space. It is commonly used in conditions like pneumothorax, hemothorax, or pleural effusions. The process of maintaining a chest tube is critical for patient safety and recovery. One aspect of this maintenance is the practice of "milking" the tube, which involves gently squeezing and massaging the tube to prevent or clear blockages caused by clots or debris.
Milking a chest tube can help maintain patency and ensure the proper functioning of the drainage system. However, this procedure should not be performed routinely or without specific indications. Milking can potentially cause harm, such as damaging the internal lining of the lung or the pleural space, or dislodging the tube itself.
It is crucial that milking a chest tube is only done under the direct orders of a physician. This ensures that the procedure is carried out only when medically necessary and under appropriate clinical guidelines. The decision to milk a chest tube depends on various factors such as the nature of the fluid being drained, the patient's condition, and the type and location of the chest tube.
Physicians will order the milking of a chest tube when they assess that the benefits of clearing a blockage outweigh the risks of the procedure. This decision is typically based on the monitoring of the chest tube output, the consistency of the fluid, and the patient's overall clinical status. If a chest tube becomes clogged, it can lead to ineffective drainage and potentially worsen the patient's condition, making timely intervention crucial.
In summary, a chest tube should only be milked when there are clear medical indications and under the orders of a physician. Routine or unsupervised milking of chest tubes is not recommended and can be harmful. Proper training and adherence to hospital protocols are essential for the safe handling of chest tubes.
질문 # 93
Of the following, what is expected of a patient undergoing conscious sedation?
정답：C
설명：
Conscious sedation, also known as moderate sedation or procedural sedation, is a medically controlled state of depressed consciousness used often in minor surgeries or during diagnostic procedures. While under conscious sedation, patients remain awake enough to follow simple instructions and respond to verbal cues, yet they are relaxed and may not remember the procedure afterward.
The correct answer to the question regarding the expected state of a patient under conscious sedation is: "He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway." This statement accurately describes the typical responsiveness and airway control expected in a patient undergoing conscious sedation.
During conscious sedation, the patient can communicate discomfort and cooperate with instructions, which helps the medical team adjust the level of sedation as needed. It is crucial in conscious sedation that the patient's airway remains unobstructed and functions independently. Generally, the patient does not require assistance for breathing, unlike deeper levels of sedation or anesthesia where mechanical ventilation might be necessary.
Contrasting other sedation levels helps clarify this point: - Minimal sedation: This is a lighter sedation where the patient is fully awake and able to respond normally to verbal commands. Cognitive function and coordination may be mildly impaired, but ventilatory and cardiovascular functions are unaffected. - Deep sedation: In this state, the patient is not easily aroused but can respond purposefully following repeated or painful stimulation. The patient might require assistance in maintaining an open airway, and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained. - General anesthesia: The patient is not arousable, even by painful stimulation. The patient often requires assistance in maintaining an airway, and positive pressure ventilation may be necessary because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. Cardiovascular function may be impaired.
Thus, understanding these distinctions is critical for medical professionals to manage the level of sedation appropriately and ensure patient safety during medical procedures. The ability to respond to verbal commands with or without physical stimuli and maintaining airway independence without intervention distinctly characterizes the state of conscious sedation.
질문 # 94
What is the term for the portion of a medical visit or diagnostic procedure that patients pay according to the terms of the insurance policy?
정답：B
설명：
The correct term for the portion of a medical visit or diagnostic procedure that patients are required to pay under the terms of their insurance policy is "co-payment." Co-payment, often referred to as co-pay, is a fixed amount set by the insurance policy that the insured person must pay out of pocket for each visit to a healthcare provider or when receiving certain medical services. This payment is made at the time of the service and is a standard feature of many health insurance plans.
The purpose of the co-payment is to share the cost of medical care between the insurance company and the insured to prevent unnecessary medical visits or overutilization of healthcare services. It is usually a relatively small amount compared to the total cost of the service provided. The specific amount of the co-payment can vary depending on the insurance plan and the type of service received. For example, a visit to a primary care doctor might have a lower co-payment compared to a visit to a specialist.
Co-payments are distinct from other types of insurance payments such as deductibles and coinsurance. A deductible is the amount the insured must pay each year before their health insurance begins to pay. Coinsurance is a percentage of the cost of the service that the insured pays after meeting their deductible. In contrast, a co-payment is a specific, fixed amount paid for each service regardless of the total cost of the visit or treatment.
Understanding the terms of co-payments in one's health insurance policy is crucial for patients to manage their healthcare expenses effectively. It helps them anticipate out-of-pocket expenditures and budget accordingly for routine and necessary medical services.
질문 # 95
A sign of cataracts is:
정답：C
설명：
A cataract is a medical condition where the lens of the eye becomes progressively opaque, resulting in blurred vision, glare, and difficulty seeing in low light conditions. The lens is a clear, biconvex structure located behind the iris, whose primary role is to focus light onto the retina, allowing us to see clearly. When a cataract develops, the proteins in the lens begin to clump together, clouding the lens and preventing light from passing clearly through it. This clouding is referred to as the opacity of the lens, which is the hallmark sign of cataracts.
The development of cataracts is often related to aging, but can also result from other risk factors such as diabetes, smoking, prolonged exposure to ultraviolet light, and certain genetic predispositions. It is one of the leading causes of blindness worldwide, particularly in older adults. However, vision loss due to cataracts can typically be restored through surgical removal of the cloudy lens and replacement with an artificial lens.
It is important to differentiate the signs of cataracts from other eye conditions that also affect vision. For instance, a swollen optic disc with blurred edges, known as papilledema, is indicative of increased intracranial pressure, not cataracts. Microvascularization and microaneurysms are signs often associated with diabetic retinopathy, a complication of diabetes affecting the retina. Copper and silver wire arterioles are indicative of hypertensive retinopathy, a result of long-standing high blood pressure impacting the retinal vessels.
In summary, while there are many conditions that can affect the eyes, the specific sign of cataracts is the opacity of the lens. Recognizing this sign is critical for timely diagnosis and management, primarily through surgical intervention, which is highly effective in restoring vision.
질문 # 96
......
Fast2test의Nursing인증ACNS자료는 제일 적중률 높고 전면적인 덤프임으로 여러분은 100%한번에 응시로 패스하실 수 있습니다. 그리고 우리는 덤프를 구매 시 일년무료 업뎃을 제공합니다. 여러분은 먼저 우리 Fast2test사이트에서 제공되는Nursing인증ACNS시험덤프의 일부분인 데모 즉 문제와 답을 다운받으셔서 체험해보실 수 잇습니다.
ACNS시험문제모음: https://kr.fast2test.com/ACNS-premium-file.html
참고: Fast2test에서 Google Drive로 공유하는 무료, 최신 ACNS 시험 문제집이 있습니다: https://drive.google.com/open?id=17IeluvOGGymP5ib_GR3gkcWJaBEjTs31