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AACN Exam CCRN-Adult Topic 1 Question 6 Discussion

Actual exam question for AACN's CCRN-Adult exam
Question #: 6
Topic #: 1
[All CCRN-Adult Questions]

A patient is intubated, is unable to follow simple commands, and has no history of alcohol abuse. The patient has become increasingly disoriented and confused over the past 24 hours. After assessment and treatment of pain, the best medication intervention for management is

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Suggested Answer: D

Dexmedetomidine (Precedex) is the most appropriate medication for managing agitation and delirium in a critically ill intubated patient. It provides sedation without significant respiratory depression and has analgesic properties, which makes it suitable for patients who are disoriented and confused. Unlike benzodiazepines (lorazepam and midazolam) or neuromuscular blockers (cisatracurium), dexmedetomidine can improve delirium outcomes and facilitates easier weaning from mechanical ventilation. Reference: = AACN Certification and Core Review for High Acuity and Critical Care, 7th Edition, AACN Handbook for CCRN Certification, pp. 57-60.


by Mireya at Mar 06, 2025, 04:55 AM

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Cristal
5 days ago
I think lorazepam (Ativan) would be the most effective choice in this situation.
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Brynn
6 days ago
I would go with cisatracurium (Nimbex) for better management.
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Dana
11 days ago
I disagree, I believe dexmedetomidine (Precedex) would be more appropriate.
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Alpha
19 days ago
I think the best medication intervention is midazolam (Versed).
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Sharita
19 days ago
Hold up, are we sure the patient isn't just really good at charades and is just playing a prank on us? Maybe we should try to communicate through interpretive dance first.
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Lenna
5 days ago
C: I suggest we consider the patient's symptoms and choose the medication that will help with their disorientation and confusion.
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Hildegarde
8 days ago
B: I agree, let's focus on the medication options provided and choose the best one for the patient's condition.
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Dalene
11 days ago
A: I think we should stick to medical interventions, interpretive dance might not be the best approach.
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Elza
24 days ago
A. Lorazepam (Ativan) is the way to go. It's a tried and true benzodiazepine that can really take the edge off in situations like this.
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Myong
26 days ago
C. Midazolam (Versed) would be my pick. It's a well-known sedative that should help calm the patient down.
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Marica
27 days ago
I'd go with D. Dexmedetomidine (Precedex) - it seems like the best option to manage the patient's agitation and confusion without the sedative effects of the other choices.
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Gerardo
1 days ago
I agree with you on D. Dexmedetomidine (Precedex) seems like the best choice to manage the patient's symptoms.
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Nikita
7 days ago
I would go with C. Midazolam (Versed) is a good option for sedation and can help with the patient's confusion.
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Novella
16 days ago
I think D is a good choice too. Dexmedetomidine (Precedex) can help manage the patient's agitation without causing too much sedation.
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