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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 1
- The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
Topic 2
- CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
Topic 3
- Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
Topic 7
- PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.
Topic 8
- In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q766-Q771):
NEW QUESTION # 766
A patient is admitted with an acute anterior wall MI. Initial hemodynamic readings are:
The nurse anticipates initiating a plan of care for
- A. cardiogenic shock.
- B. right ventricular infarct.
- C. volume overload.
- D. pulmonary hypertension.
Answer: A
Explanation:
The hemodynamic readings provided (BP 80/60, HR 110, CVP 20 mm Hg, PAOP 26 mm Hg, CO 2.1 L/min, CI 1.3 L/min/m², PAP 42/32 mm Hg, SVR 1762 dynes/sec/cm) suggest cardiogenic shock. This condition is characterized by low cardiac output and index, elevated filling pressures (CVP and PAOP), and systemic vascular resistance. Cardiogenic shock often occurs following an acute anterior wall myocardial infarction (MI) due to extensive damage to the myocardium, leading to impaired contractility and inadequate tissue perfusion.References: = CCRN Exam Handbook, page 12
NEW QUESTION # 767
Which statement is ACCURATE in regards to asthma?
- A. Patients with asthma have protein-calorie malnutrition
- B. Asthma is a form of COPD
- C. Asthma only affects children
- D. Asthma is reversible
Answer: D
Explanation:
Asthma (a type of obstructive lung disease) differs from COPD (Chronic Obstructive Pulmonary Disease) in both pathophysiology, and therapeutic response and the airway restriction is usually reversible with aggressive treatment. It affects individuals of all age groups. COPD is a progressive, non-reversible lung disorder. The pathology results in the severe bronchospasm and increased mucus production present during acute asthma attacks. Breathing between episodes is virtually normal, and permanent damage is not typical of the disease.
NEW QUESTION # 768
The patient undergoing a cardiac catheterization should ideally be NPO for at least:
- A. six to 12 hours
- B. two to four 4 hours
- C. 18 to 24 hours
- D. 12 to 18 hours
Answer: A
Explanation:
In the event that emergency intubation is required during the procedure, the patient undergoing a cardiac catheterization should ideally be NPO for six to 12 hours. Medications are an exception to the NPO rule and should be taken the day of the procedure with small sips of water.
NEW QUESTION # 769
The nurse is caring for a patient with a tracheostomy tube that requires suctioning. The nurse knows to hyper-oxygenate the patient with 100% oxygen before and between suctioning for a minimum of:
- A. 10 seconds
- B. 30 seconds
- C. 60 seconds
- D. 20 seconds
Answer: B
Explanation:
Suctioning through an artificial airway should only be performed when clinically indicated and for as short a time as possible. It is recommended to hyperoxygenate the patient with 100% oxygen for a minimum of 30 seconds both before suctioning and between passes.
NEW QUESTION # 770
During the monthly code team review, it is noted that regulators have been consistently missing from the O2 tanks. Which of the following is a nurse's best action?
- A. Report the missing regulators to the shift supervisor.
- B. Document on the daily flow sheets when the regulators are missing.
- C. Form a task force to try to find a solution.
- D. Inform the nurse manager of the need for more regulators.
Answer: D
Explanation:
The absence of regulators from O2 tanks is a serious issue that can affect patient care1. The nurse manager is in a position to address this problem effectively by ensuring the availability of necessary equipment2.
Therefore, the best action would be to inform the nurse manager of the need for more regulators123. While documenting the issue and reporting to the shift supervisor are important, they do not directly address the problem. Forming a task force could be helpful, but it might take more time to implement solutions23.
NEW QUESTION # 771
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