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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 1

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.

Topic 2

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 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 5

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 8

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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q671-Q676):

NEW QUESTION # 671
The MOST common signs and symptoms of intestinal ischemia on admission to the hospital are:

A. Anorexia, fever, tachycardia
B. Hematochezia, abdominal pain, diarrhea
C. Nausea and vomiting, leukocytosis, metabolic acidosis
D. Cramping, constipation, decreased bowel sounds

Answer: B

Explanation:
Intestinal ischemia develops from a compromise in blood flow to the intestine, which is inadequate to meet metabolic demands. It is the result of hypoperfusion and reperfusion injury.
Signs and symptoms will vary depending on the severity of the ischemia and the area and length of intestine affected. The most common signs upon admission to the hospital are:
* hematochezia (due to mucosal sloughing)
* abdominal pain
* diarrhea
The other answer choices are other signs and symptoms characteristic of intestinal ischemia, except the patient presents with diarrhea, not constipation, and has an urgent desire to defecate.

NEW QUESTION # 672
Which of the following CORRECTLY describes what the acronym "TAVR" stands for?

A. Transcatheter aortic valve replacement
B. Transvenous atrial valve replacement
C. Transvenous aortic valve repair
D. Transcatheter atrial valve repair

Answer: A

Explanation:
TAVR stands for transcatheter aortic valve replacement and refers to a procedure in which the aortic valve is replaced using an approach through the veins leading to the heart.

NEW QUESTION # 673
On which of the following should a critical nurse rely on the MOST for their nursing knowledge?

A. Their ongoing clinical inquiry
B. Ongoing education provided by their employer
C. The foundational concepts provided in nursing school
D. The experience they have developed in their own practice

Answer: A

Explanation:
Clinical inquiry is the ongoing process of questioning and evaluating practice throughout a nurse's career, ensuring that they provide informed practice. Nurses are responsible for continuing to grow and expand their own clinical knowledge. While ongoing education provided by their employer may play an important role in this, the nurse should not rely on this ongoing education to maintain their clinical knowledge. A nurse should not rely primarily on information they were taught in nursing school or experience they have developed in their own practice. While these can be powerful sources of clinical knowledge, they can also become outdated without the nurse realising it.

NEW QUESTION # 674
Hyponatremia is MOST commonly associated with:

A. fluid overload
B. diuresis
C. over administration of Normal Saline (NS)
D. dehydration

Answer: A

Explanation:
Hypo-osmolar disorders, such as hyponatremia (a sodium imbalance), are the result of an excess of water. The causes of hyponatremia include excess intake or impaired secretion of water, excess ADH (Antidiuretic Hormone) as in the syndrome of inappropriate ADH (SIADH), replacement of volume loss with pure water, and salt-wasting disorders. Hyponatremia is extremely common in critically ill patients, most often related to the over-use of D5W (dextrose 5% water) IV solutions (not over administration of NS). Because these patients have often lost some volume, balanced fluid replacement is extremely important. The signs and symptoms seen with this condition are related to cerebral intracellular swelling, as water moves from the intravascular to the intracellular spaces.

NEW QUESTION # 675
Which of the following injuries is MOST LIKELY to create flail chest?

A. A single fracture to ribs 3-5 on the right side and a single fracture to ribs 3-5 on the left side
B. Multiple fractures to ribs 3-6 on the left side and a single fracture of rib 8 on the right side
C. A single fracture of ribs 3-8, all on the left side
D. Multiple fractures to ribs 2-3, 5, and 7-8, all on the right side

Answer: B

Explanation:
Flail chest occurs when several (3 or more) adjacent ribs are fractured in at least two places. This creates a "floating segment" of the chest that may puncture the lung and compromise oxygenation and ventilation, preventing normal expansion and reduction of the lung when breathing.
Symptoms of flail chest include chest pain and shortness of breath. On assessment, there is inward movement of the affected side of the chest during inspiration and outward movement during expiration, called "paradoxical breathing." This injury is best assessed when the patient is breathing spontaneously.
Bilateral single rib fractures may theoretically cause flail chest, but only if the sternum becomes fully detached from the ribs.

NEW QUESTION # 676
......

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