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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 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 4

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 6

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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For the CCRN-Adult web-based practice exam no special software installation is required. because it is a browser-based CCRN-Adult practice test. The web-based CCRN (Adult) - Direct Care Eligibility Pathway practice exam works on all operating systems like Mac, Linux, iOS, Android, and Windows. In the same way, IE, Firefox, Opera and Safari, and all the major browsers support the web-based AACN CCRN-Adult Practice Test. So it requires no special plugins.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q959-Q964):

NEW QUESTION # 959
Which of the following is the BEST method to assess pain in a critically ill patient who is intubated and nonresponsive?

A. FLACC pain scale
B. Visual analog scale (VAS)
C. Vital signs
D. Behavioral pain scale

Answer: D

Explanation:
When a critically ill patient is unable to indicate their pain intensity either verbally or nonverbally, nurses must often use other criteria to assess the patient's pain. Using a behavioral pain scale provides a guide for identifying and assessing pain in nonverbal patients. Two examples include the Detroit Medical Center Behavioral Pain Scale and the Behavioral Pain Assessment Tool (BPAT). These scales measure facial signs and expressions, restlessness, muscle tone, vocalization, and consolability.
Vital signs alone should not be used for pain assessment in a critically ill patient. The FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is used in children, not adults. The VAS is used with patients who are not verbal but can still communicate nonverbally.

NEW QUESTION # 960
A nurse admits a patient awaiting surgery for an unstable pelvic fracture following a fall in which no other injuries were sustained. The nurse should prioritize

A. transportation to radiology for an MRI.
B. placement of a binder across the patient's hips.
C. administration of a sedative to reduce movement.
D. type and crossmatch PRBC prior to surgery.

Answer: B

Explanation:
In the context of an unstable pelvic fracture, placing a binder across the patient's hips is crucial to stabilize the fracture and reduce the risk of further internal bleeding and damage. This intervention helps in temporarily stabilizing the pelvis until definitive surgical treatment can be performed. Transporting the patient for an MRI is not the immediate priority, as the primary goal is to stabilize the patient. Type and crossmatching PRBCs are important but should follow immediate stabilization measures. Administering a sedative to reduce movement can be considered, but it is not the top priority over physical stabilization of the fracture.
References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course

NEW QUESTION # 961
Your patient's diagnostic studies reveal a temporal skull fracture with a midline shift. These findings are MOST OFTEN associated with which of the following conditions?

A. Contusion
B. Epidural hematoma (EDH)
C. Battle's sign
D. Subdural hematoma (SDH)

Answer: B

Explanation:
An EDH is bleeding located above the dura (between the dura and the skull). EDH is associated with skull fractures that lacerate an underlying artery, and is most common in the temporal area of the brain, due to tearing of the middle meningeal artery. Up to 75% of EDHs in adults occur in the temporal region, secondary to skull fracture.
Symptoms of EDH include a decrease in consciousness, headache, seizures, vomiting, hemiparesis, and pupillary dilation. Management includes emergency surgery to evacuate the hematoma.
A contusion is a cortical bruise caused by the brain impacting the inside of the skull. The frontal and temporal lobes are common sites of contusions, but a contusion is not a skull fracture.
Battle's sign is bruising of the mastoid bone and is commonly associated with a basilar skull fracture.
An SDH is bleeding that occurs below the dura (within the subdural space between the dura and arachnoid layer), creating direct pressure on the brain. SDH results from rupture of the bridging veins between the brain and the dura, bleeding from contused or lacerated brain tissue, or extension from an intracerebral hematoma.

NEW QUESTION # 962
The severe hypoxemia present in Acute Respiratory Distress Syndrome (ARDS) can be attributed to:

A. shunting as a result of collapsed alveoli
B. increased lung compliance
C. hyaline membrane formation over the alveoli
D. a fluid shift from the interstitial areas into the pulmonary vasculature

Answer: A

Explanation:
The development of Acute Respiratory Distress Syndrome (ARDS) may either be as a result of direct injury to an alveolar-capillary membrane (primary causes) or indirect damage from chemical mediators in response to systemic disorders (secondary causes).
ARDS is characterized by excessive alveolar-capillary membrane permeability, interstitial edema (fluid shifts or "shunts" into the interstitial spaces of the lungs), and diffuse alveolar injury (collapsed alveoli).
This alveolar and interstitial edema, microatelectasis, and V/Q mismatching leads to severe hypoxemia and poor lung compliance ("stiff lungs").

NEW QUESTION # 963
A patient is about to be tested for abdominal compartment syndrome. Which of the following actions take by the nurse in anticipation of testing the patient's intra-abdominal pressure is CORRECT?

A. Prepare the patient for transfer to the operating room
B. Position the patient for insertion of an intra-abdominal needle
C. Start an IV site
D. Insert an indwelling urinary catheter

Answer: D

Explanation:
The intra-abdominal pressures are normally measured by measuring the pressure applied on the bladder by the abdominal compartment. Inserting a urinary catheter is the first step in preparing to measure intra-abdominal pressure. The patient does not need to go to the operating room for this. A needle is used to assess compartment syndrome in muscle compartments, but not in the abdominal compartment. An IV is not necessary for this measurement.

NEW QUESTION # 964
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