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AACN CCRN-Adult Exam Syllabus Topics:

Topic	Details
Topic 1	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 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 4	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 5	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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q800-Q805):

NEW QUESTION # 800
You have just started working in a new critical care unit and observe your preceptor performing a complex procedure in a way you have never seen before. What should your next course of action be?

A. Ignore the new method and continue using your previous knowledge
B. Ask your preceptor to clarify the procedure and the rationale behind it
C. Try to learn the new procedure and apply it in the future
D. Make a note to research the alternative method of performing the procedure later

Answer: B

Explanation:
During preceptorship, you should ask your preceptor about new methods that you are unfamiliar with, exploring new methods and the rationale behind them. You should understand the rationale for new methods before you try to learn and apply them, as the rationale for the method may be inadequate when compared to the rationale behind the way you currently practice. The new method may represent an opportunity to improve your practice. You should not just ignore the new method and continue using your previous knowledge. While researching the method on your own later isn't wrong, it is better to use the time with your preceptor to ask them about it.

NEW QUESTION # 801
Which of the following is LEAST LIKELY to be a complication of immobility?

A. Urinary tract infection (UTI)
B. Pressure injury
C. Compartment syndrome
D. Venous thromboembolism (VTE)

Answer: C

Explanation:
Compartment syndrome is normally caused by an injury, especially by a crush-related injury, and is not likely to be caused by immobility.
Immobility can lead to VTEs, pressure ulcers, and muscle atrophy. UTIs can result from immobility, but compartment syndrome is less likely than a UTI.

NEW QUESTION # 802
If heparin-induced thrombocytopenia develops, how long should the patient wait before using heparin again?

A. The patient can never use heparin again
B. Three or more months
C. At least ten days
D. Three years, and they must undergo reactivity testing prior to using heparin

Answer: A

Explanation:
Heparin is an immune-mediated reaction to heparin that causes platelets to clot intravascularly. When this reaction occurs, it is likely to reoccur with any further heparin use. This effect does not diminish over time and heparin should not be used again by this patient.

NEW QUESTION # 803
Which of the following is a goal of intra-aortic balloon pump therapy?

A. Maximize aortic diastolic augmentation pressure
B. Decrease MAP
C. Increase systolic blood pressure
D. Increase end-diastolic blood pressure

Answer: A

Explanation:
The IABP (Intra-Aortic Balloon Pump) provides cardiac assistance by improving myocardial oxygen supply and reducing cardiac workload. The IAPB works on the principle of counterpulsation. Gas (helium or CO2) moves back and forth from the IABP console to the IABP catheter, causing the balloon to inflate (during ventricular diastole, increasing intra-aortic pressure and blood flow to the coronary arteries) and deflate (just prior to ventricular systole, decreasing intra-aortic pressure). This counterpulsation increases the Mean Arterial Pressure (MAP), improves coronary artery blood flow and perfusion during diastole, and decreases systolic blood pressure and end-diastolic blood pressure.

NEW QUESTION # 804
Which of the following is the BEST method to assess pain in a critically ill patient who is intubated and nonresponsive?

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

Answer: C

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 # 805
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