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AACN CCRN-Adult Exam Syllabus Topics:

Topic
Details

Topic 3

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

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.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q707-Q712):

NEW QUESTION # 707
Of the following strategies, which is indicated to reduce the risk of Central Line-Associated Bloodstream Infections (CLA-BSI)?

A. Replace intravenous tubing no more frequently than every 96 hours but at least every seven days, unless otherwise recommended by the pharmacy based on medication
B. Routinely replace central lines at scheduled intervals
C. Use of antibiotic ointment at the insertion site
D. Replace peripheral intravenous sites at least every seven days but no more frequently than every 96 hours

Answer: A

Explanation:
IV tubing should be replaced no more frequently than every 96 hours but at least every seven days to prevent bacterial overgrowth infusing from the IV tubing itself into the central line.
Antibiotic ointment at the insertion site should be avoided because it can promote fungal infections and antibiotic resistance. Central lines should not be routinely replaced at scheduled intervals as this could increase the risk of infection. Peripheral IV sites should be replaced at least every 96 hours, but no more frequently than every 72 hours. In small children, peripheral venous catheters should be maintained until the intravenous therapy is completed, unless infiltration or phlebitis occurs.

NEW QUESTION # 708
In which type of shock is the heart UNABLE to pump enough blood to meet the oxygen and metabolic needs of the body?

A. Cardiogenic
B. Hypovolemic
C. Neurogenic
D. Distributive

Answer: A

Explanation:
Cardiogenic shock occurs when the heart cannot pump enough blood to meet the oxygen and metabolic needs of the body. Coronary artery disease and severe heart attack are common causes of pump failure.
In every case of cardiogenic shock, the heart fails to function effectively as a pump, leading to decreases in stroke volume, cardiac output, blood pressure, and tissue perfusion.
Hypovolemic shock occurs when there is inadequate volume in the vascular space, as in the cases of acute blood loss or shifting of fluid out of the vascular space into other body fluid spaces.
Distributive shock is characterized by an abnormal placement or distribution of vascular volume and occurs in three situations: sepsis, neurologic damage, anaphylaxis. Of the distributive shock syndromes, septic shock is most commonly seen in critical care settings.
Neurogenic shock occurs when neurological injury affects the ability to maintain vascular tone.

NEW QUESTION # 709
Which of the following is MOST important for a patient who develops Transfusion-Related Acute Lung Injury (TRALI) during a blood transfusion?

A. Administering antibiotics
B. Providing aggressive respiratory support
C. TRALI will not occur in patients who are receiving blood transfusions
D. Administering a diuretic and limiting fluid intake

Answer: B

Explanation:
Transfusion-Related Acute Lung Injury (TRALI) is caused by an immune reaction to a transfusion and results in hypoxia and noncardiogenic pulmonary edema. The correct response to this reaction is to provide aggressive respiratory support. Administering antibiotics is only important if the patient is developing an infection. Administering a diuretic and limiting fluid intake is important in patients experiencing a Transfusion-Associated Circulatory Overload (TACO), as this reaction is due to excesses fluid. While a TRALI may cause pulmonary edema, this pulmonary edema will be more due to the immune reaction and will respond better to aggressive respirator support than it will to diuretics.

NEW QUESTION # 710
A 32-year-old woman was admitted to the cardiovascular ICU following a tricuspid valve replacement related to recurrent bacterial endocarditis. She has a self-reported history of opioid abuse, but she has been clean and sober for 4 years. She discussed her status with her physician prior to her surgery. When she arrives from the operating room, she is in a great deal of pain. Post-operative pain management orders are for acetaminophen only. When you ask the surgeon for an opioid for pain management, they state, "She is an addict. She doesn't need anything for pain." What should your FIRST response be?

A. Ask another doctor on the case for a second opinion
B. Understand the doctor's perspective and respect their decision not to treat the patient's pain with an opioid
C. Discuss the situation with the doctor privately
D. Report the doctor to the nurse's chain of command for his unacceptable response

Answer: C

Explanation:
Discussing the situation with the doctor privately and professionally will allow the doctor the opportunity to feel less threatened by your concerns. This provides the opportunity for both parties to express viewpoints, understand each other's perspectives, and build rapport, which will ultimately benefit the patient.
If after your private discussion, the doctor still refuses to appropriately treat the patient's pain, then it would be acceptable to report the doctor to your chain of command.

NEW QUESTION # 711
Which of the following statements is TRUE about Multiple Organ Dysfunction Syndrome (MODS)?

A. Generally, the time frame for primary MODS is seven to ten days
B. The mortality rates for MODS range from 50% to 100% as the number of involved organs increases
C. In primary MODS, organ dysfunction occurs as the result of persistent mediator release following an insult such as pancreatitis
D. Secondary MODS is the result of a well-defined insult in which organ dysfunction occurs early and can be attributable to the insult itself

Answer: B

Explanation:
The mortality rates in MODS vary depending on the underlying cause and range from 50% to 100% as the number of affected organs increases. Primary MODS results from direct insult to an organ (aspiration causes lung dysfunction), whereas secondary MODS occurs due to persistent mediator release following an insult. Typically, the time frame for secondary MODS is seven to ten days.

NEW QUESTION # 712
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