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Certification CCRN-Adult Exam Cost & CCRN-Adult Dump Check
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AACN CCRN-Adult Exam Syllabus Topics:
Topic
Details
Topic 1
- 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 2
- 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
- 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 5
- 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 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 - Pass-Sure Certification CCRN (Adult) - Direct Care Eligibility Pathway Exam Cost
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q533-Q538):
NEW QUESTION # 533
If Acetaminophen (Tylenol) overdose is not treated promptly and properly, symptoms manifest and are MOST LIKELY to include which of the following?
- A. Pallor, hypothermia, decreased LOC
- B. Increased renal function
- C. RUQ pain, increased serum liver enzymes
- D. GI distress, hepatotoxicity, hepatic necrosis
Answer: D
Explanation:
Renal function may potentially decrease depending on how severe the liver failure is and if it can be reversed. RUQ pain is not typical, but ALT and AST may have increased. It is imperative that these patients are monitored and treated immediately even though initially they may present with no symptoms. If prompt treatment is not achieved, the hepatocellular damage can become permanent, requiring the need for transplant (most common cause of liver transplant in the US).
Pallor, hypothermia, and decreased LOC are seen in barbiturate overdose cases.
NEW QUESTION # 534
On which of the following patients would a bilateral pneumonectomy potentially be performed?
- A. A patient with pulmonary fibrosis
- B. A patient who is brain-dead
- C. A patient who is receiving Extracorporeal Membrane Oxygenation (ECMO)
- D. A patient with lung cancer in lobes of both lungs
Answer: B
Explanation:
A bilateral pneumonectomy is surgical removal of both lungs and would only be performed in patients who are legally dead and are organ donor candidates. The only patient described that meets this criteria is the patient who is brain-dead. This procedure would only be performed if the patient was an organ donor.
NEW QUESTION # 535
Which of the following interventions is KEY for a patient who is experiencing a transfusion related acute lung injury (TRALI)?
- A. Administer antihistamines and steroids
- B. Administer antipyretics
- C. Begin dialysis
- D. Aggressive respiratory support
Answer: D
Explanation:
TRALI is a serious and potentially fatal complication of blood product transfusion in which a patient develops rapid onset lung injury and noncardiogenic pulmonary edema, generally within 6 hours of the transfusion, due to activation of immune cells in the lungs.
Once the blood transfusion has been discontinued, the patient should undergo aggressive respiratory support, including mechanical intubation and ventilation if necessary.
Dialysis may be indicated, but the priority is respiratory support, which is critical for this patient.
Antipyretics are indicated in the diagnosis of an acute febrile reaction from a blood transfusion, not TRALI. Antihistamines and steroids are indicated if the patient experiences an acute allergic reaction.
NEW QUESTION # 536
A critical care nurse is researching and implementing an evidence-based practice change in the intensive care unit. Which of the following actions BEST illustrates clinical inquiry?
- A. Asking patients if they believe the change would be beneficial
- B. Instituting the change and evaluating patient feedback
- C. Performing a literature review on the proposed change
- D. Asking other staff members if they support the change
Answer: C
Explanation:
Clinical inquiry is the ongoing process of questioning and evaluating practice throughout a nurse's career, ensuring that they provide informed practice. Performing a literature review on the proposed change is the only action that specifically illustrates clinical inquiry. Asking staff members if they support the change or patients if they believe the change would be beneficial does not demonstrate clinical inquiry. Instituting the change and evaluating patient feedback also does not demonstrate clinical inquiry.
NEW QUESTION # 537
Which of the following represents a secondary cause of Acute Respiratory Distress Syndrome (ARDS)?
- A. Near drowning
- B. Hypovolemic shock associated with chest trauma or sepsis
- C. Pulmonary contusion
- D. Aspiration of gastric contents
Answer: B
Explanation:
Risk factors for Acute Respiratory Distress Syndrome (ARDS) development are categorized into either primary or secondary causes. Primary causes lead to direct damage to the alveolar-capillary membrane and include aspiration of gastric contents, pulmonary contusion, and near drowning. Secondary causes are not related to direct lung damage but rather thought to be mediated by cellular or humoral injury to the capillary endothelial wall. Hypovolemic shock associated with chest trauma or systemic sepsis is considered a secondary cause of ARDS.
NEW QUESTION # 538
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