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Practice Test AACN CCRN-Adult Fee | Pass Leader CCRN-Adult Dumps

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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 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

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 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.

Topic 6

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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q347-Q352):

NEW QUESTION # 347
Which of the following patients would be at HIGHEST risk of developing diabetes insipidus (DI)?

A. An 84-year-old male with a gastrointestinal malignancy
B. A 49-year-old male with a history of smoking and chronic narcotic use for back pain
C. A 61-year-old male with bipolar disorder on chronic lithium therapy
D. A 52-year-old male with prolonged use of positive pressure ventilation secondary to a pulmonary disorder

Answer: C

Explanation:
DI results from a group of disorders in which there is an absolute or relative deficiency of ADH (called central DI) or an insensitivity to its effects on the kidney tubules (called nephrogenic DI).
There are many causes that can contribute to the development of DI. Central DI (also called neurogenic DI) results from damage to the hypothalamic/pituitary system, while an absolute deficiency of antidiuretic hormone (ADH) results in an impaired ability to concentrate urine, polyuria, and a risk for dehydration.
Medication-induced etiologies of DI include chronic use of lithium. This is a type of nephrogenic DI, or ADH insensitivity.
Nicotine, narcotic use (opioids), GI malignancies, and prolonged use of positive pressure ventilation (PPV) can predispose the patient to the development of SIADH (The syndrome of inappropriate antidiuretic hormone), not DI.

NEW QUESTION # 348
In which of the following structures within the conduction system of the heart do second- and third- degree Atrioventricular (AV) blocks originate?

A. SA node
B. Bundle of His
C. AV node
D. Purkinje fibers

Answer: C

Explanation:
The Atrioventricular (AV) node is a small group of cells in the low right atrium near the tricuspid valve whose primary job is to slow conduction of the impulse from the atria to the ventricles to allow time for the atria to contract and empty their blood into the ventricles. Second-degree and third-degree AV heart blocks are dysfunctions of the AV node which may result from ischemia, infarction, cardiac disease, drugs, or defects. These heart blocks may occur when the AV node fails to properly carry electrical impulses to the ventricles.

NEW QUESTION # 349
Which of the following factors is NOT used to diagnose AMI?

A. History of ischemic-like symptoms
B. Elevation and fall in level of serum cardiac biomarkers
C. ST-segment depression
D. Changes on serial EKGs

Answer: C

Explanation:
ST-segment depression itself is not used to diagnose AMI (Acute Myocardial Infarction) unless it is noted as a change on a serial EKG. While ST-segment depression indicates an NSTEMI (Non-ST-Elevation Myocardial Infarction), it must be new or worse compared to a prior EKG. A history of ischemic-like symptoms, changes on serial EKGs, and an elevation and fall in the level of serum cardiac biomarkers are the three factors on which a diagnosis of AMI is made, with at least two of the findings needing to be present to make the diagnosis.

NEW QUESTION # 350
When considering the concept of clinical inquiry in the context of critical care nursing, who is doing the inquiring?

A. The patient
B. The nurse
C. Anyone who reports to the nurse
D. Any nursing student

Answer: B

Explanation:
Clinical inquiry is the ongoing process of questioning and evaluating practice throughout a nurse's career, ensuring that they provide informed practice. The term "clinical inquiry" signifies that the nurse is inquiring further into clinical practice. It is therefore the nurse, not the patient, nursing student, or anyone who reports to the nurse, who would be doing the inquiring.

NEW QUESTION # 351
Which of the following is MOST LIKELY to be a congenital condition?

A. Dilated cardiomyopathy
B. Infective endocarditis
C. Restrictive cardiomyopathy
D. Hypertrophic obstructive cardiomyopathy

Answer: D

Explanation:
Hypertrophic obstructive cardiomyopathy (HOCM) is considered a congenital cardiomyopathy. The diagnosis of HOCM is made if hypertrophy of the intraventricular septum is present.
Dilated cardiomyopathy is typically caused by coronary artery disease (CAD).
Restrictive cardiomyopathy is due to ventricular fibrosis, typically due to a pathological condition. It is the least common of the cardiomyopathies.
Infective endocarditis is an acquired valve disorder, often leading to gradual fibrotic changes of the valve and calcification of the valve cusps. Shortening of the chordate tendineae also may occur.

NEW QUESTION # 352
......

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