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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	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 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.

AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q57-Q62):

NEW QUESTION # 57
A patient presents with the following hemodynamics:
MAP 40 mm Hg
PAD6 mm Hg
PAOP5 mm Hg
CI1.8 L/min/m2
SVR875 dynes/sec/cm-5
Which of the following is essential in the plan of care?

A. fluid resuscitation
B. loop diuretic
C. whole blood
D. vasopressors

Answer: A

Explanation:
The patient has signs of hypovolemic shock, which is characterized by low MAP, low PAOP, low CI, and high SVR. The patient needs fluid resuscitation to restore intravascular volume and improve tissue perfusion. Loop diuretic, vasopressors, and whole blood are not indicated in this case.
References:
* Reference Guide for CCRN (Adult), page 14.
* Adult CCRN/CCRN-E/CCRN-K Certification Review Course Online - Individual Purchase, Module 1:
Cardiovascular, Part 1: Shock.

NEW QUESTION # 58
A 26-year-old female was weightlifting and experienced a sudden explosive headache, and was admitted to the ICU. The occurrence of this patient's symptoms MOST LIKELY indicate which of the following conditions?

A. Brain stem contusion
B. Basilar skull fracture
C. Epidural hematoma (EDH)
D. Ruptured intracranial aneurysm

Answer: D

Explanation:
Subarachnoid hemorrhage (SAH) can result from trauma, aneurysm, or other vascular malformations. In this scenario, the patient is experiencing SAH due to the rupture of an intracranial aneurysm.
Risk factors for intracranial aneurysm formation include smoking, hypertension, family history, and certain genetic disorders. SAH due to the rupture of an intracranial aneurysm is often the result of an extremely strenuous workout or heavy lifting in a patient with existing risk factors. Patients experience sudden, severe headaches described as "explosive" or "the worst headache of my life." Other common signs include nausea and vomiting, stiff neck, blurred vision, mental status changes, and photophobia.
Aneurysmal SAH is more common in men until the age of 50. The incidence is higher in women after age
50 and in the overall population.
Basilar skull fracture, EDH, and brain stem contusion are primary injuries which occur at the time of initial impact, and cause focal or diffuse anatomic changes to the cerebral tissue or cerebral vasculature.

NEW QUESTION # 59
Which of the following conditions is the result of pressure changes in the stomach that occur with severe and prolonged vomiting, causing tears in the lining of the esophagus?

A. Gastroesophageal varices
B. Hemorrhagic gastritis
C. Mallory-Weiss Syndrome (MWS)
D. Peptic Ulcer Disease (PUD)

Answer: C

Explanation:
Mallory-Weiss Syndrome (MWS) causes upper GI bleeding. It is a linear, non-perforating tear of the gastric mucosa near the gastroesophageal junction (where the esophagus meets the stomach). This tear is the result of pressure changes in the stomach that occur with forceful vomiting. MWS often occurs in alcoholic patients or patients with a history of repeated emesis (vomiting).
Hemorrhagic gastritis, often referred to as stress ulcers, are gastric lesions that are most commonly associated with NSAID overuse, alcohol abuse, and physiologic conditions that cause severe stress.
Gastroesophageal varices are most often a consequence of portal hypertension, commonly due to cirrhosis; acute upper GI bleeding is common when these varices rupture. PUD is the most common cause of upper GI bleeding and is related to too much gastric acid and impaired GI tract mucus secretion.

NEW QUESTION # 60
A 46-year-old male with a medical history of smoking and hypertension was performing heavy squats in the gym when he experienced a sudden severe headache. He came to the emergency department with complaints of a severe headache, dizziness, neck pain and stiffness, and blurred vision. He was admitted to the neuro ICU.
This patient's signs and symptoms are indicative of which of the following conditions?

A. Subarachnoid hemorrhage (SAH)
B. Ischemic cerebrovascular accident (CVA)
C. Subacute subdural hematoma (SDH)
D. Cerebral concussion

Answer: A

Explanation:
SAH can result from trauma, aneurysm, or other vascular malformations. Risk factors for intracranial aneurysm formation include smoking, hypertension, family history, and certain genetic disorders.
SAH due to the rupture of an intracranial aneurysm is often the result of an extremely strenuous workout or heavy lifting in a patient with existing risk factors. Patients with SAH experience sudden, severe headaches described as "explosive" or "the worst headache of my life." Other common signs include nausea and vomiting, stiff neck, blurred vision, mental status changes, and photophobia.
Aneurysmal SAH is more common in men until the age of 50. The incidence is higher in women after age
50 and in the overall population.
Cerebral concussions are caused by rapid acceleration-deceleration (common with MVAs) or by a sudden blow to the head.
An ischemic CVA is caused by a thrombotic or embolic event.
A subacute SDH presents with an insidious (not sudden) onset, because the brain can better compensate for this slow increase in mass. Blood collects in the subdural space over days to weeks, and symptoms include an increasingly severe headache, confusion, drowsiness, and possibly seizures.

NEW QUESTION # 61
Which of the following critically ill patients is at the LOWEST risk of developing hospital-acquired pneumonia?

A. A 21-year-old female with AIDS being treated for cardiac dysrhythmias
B. A 64-year-old male with a COPD exacerbation
C. A 34-year-old male being treated for DKA
D. A 91-year-old female with sepsis who is improving after beginning antibiotic therapy

Answer: C

Explanation:
There are several factors that can increase the risk of critically ill patients developing hospital-acquired pneumonia. These include advanced age, chronic respiratory or cardiac disease, and immunocompromised condition from diseases such as AIDS. A young patient being treated for DKA has the lowest risk of the available options.

NEW QUESTION # 62
......

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